Hospital preparedness for disasters: a global perspective on research trends in health promotion and resilience
DOI:
https://doi.org/10.12928/jcp.v8i1.14916Keywords:
Bibliometric, Disaster Preparedness, Health Promotion, Health Resilience, HospAbstract
Hospitals play a central role in maintaining the continuity of healthcare services during crises, underscoring the strategic necessity of disaster preparedness to strengthen the health system’s resilience. This study analyzed global trends, research developments, and scientific influences related to hospital disaster preparedness to identify knowledge gaps and future priorities for enhancing resilience and promoting health. Data were retrieved from the Scopus database using the keywords “hospital” and “disaster preparedness” for the years 2015–2025, screened according to the inclusion criteria, and analyzed using VOSviewer and Scopus Analytics. A total of 628 articles met the criteria. The number of publications increased sharply after 2020, with notable dominance by high-income countries and leading academic institutions with substantial research funding. Bibliometric mapping revealed four major research clusters: (1) hospital emergency management and system preparedness, (2) healthcare workforce resilience and lessons from the pandemic, (3) education, training, and behavioral preparedness, and (4) cross-country collaboration in disaster response. Although the multidisciplinary dimension of hospital preparedness is evident through the inclusion of engineering and computer science fields, technology-related keywords did not appear at the applied threshold, suggesting that research on technology integration remains limited. Contributions from Low- and Middle-Income Countries (LMICs) are also underrepresented, highlighting disparities in research capacity and funding. This study expands global understanding of hospital disaster preparedness by identifying emerging and underexplored areas, emphasizing the importance of multidisciplinary collaboration, equitable research partnerships, and the integration of health promotion approaches to build adaptive, resilient hospitals worldwide.
References
Cvetković VM, Renner R, Aleksova B, Lukić T. Geospatial and Temporal Patterns of Natural and Man-Made (Technological) Disasters (1900–2024): Insights from Different Socio-Economic and Demographic Perspectives. Appl Sci. 2024;14:8129. https://doi.org/10.3390/app14188129
Tin D, Cheng L, Le D, Hata R, Ciottone G. Natural disasters: a comprehensive study using EMDAT database 1995–2022. Public Health. 2024;226:255–60. https://doi.org/10.1016/j.puhe.2023.11.017
Mudželet Vatreš A, Kovačević A, Jukić S. Gradual Increase of Natural Disaster Occurrences in the Context of Climate Change. 2023. p. 403–19. https://doi.org/10.1007/978-3-031-43056-5_29
Mokhtari M, Faridi P, Masoodi M, Mehran Ahmadi S. Perspective Chapter: A Global View of Natural Hazards Related Disasters. Nat Hazards - New Insights. IntechOpen; 2023. https://doi.org/10.5772/intechopen.111582
Kamalrathne T, Amaratunga D, Haigh R, Kodituwakku L, Rupasinghe C. Epidemic and Pandemic Preparedness and Response in a Multi-Hazard Context: COVID-19 Pandemic as a Point of Reference. Int J Environ Res Public Health. 2024;21:1–24. https://doi.org/10.3390/ijerph21091238
Noor AU, Maqbool F, Bhatti ZA, Khan AU. Epidemiology of COVID-19 Pandemic: Recovery and mortality ratio around the globe. Pakistan J Med Sci. 2020;36:S79–84. https://doi.org/10.12669/pjms.36.COVID19-S4.2660
Khan MTI, Anwar S, Sarkodie SA, Yaseen MR, Nadeem AM. Do natural disasters affect economic growth? The role of human capital, foreign direct investment, and infrastructure dynamics. Heliyon. 2023;9:1–19. https://doi.org/10.1016/j.heliyon.2023.e12911
Melnychuk E, Sallade TD, Kraus CK. Hospitals as disaster victims: Lessons not learned? JACEP Open. 2022;3:1–17. https://doi.org/10.1002/emp2.12632
Marshall J, Wiltshire J, Delva J, Bello T, Masys AJ. Natural and Manmade Disasters: Vulnerable Populations. 2020. p. 143–61. https://doi.org/10.1007/978-3-030-23491-1_7
