title: The pandemic influenza planning process in Ontario acute care hospitals.
abstract: BACKGROUND
  There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand.
  
  
  METHODS
  Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans.
  
  
  RESULTS
  The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters (76.8%, 73 of 95) of hospitals had pandemic influenza plans. Only 16.4% (12 of 73) of hospitals with plans had tested them. Larger (chi(2) = 6.7, P = .01) and urban hospitals (chi(2) = 5.0, P = .03) were more likely to have tested their plans. 70.4% (50 of 71) Of respondents thought the pandemic influenza planning process was not adequately funded. No respondents were "very satisfied" with the completeness of their hospital's pandemic plan, and only 18.3% were "satisfied."
  
  
  CONCLUSIONS
  Important challenges were identified in pandemic planning: one quarter of hospitals did not have a plan, few plans were tested, key players were not involved, plans were frequently incomplete, funding was inadequate, and small and rural hospitals were especially disadvantaged. If these problems are not addressed, the result may be increased morbidity and mortality when a virulent influenza pandemic hits.
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, Kingston, Ontario, Canada. zoutmand@kgh.kari.net
authors.forename: Dick E
authors.initials: DE
authors.lastname: Zoutman
authors.forename: B Douglas
authors.initials: BD
authors.lastname: Ford
authors.forename: Matt
authors.initials: M
authors.lastname: Melinyshyn
authors.forename: Brian
authors.initials: B
authors.lastname: Schwartz
mesh_terms: D004189:Disaster Planning / Q000706:statistics & numerical data*; D004196:Disease Outbreaks / Q000517:prevention & control*; D004636:Emergency Service, Hospital / Q000458:organization & administration; D006285:Health Planning / Q000706:statistics & numerical data*; D006302:Health Services Research; D006761:Hospitals; D006801:Humans; D017053:Infection Control / Q000458:organization & administration* / Q000706:statistics & numerical data; D007251:Influenza, Human / Q000453:epidemiology* / Q000517:prevention & control / Q000628:therapy*; D009864:Ontario / Q000453:epidemiology; D016134:Organizational Policy; D012040:Regional Health Planning / Q000379:methods