Background: Hospital disaster preparedness is a critical component of public health and a key factor in reducing the impacts of disasters. Adequate preparedness in healthcare facilities not only preserves continuity of care but also improves the safety of patients and staff, enables efficient resource management, and lowers both direct and indirect costs. By contrast, insufficient planning and weak policy-making in this topic can increase mortality, damage infrastructure, degrade service quality, and impose a heavy financial burden on the health system. This study evaluates the policies, challenges, and strategies for strengthening disaster preparedness in Iranian hospitals, with a focus on Lorestan Province. The findings show that although national policies have been developed and international tools adopted, implementation remains fragmented and uneven: disaster-preparedness assessment scores in Lorestan and several border provinces fall below the national average. Key shortcomings include shortages of financial and human resources, gaps in training and practical exercises, poor interorganizational coordination, a predominantly reactive rather than proactive approach, and limited adaptation of policies to local contexts. Adoption of flexible, evidence-based operational programs; continuous, realistic drills and training to build staff capacity; development of safe, multiuse infrastructure; adoption of modern technologies; enhanced community engagement; and transparent evaluation and monitoring could all help improve current conditions and boost hospital resilience. Ultimately, health policymakers should increase investment in disaster preparedness, reform managerial and support structures, and transparently monitor program implementation to strengthen hospitals’ readiness for disasters.
Type of Study:
Review article / Policy brief |
Subject:
جراحی Received: 2025/10/1 | Accepted: 2025/10/16 | Published: 2025/11/1