Hospital Disaster Preparedness in Iran: A Systematic Review and Meta-Analysis

  • Jafar BAZYAR Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Negar POURVAKHSHOORI Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Hamid SAFARPOUR Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Mehrdad FARROKHI Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Hamid Reza KHANKEH 1. Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2. Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden
  • Salman DALIRI Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
  • Elham RAJABI Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Vahid DELSHAD Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Kourosh SAYEHMIRI Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
Iran;, Disaster;, Hospital preparedness;, Systematic review;, Meta-analysis


Background: Disasters are increasing all over the world. Iran, is one of the high-risk countries in this regard; so it is unavoidable to prepare hospitals as vital centers when disasters happen. This study aimed to evaluation the hospital preparedness based on previous studies in Iran.

Methods: A systematic review and meta-analysis by browsing through all articles published since 2006 to 2017, in English and Persian both languages were designed. Databases that we searched to, include Google Scholar, PubMed, Web of Science, Scopus, Medlib, Cochrane Library, Science Direct, Internationally and SID, Irandoc and Magiran, domestically. Two expert researchers investigated separately. Researchers used random and fixed effect models in the meta-analysis. Moreover, random and fixed effects model and meta-regression tests were applied by using STATA ver. 11. The P<0.05 was considered statistically significant.

Results: Twenty-five studies with a sample size of 181 hospitals were introduced to the process of meta-analysis. Iranian hospital preparedness is 53%, totally, that is moderate. Preparedness in different categories is as follows: emergency services 62%, communication 57%, security 54%, education 57%, logistic 65%, human resources 52%, Management and command 64%, reception 43%, transfer and evacuation 44%, traffic 47%, non-structural safety 57%, and structural safety 49%.

Conclusion: Hospital preparedness is moderate in Iran. Optimal management of existing resources and the use of Update technologies in the field of hospital services be directed towards improving the preparedness of hospitals for disasters.



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How to Cite
BAZYAR J, POURVAKHSHOORI N, SAFARPOUR H, FARROKHI M, KHANKEH HR, DALIRI S, RAJABI E, DELSHAD V, SAYEHMIRI K. Hospital Disaster Preparedness in Iran: A Systematic Review and Meta-Analysis. Iran J Public Health. 49(5):837-850.
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