关键词：空间适应，新冠肺炎疫情，方舱医院，复原力，阿布扎比
摘 要：在持续的新冠肺炎疫情流行期间，世界各地的医疗保健系统的有限激增能力迅速不堪重负。在这种情况下，减少大流行风险需要使用一个或多个替代护理点（ACSs）。本文旨在调查可部署方舱医院的选址，以降低大流行风险并支持直接参与患者护理的员工。本研究使用了若干国家空间转换和野战医院的多个案例研究。根据现有文献，这些病例揭示了他们的医疗保健系统对新冠肺炎疫情的反应，并允许进行比较分析。基于案例研究，作者提出了阿布扎比市的两个ACS:一个在城市环境中，另一个在郊区。作者根据一系列主要标准确定了广阔的空间和可适应的建筑，包括所需的结构改造水平、预算和时间。选定的地点/建筑可改造为方舱医院，以应对大流行和/或减少灾害风险，同时提高重症监护激增能力。在将方舱医院选址为ACSs时制定此类措施，最终将使阿布扎比（以及阿拉伯联合酋长国）的医疗保健系统和机构在充分应对前所未有的需求和/或未来医疗保健运营的突然中断方面变得更有韧性。
Abstract:During the ongoing COVID-19 pandemic, healthcare systems around the world have had their limited surge capacity rapidly overwhelmed. In such a situation, pandemic risk reduction necessitates the employment of one or more alternative care sites (ACSs). This paper aims to investigate the siting of deployable field hospitals to reduce pandemic risk and support the staff involved in direct patient care. The present study used multiple case studies of space conversions and field hospitals in several countries. Informed by the existing literature, these cases shed light on their healthcare system responses to COVID-19 and allowed for a comparative analysis. Based on the case studies, the authors propose two ACSs in Abu Dhabi City: one in an urban setting and another in a suburban area. The authors identified expansive spaces and adaptable buildings according to a set of primary criteria, including the required level of structural alterations, budget, and time. The selected sites/buildings could be transformed into field hospitals to respond to the pandemic and/or disaster risk reduction whilst boosting critical care surge capacity. Devising such measures in siting field hospitals as ACSs would eventually enable Abu Dhabi’s (and the United Arab Emirates’) healthcare system and institutions to become more resilient in adequately responding to unprecedented demand and/or sudden disruptions to healthcare operations in the future.
Key: Spatial Adaptation, COVID-19, Field Hospital, Resilience, Abu Dhabi
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