Masbi M, Tavakoli N, Dowlati M. Challenges of providing of special care services in hospitals during emergencies and disasters: a scoping review. BMC Emerg Med. 2024;24:1–16. https://doi.org/10.1186/s12873-024-01160-1
Hasan MK, Nasrullah SM, Quattrocchi A, Arcos González P, Castro-Delgado R. Hospital surge capacity preparedness in disasters and emergencies: a systematic review. Public Health. 2023;225:12–21. https://doi.org/10.1016/j.puhe.2023.09.017
Sabbah M. Preparedness for Disaster in Healthcare Systems-According to Worldwide Previous Studies. J Clin Sci Med Res. 2024;4:318–21. https://doi.org/10.55677/IJCSMR/V4I8-07/2024
Kalkan M, Türker Hb. Exploring the Resilience of Natural Disasters: A Comprehensive Bibliometric Analysis. Mimar Bilim ve Uygulamaları Derg. 2023;8:26–41. https://doi.org/10.30785/mbud.1335211
Oh N, Lee J. Changing landscape of emergency management research: A systematic review with bibliometric analysis. Int J Disaster Risk Reduct. 2020;49:101658. https://doi.org/10.1016/j.ijdrr.2020.101658
Kuipers S, van der Wilt A, Wolbers J. Pandemic publishing: A bibliometric review of COVID‐19 research in the crisis and disaster literature. Risk, Hazards Cris Public Policy. 2022;13:302–21. https://doi.org/10.1002/rhc3.12262
Abdul Shukor S, Salikin N, Ahmad Bustamam US, Anwar IF, Nordin SN. Crisis Management: A Bibliometric Analysis. J Muamalat Islam Financ Res. 2023;20:64–78. https://doi.org/10.33102/jmifr.500
Gkouliaveras V, Kalogiannidis S, Kalfas D, Kontsas S. Effects of Climate Change on Health and Health Systems: A Systematic Review of Preparedness, Resilience, and Challenges. Int J Environ Res Public Health. 2025;22:232. https://doi.org/10.3390/ijerph22020232
Sina I, Ulfa M. Evaluation of hospital preparedness for disasters: a bibliometric analysis. Disaster Emerg Med J. 2024;9:237–49. https://doi.org/10.5603/demj.101239
Rahmat M, Aini Q. Bibliometric Analysis of Hospital and Intensive Care Unit Management. Iran J War Public Heal. 2025;17:89–101. https://doi.org/10.58209/ijwph.17.1.89
Vaishya R, Sharma D, Sibal A, Puri B, Manikesi M, Vaish A. Enhancing Global Biomedical Research: Educational Strategies for Bridging the Gap between HICs and LMICs. Natl BOARD Exam J Med Sci. 2024;2:919–32. https://doi.org/10.61770/NBEJMS.2024.v02.i09.008
Rogers G, Szomszor M, Adams J. Sample size in bibliometric analysis. Scientometrics. 2020;125:777–94. https://doi.org/10.1007/s11192-020-03647-7
Chimed-ochir O, Amarsanaa J, Ghotbi N, Yumiya Y, Kayano R. Impact of COVID-19 on Health Emergency and Disaster Risk Management System : A Scoping Review of Healthcare Workforce Management in COVID-19. Sustainability. 2023;15:1–25. https://doi.org/10.3390/su151511668
Atighechian G, Rahimi A, Sattari M, Mohammadi M. Dimensions of hospital resilience emphasized during the COVID-19 pandemic response: A systematic review. Heal Sci Reports. 2024;7. https://doi.org/10.1002/hsr2.2300
Silva ES da, Kneodler T da S, Silva TASM, Oliveira AB de. Vulnerabilities to disasters in healthcare facilities in the face of the COVID-19 pandemic: a scoping review. Cien Saude Colet. 2024;29:1–13. https://doi.org/10.1590/1413-81232024297.01842024
Helali RGM. An Exploratory Study of Factors Affecting Research Productivity in Higher Educational Institutes Using Regression and Deep Learning Techniques. Artif Intell Appl. 2024;2:307–14. https://doi.org/10.47852/bonviewAIA3202660
Sharma MR. Research and Publication from Developing Countries. JIOM Nepal. 2020;42. https://doi.org/10.59779/jiomnepal.1122
Balikuddembe JK, Fu B, and Jan D. Reinhardt. Health Care Challenges After Disasters in Lesser Developed Countries. Nat Hazard Sci. 2019; https://doi.org/10.1093/acrefore/9780199389407.013.337
Farah B, Pavlova M, Groot W. Hospital disaster preparedness in sub ‑ Saharan Africa : a systematic review of English literature. BMC Emerg Med. 2023;23:1–13. https://doi.org/10.1186/s12873-023-00843-5
