Active Projects

Resilience of healthcare delivery systems

Project Facts

Start date: June 2011
End date: November 2013
Investigators Professor Andrew Price; and Dr Nebil Achour
Staff Employed Dr Nebil Achour; Dr Federica Pascale
Status Completed

Project Partners

• World Health Organisation (WHO)
• Kanazawa University (Japan)
• Fukui National College of Technology (Japan)
• University of Naples Federico II (Italy)
• Veneto Healthcare Service (Italy)
• Turkish National Medical Rescue Team – UMKE (Turkey)
• MoH Okmeydani Research and Training Hospital (Turkey)
• MedStar Institute for Innovation (USA)

Project Partners

School of Civil and Building Engineering
Loughborough University
Ashby Road
LE11 3TU
T: +44 (0) 15 0922 2627

Health infrastructure evaluation pre- and post-disasters is a critical component of the safety of patients and continuity of healthcare. However, evaluation techniques are very generic and do not necessarily reflect the complexity of healthcare facilities. Also, these techniques do not integrate environmental elements that have the potential to cause environmental degradation and affect the safety of people if the infrastructure is damaged. The increasing number of environmental disasters has emphasised the need for robust emergency planning capable of accurately forecasting and mitigating potential impacts. Most healthcare systems are designed to deal with average patient flows and surges during emergencies. Current approaches to disaster-related surges are not capable of dealing with the dynamic complexity associated with healthcare service disaster response, let alone multiple integrated systems/services.

This project aimed to improve the resilience of urgent and unscheduled care delivery through evidence and model-supported approaches to service planning and assessment. Two major elements were investigated, infrastructure and management/planning. The project researched the resilience of infrastructure to ensure continuity of healthcare and an ability to cope with challenges related to daily and special surges. Fundamental factors affecting performance were investigated: attendance variability, vulnerable groups and mass casualty events. The project aimed to develop a model to increase healthcare emergency resilience and a set of recommendations to support healthcare emergency planners achieving ‘a resilient state’.