<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2304-0106</journal-id>
<journal-title><![CDATA[Anales de la Academia de Ciencias de Cuba]]></journal-title>
<abbrev-journal-title><![CDATA[Anales de la ACC]]></abbrev-journal-title>
<issn>2304-0106</issn>
<publisher>
<publisher-name><![CDATA[Academia de Ciencias de Cuba]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2304-01062023000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aportes a la organización del sistema de salud ante situaciones de desastres. Cienfuegos 2001-2020]]></article-title>
<article-title xml:lang="en"><![CDATA[Contributions to the organization of the health system in disaster situations. Cienfuegos, 2001-2020]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Machado]]></surname>
<given-names><![CDATA[Víctor René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Falcón Hernández]]></surname>
<given-names><![CDATA[Arelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[ Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2304-01062023000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2304-01062023000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2304-01062023000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La organización del sistema de salud es imprescindible para enfrentar las diversas situaciones de desastres que enfrenta. El trabajo tuvo como objetivo desarrollar un conjunto de acciones que reduzcan vulnerabilidades organizativas de las instituciones de salud ante los diferentes riesgos de desastre.  Métodos:  Investigación de desarrollo, en sistemas y servicios de salud, mixta en métodos y técnicas, agrupa un grupo de investigaciones desarrolladas entre el 2001-2020 en la provincia de Cienfuegos. Las mismas cumplieron con los principios de la ética médica y de investigación.  Resultados:  Estudios iniciales (2001-2006) determinaron insuficiencias organizativas y académicas para enfrentar desastres; 6 acciones organizativas (principalmente el código de colores como sistema de triage, reordenamiento de áreas y flujos y planes por tarjetas de funciones) integraron una nueva tecnología organizacional que rediseñó la respuesta a desastres súbitos. Entre el 2009-2012 se transfiere la tecnología &#8220;hospital seguro&#8221; con lo cual se mejora el índice de seguridad institucional, se rediseña la evacuación, se reducen vulnerabilidades de los sistemas ingenieros y se identifican nuevos posibles riesgos internos. También se eliminan 15 vulnerabilidades de un nuevo centro ambulatorio especializado desde la etapa constructiva. Entre 2009-2020, se hacen recomendaciones sobre la organización hospitalaria y centros de aislamiento, para epidemias de H1N1 y COVID-19. Como conclusiones nuevos elementos organizacionales, la definición de las bases metodológicas, junto a actividades académicas; mejoraron la respuesta, perfeccionaron el plan de reducción de desastres, facilitaron el trabajo gerencial, y redujeron el riesgo ante desastres en instituciones de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The organization of the health system is essential to face the various disaster situations. Objective. To develop a group of actions to reduce organizational vulnerabilities to disasters in health institutions.  Methods:  Classified as development research, in health systems and services; it was mixed in methods and techniques. It compiles a group of scientific works, developed in the province of Cienfuegos, between 2001-2020. They complied with the principles of medical and research ethics.  Results:  Two initial studies (2001-2006) founded organizational and academic insufficiencies to face disasters; sixth organizational actions (mainly the color code as triage system, reordering of areas and flows, and disaster plans by function cards) were integrated as a new organizational technology that redesigned the response to sudden disasters. Between 2009-2012, the &#8220;safe hospital&#8221; technology was transferred; as results, the institutional security index was improved, the evacuation system was redesigned, new possible internal disasters were identified and vulnerabilities in hospital engineering systems were reduced. 15 vulnerabilities are also eliminated in a new specialized outpatient center since the construction stage. Between 2009-2020, were made recommendations on bases of scientific researches about the hospital organization and isolation centers, for epidemics of H1N1 and COVID-19. 27 scientific publications (including four books) show the quality and scope of significance of these results. Conclusions. New organizational elements, the definition of the methodological bases, and academic activities; they improved the institutional response, improved the disaster reduction plan, facilitated managerial work, and reduced disaster risk in health institutions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[incidentes con víctimas en masa]]></kwd>
<kwd lng="es"><![CDATA[desastres naturales]]></kwd>
<kwd lng="es"><![CDATA[prevención y mitigación]]></kwd>
<kwd lng="es"><![CDATA[administración hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[gestión de riesgos]]></kwd>
<kwd lng="en"><![CDATA[mass casualty incidents]]></kwd>
<kwd lng="en"><![CDATA[natural disasters]]></kwd>
<kwd lng="en"><![CDATA[prevention and mitigation]]></kwd>
<kwd lng="en"><![CDATA[hospital administration]]></kwd>
<kwd lng="en"><![CDATA[risk management]]></kwd>
</kwd-group>
</article-meta>
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