title: How Prepared Are Hospitals' Emergency Management Capacity? Factors Influencing Efficiency of Disaster Rescue.
abstract: In light of government investment over the past decade, we explored the capacity for disaster response in Heilongjiang Province, identifying the factors that affect response capacity.
  
  
  
  We surveyed 1257 medical staff in 65 secondary and tertiary hospitals in Heilongjiang province to explore their perceptions of disaster management capacity using a cross-sectional multistage, stratified cluster sampling method.
  
  
  
  All tertiary hospitals (100%) and most secondary hospitals (93%) have documented disaster management plans that are regularly reviewed. In secondary hospitals, drills were less prevalent (76.7%) but the occurrence of simulated training exercises was closer to tertiary hospitals (86.0%). We noted that 95.4% of all hospitals have leadership groups responsible for disaster preparedness capacity building, but only 10.8% have a stockpiled network of reserve supplies.
  
  
  
  Although response capacity has improved in Heilongjiang Province, vulnerabilities remain. We recommend that priorities should be targeted at preparedness capacity building, in terms of reliable and relevant operational response plans, the expansion of existing response mechanisms to oversee local education and scenario training, and to ensure there is sufficient access to protective equipment and materials, either held in reserve, or alternatively by activating resilient supply chain mechanisms. (Disaster Med Public Health Preparedness. 2018;12:176-183).
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Lijun
authors.initials: L
authors.lastname: Gao
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Qunhong
authors.initials: Q
authors.lastname: Wu
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Li
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Ding
authors.initials: D
authors.lastname: Ding
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Yanhua
authors.initials: Y
authors.lastname: Hao
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Cui
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Kang
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Mingli
authors.initials: M
authors.lastname: Jiao
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Libo
authors.initials: L
authors.lastname: Liang
authors.affiliation: 3School of Psychology and Public Health,La Trobe University,Melbourne,Victoria,Australia.
authors.forename: Adamm
authors.initials: A
authors.lastname: Ferrier
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Ning
authors.initials: N
authors.lastname: Ning
authors.affiliation: 1School of Health Management,Harbin Medical University,Heilongjiang,China.
authors.forename: Hong
authors.initials: H
authors.lastname: Sun
mesh_terms: D000328:Adult; D002681:China; D002959:Civil Defense / Q000592:standards*; D018672:Community Health Planning / Q000379:methods / Q000592:standards*; D003430:Cross-Sectional Studies; D005260:Female; D006761:Hospitals / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011634:Public Health / Q000379:methods / Q000592:standards; D018635:Rescue Work / Q000592:standards* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
keywords: emergency preparedness; hospital; medical rescue