Progress and challenges of disaster health management in China: a scoping review

Article


Zhong, Shuang, Clark, Michele, Hou, Xiang-Yu, Zang, Yuli and FitzGerald, Gerard. 2014. "Progress and challenges of disaster health management in China: a scoping review." Global Health Action. 7, pp. 1-9. https://doi.org/10.3402/gha.v7.24986
Article Title

Progress and challenges of disaster health management in China: a scoping review

ERA Journal ID200558
Article CategoryArticle
AuthorsZhong, Shuang (Author), Clark, Michele (Author), Hou, Xiang-Yu (Author), Zang, Yuli (Author) and FitzGerald, Gerard (Author)
Journal TitleGlobal Health Action
Journal Citation7, pp. 1-9
Article Number24986
Number of Pages9
Year2014
Place of PublicationMilton Park, United Kingdom
ISSN1654-9880
Digital Object Identifier (DOI)https://doi.org/10.3402/gha.v7.24986
Web Address (URL)https://www.tandfonline.com/doi/pdf/10.3402/gha.v7.24986?needAccess=true
Abstract

Background Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries.

Objective This paper provides an overview of the status of disaster health management in China, with its aim to promote the effectiveness of the health response for reducing disaster-related mortality and morbidity.

Design A scoping review method was used to address the recent progress of and challenges to disaster health management in China. Major health electronic databases were searched to identify English and Chinese literature that were relevant to the research aims.

Results The review found that since 2003 considerable progress has been achieved in the health disaster response system in China. However, there remain challenges that hinder effective health disaster responses, including low standards of disaster-resistant infrastructure safety, the lack of specific disaster plans, poor emergency coordination between hospitals, lack of portable diagnostic equipment and underdeveloped triage skills, surge capacity, and psychological interventions. Additional challenges include the fragmentation of the emergency health service system, a lack of specific legislation for emergencies, disparities in the distribution of funding, and inadequate cost-effective considerations for disaster rescue.

Conclusions One solution identified to address these challenges appears to be through corresponding policy strategies at multiple levels (e.g. community, hospital, and healthcare system level).

KeywordsChina; disaster management; disaster resilience; health policy; health system
ANZSRC Field of Research 2020320207. Emergency medicine
420306. Health care administration
Public Notes

Global Health Action 2014. c. 2014 Shuang Zhong et al. This is an Open Access article distributed under the terms of the Creative Commons CC-BY 4.0 License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.

Byline AffiliationsQueensland University of Technology
Shandong University, China
Institution of OriginUniversity of Southern Queensland
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