{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:17:16Z","timestamp":1789993036364,"version":"4.0.1"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"unspecified","delay-in-days":263,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104224_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Hospitals play a crucial role in responding to respiratory pandemics, yet the degree of their readiness varies widely across health systems. Identifying and prioritizing the most critical indicators of hospital preparedness can guide policymakers in resource allocation and strategic planning. This study aimed to determine and rank the key indicators influencing hospital readiness for respiratory pandemics in referral hospitals in Kerman Province, Iran.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104224_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed-method, multicriteria decision-making (MCDM) approach was applied. Initially, a semi-structured Delphi process involving hospital managers and experts was used to identify essential readiness indicators based on the WHO checklist and local conditions. The finalized indicators were then prioritized using the Analytic Hierarchy Process (AHP) and the Best-Worst Method (BWM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104224_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight indicators were recognized as crucial for hospital preparedness. Among them, \u201cAppropriate Management Team and Planning\u201d ranked highest, followed by \u201cProvision of Human Resources\u201d and \u201cProvision of Medicine and Equipment.\u201d \u201cWaste Management and Disinfection of the Environment\u201d was identified as the least significant indicator. The consistency ratios for both methods were within acceptable limits, confirming the reliability of expert judgments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104224_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Effective management and proactive planning are the most influential determinants of hospital readiness during respiratory pandemics. Strengthening management structures, optimizing human resources, and ensuring essential supplies are critical steps toward enhancing health care system resilience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10422","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:54:48Z","timestamp":1789991688000},"source":"Crossref","is-referenced-by-count":0,"title":["Hospital Readiness for Respiratory Pandemics: Prioritizing Key Indicators Using AHP\u2013BWM"],"prefix":"10.1017","volume":"20","author":[{"given":"Elham","family":"Amini","sequence":"first","affiliation":[{"name":"Bam University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Baniasadi","sequence":"additional","affiliation":[{"name":"Bam University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoo","family":"Mohammadkhani","sequence":"additional","affiliation":[{"name":"Rafsanjan University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majid","family":"Heidari-Jamebozorgi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02kxbqc24","id-type":"ROR","asserted-by":"publisher"}],"name":"Sirjan School of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahram","family":"Ariafar","sequence":"additional","affiliation":[{"name":"Shahid Bahonar University of Kerman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"S1935789326104224_r3","first-page":"e00515","article-title":"Dealing in deadly pathogens: taking stock of the legal trade in live wildlife and potential risks to human health","volume":"17","author":"Can","year":"2019","journal-title":"Glob Ecol Conserv."},{"key":"S1935789326104224_r17","doi-asserted-by":"publisher","DOI":"10.1016\/j.advengsoft.2011.05.023"},{"key":"S1935789326104224_r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.03.005"},{"key":"S1935789326104224_r15","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-7279-7"},{"key":"S1935789326104224_r18","doi-asserted-by":"publisher","DOI":"10.1016\/j.asoc.2017.06.056"},{"key":"S1935789326104224_r6","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2006.06.041"},{"key":"S1935789326104224_r20","doi-asserted-by":"publisher","DOI":"10.1504\/IJSSCI.2008.017590"},{"key":"S1935789326104224_r21","doi-asserted-by":"publisher","DOI":"10.1016\/j.omega.2014.11.009"},{"key":"S1935789326104224_r22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclepro.2020.125592"},{"key":"S1935789326104224_r23","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/zxab017"},{"key":"S1935789326104224_r24","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202004-1037CP"},{"key":"S1935789326104224_r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclepro.2018.08.058"},{"key":"S1935789326104224_r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ins.2014.02.137"},{"key":"S1935789326104224_r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijhydene.2011.05.045"},{"key":"S1935789326104224_r26","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31821dc9d1"},{"key":"S1935789326104224_r19","doi-asserted-by":"publisher","DOI":"10.1016\/j.asoc.2020.106916"},{"key":"S1935789326104224_r1","volume-title":"Regional Office for South-East Asia, A Brief Guide to Emerging Infectious Diseases and Zoonoses","year":"2014"},{"key":"S1935789326104224_r11","unstructured":"11. Zanjani, H , Nejatian, MH . \u201cKerman iii. Population.\u201d Encyclopaedia Iranica. Published June 15, 2017. https:\/\/www.iranicaonline.org\/articles\/kerman-03-population\/"},{"key":"S1935789326104224_r25","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2016.30"},{"key":"S1935789326104224_r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcmed.2005.05.003"},{"key":"S1935789326104224_r10","unstructured":"10. WHO. Rapid Hospital Readiness Checklist: Interim Guidance. 2020. Available from: https:\/\/www.who.int\/publications\/i\/item\/WHO-2019-nCoV-hospital-readiness-checklist-2020.1"},{"key":"S1935789326104224_r8","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2019.0128"},{"key":"S1935789326104224_r12","unstructured":"12. Arnold Kaufmann, MMG , Fuzzy mathematical models in engineering and management science.: Elsevier Science Inc.; 1988:655 Avenue of the Americas, New York, NY."},{"key":"S1935789326104224_r5","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-05954-2"},{"key":"S1935789326104224_r2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwy146"},{"key":"S1935789326104224_r4","first-page":"233","article-title":"Is Africa prepared for tackling the COVID-19 (SARS-CoV-2) epidemic. 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