Operational response capacity of Naval Health Centers to a new pandemic A multicenter observational study.

Abstract

Introduction: A pandemic represents the most significant threat to global public health. Addressing such emergencies requires extensive knowledge of prevention, preparedness, and response, as well as scientific strategies for organization and planning. This study aimed to determine the Hospital Safety Index (HSI) levels of Naval Health centers in response to a potential new pandemic.

Materials and Methods: This multicenter observational study was conducted across 15 primary and secondary care centers within the Naval Health system from June to October 2025. The Hospital Safety Index (HSI) was utilized as the primary evaluation tool. Data collection included structured interviews with the technical directors of each facility.

Results: A total of 11 primary care centers and 4 secondary care centers received a Category C classification, while only one secondary care center achieved a Category B rating. The average HSI score for primary care centers was 0.252 ± 0.048, while secondary care centers averaged 0.248 ± 0.084 (P = 0.45).

Conclusions: The analysis identifies critical opportunities for specific planning for pandemic contingencies. Optimizing infrastructure, equipment, and personnel capacity would mitigate operational risks and ensure service continuity. Furthermore, formalizing response committees and strengthening institutional coordination are essential steps to enhance surge capacity and ensure patient safety during high-demand healthcare scenarios.