Listiowati E, Samsudin MA, Wulandari Y, Taritasari C, Mundakir M, Nurmansyah MI, et al. Evaluating infection prevention and control structure of Indonesian COVID-19 referral hospitals. Jàmbá - J Disaster Risk Stud. 2023;15:1–6. https://doi.org/10.4102/jamba.v15i1.1466
Republic Indonesia Ministry of Health. Guideline For Safe Hospital. 2024. Available from: https://pusatkrisis.kemkes.go.id/guideline-for-safe-hospital
WHO. Making health facilities safe in emergencies and disasters. 2025. Available from: https://www.who.int/activities/making-health-facilities-safe-in-emergencies-and-disasters
Ali HM, Ranse J, Roiko A, Desha C. Investigating Organizational Learning and Adaptations for Improved Disaster Response Towards “ Resilient Hospitals : ” An Integrative Literature Review. Prehosp Disaster Med. 2022;37:665–73. https://doi.org/10.1017/S1049023X2200108X
Macdonald AU, Harahus JM, Hall E, Reed MJ, Baldisseri MR. Chapter 2 - COVID-19 disaster preparedness. COVID-19 Pandemic. Elsevier Inc.; 2022. https://doi.org/10.1016/B978-0-323-82860-4.00007-0
Amini F, Hidarnia A, Ghofranipour F, Motlagh ME. Examining the effectiveness of a training program on improving knowledge , functional skills , and attitude in natural disaster volunteers. Front Public Heal. 2024;11:1–8. https://doi.org/10.3389/fpubh.2024.1321535
Listiowati E, Sjaaf AC, Achadi A, Bachtiar A, Arini M. Engaging Patients For Patient Safety: A Qualitative Study On Healthcare Recipients’ Perspectives. J Adm Kesehat Indones. 2023;11:67–80. https://doi.org/10.20473/jaki.v11i1.2023.67-80
Arini M, Primastuti HI. Literature Review: Telemedicine Implementation in Developing Countries. Lect Notes Networks Syst. 2024;505–14. https://doi.org/10.1007/978-981-97-3559-4_41
Yudianti E, Arini M. Failure Modes of Electronic Medical Record Implementation : A Bibliometric Study. Malaysian J Med Heal Sci. 2025;21:228–35. https://doi.org/10.47836/mjmhs.21.s3.34
Arini M, Islami MZ, Fathiya AH, Puspitosari WA, Nurchayati N. Open Access User-Centered Feature Requirements in Wearable Digital Health to Support Self- Care Among Stroke Survivors. Media Publ Promosi Kesehat Indones. 2025;8:1068–85. https://doi.org/10.56338/mppki.v8i10.7891
Nurmansyah MI, Samsudin A, Listiowati E, Nurjuman H, Wulandari Y, Asmawati WO, et al. Challenges of COVID-19 vaccination program in rural areas of Eastern Indonesia: A qualitative study from a multistakeholder perspective. World Med Heal Policy. 2023;16:134–52. https://doi.org/10.1002/wmh3.592
Levi H, Givaty G, Ovadia YS, Alon Y, Saban M. Evaluating emergency response at a hospital near the Gaza border within 24 h of increased conflict. BMC Emerg Med. 2024;47:1–9. https://doi.org/10.1186/s12873-024-00964-5
Goniewicz K, Barten DG. Advancing emergency preparedness in a postpandemic world : global collaboration and innovative approaches for hospitals. Emerg Crit Care Med. 2024;4:103–4. https://doi.org/10.1097/EC9.0000000000000099
Mohanty N. Resilience Lessons from COVID-19: Strengthening Critical Care Infrastructure and Workforce Capacity. Med Res Arch. 2025;13. https://doi.org/10.18103/mra.v13i8.6760
Glette MK, Ludlow K, Wiig S, Bates DW, Austin EE. Resilience perspective on healthcare professionals ’ adaptations to changes and challenges resulting from the 19 pandemic : a meta- synthesis. BMJ Open. 2023;13:1–13. https://doi.org/10.1136/bmjopen-2023-071828
Watkins N, Johnston AN, McNamee P, Muter N, Huang C, Li Y ling, et al. Preparing for Mass Casualties: Improving Staff Preparedness and Hospital Operations through Multidisciplinary Simulation Training in Disaster Management. Prehosp Disaster Med. 2019;34. https://doi.org/10.1017/S1049023X19001717
Lopes GCD, Farias WS de, Catapan5 PCPLRT da SA. The Importance of Cross-Border Education in Contexts of Collaboration Between Countries According to the SDGs. J Lifestyle SDGs Rev. 2024;4:1–15. https://doi.org/10.47172/2965-730X.SDGsReview.v4.n02.pe02054
Kalliontzi E, Kouskoura A, Katsaros E, Bakouros I. Perspective Chapter: Advancements in Disaster Risk Mitigation Strategies. 2024. https://doi.org/10.5772/intechopen.1005847
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