---
title: "Prioritizing Hospital Readiness Indicators for Respiratory Pandemics Using AHP-BWM"
id: "pubmed-42765533"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42765533"
content_type: "clinical_feed_article"
specialty: "Critical Care"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42765533/"
doi: "10.1017/dmp.2026.10422"
published_at: "2026-09-21T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Prioritizing Hospital Readiness Indicators for Respiratory Pandemics Using AHP-BWM
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42765533
- **Specialty:** [Critical Care](https://medichelpline.com/clinical-feed/critical-care.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42765533/)
- **DOI:** [10.1017/dmp.2026.10422](https://doi.org/10.1017%2Fdmp.2026.10422)
- **Published At:** 2026-09-21T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- Study objective: identify and rank the most important indicators of **hospital readiness** for respiratory pandemics in referral hospitals in Kerman Province, Iran, to inform resource allocation and planning. - Design: mixed-method multicriteria decision-making (MCDM) study combining a semi-structured Delphi process with quantitative prioritization using the **Analytic Hierarchy Process (AHP)** and the **Best-Worst Method (BWM)**. - Indicator development: experts and hospital managers derived indicators from the WHO checklist and local conditions through Delphi rounds; the final set comprised eight key preparedness indicators (specific item names listed in the article). - Prioritization results: the top-ranked indicator was **Appropriate Management Team and Planning**, followed by **Provision of Human Resources** and **Provision of Medicine and Equipment**. The lowest-ranked indicator was **Waste Management and Disinfection of the Environment**. - Methodological validity: consistency ratios for both AHP and BWM were reported to be within acceptable limits, supporting the reliability of expert judgments used for ranking. - Interpretation: findings emphasize the primacy of leadership, planning and staffing, and supply readiness as drivers of hospital resilience during respiratory pandemics. - Practical implication: strengthening management structures, optimizing human resource strategies, and securing essential medicines and equipment are recommended priorities to improve preparedness. - Scope and context: the study focused on referral hospitals in a single Iranian province; the indicators and their order reflect local expert consensus referenced to WHO guidance. - Keywords used in the source: **AHP**, **BWM**, COVID-19, hospital preparedness, multicriteria decision-making, respiratory pandemics. - Limitations and reporting: the source describes methods and ranking outcomes; additional granular details (for example, the full list of all eight indicator labels and their exact weights) were not reported in the abstract excerpt provided.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 Noncommunicable Diseases Research Center, Bam University of Medical Sciences, Bam, Iran. * 2 Department of Health Education and Health Promotion, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. * 3 Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran. * 4 Department of Industrial Engineering, Faculty of Engineering, Shahid Bahonar University of Kerman, Kerman, Iran. * PMID: **42765533** * DOI: [ 10.1017/dmp.2026.10422 ](https://doi.org/10.1017/dmp.2026.10422) Item in Clipboard # Hospital Readiness for Respiratory Pandemics: Prioritizing Key Indicators Using AHP-BWM Elham Amini et al. Disaster Med Public Health Prep. 2026. Show details Display options Display options Format Abstract PubMed PMID Disaster Med Public Health Prep Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Disaster+Med+Public+Health+Prep%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Disaster+Med+Public+Health+Prep%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42765533/) . 2026 Sep 21:20:e152. doi: 10.1017/dmp.2026.10422. ### Authors [Elham Amini](https://pubmed.ncbi.nlm.nih.gov/?term=Amini+E&cauthor_id=42765533)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765533/#short-view-affiliation-1 "Noncommunicable Diseases Research Center, Bam University of Medical Sciences, Bam, Iran."), [Mohammad Baniasadi](https://pubmed.ncbi.nlm.nih.gov/?term=Baniasadi+M&cauthor_id=42765533)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765533/#short-view-affiliation-1 "Noncommunicable Diseases Research Center, Bam University of Medical Sciences, Bam, Iran."), [Minoo Mohammadkhani](https://pubmed.ncbi.nlm.nih.gov/?term=Mohammadkhani+M&cauthor_id=42765533)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42765533/#short-view-affiliation-2 "Department of Health Education and Health Promotion, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran."), [Majid Heidari-Jamebozorgi](https://pubmed.ncbi.nlm.nih.gov/?term=Heidari-Jamebozorgi+M&cauthor_id=42765533)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42765533/#short-view-affiliation-3 "Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran."), [Shahram Ariafar](https://pubmed.ncbi.nlm.nih.gov/?term=Ariafar+S&cauthor_id=42765533)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42765533/#short-view-affiliation-4 "Department of Industrial Engineering, Faculty of Engineering, Shahid Bahonar University of Kerman, Kerman, Iran.") ### Affiliations * 1 Noncommunicable Diseases Research Center, Bam University of Medical Sciences, Bam, Iran. * 2 Department of Health Education and Health Promotion, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. * 3 Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran. * 4 Department of Industrial Engineering, Faculty of Engineering, Shahid Bahonar University of Kerman, Kerman, Iran. * PMID: **42765533** * DOI: [ 10.1017/dmp.2026.10422 ](https://doi.org/10.1017/dmp.2026.10422) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Objective:** 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. **Methods:** 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). **Results:** Eight indicators were recognized as crucial for hospital preparedness. Among them, "Appropriate Management Team and Planning" ranked highest, followed by "Provision of Human Resources" and "Provision of Medicine and Equipment." "Waste Management and Disinfection of the Environment" was identified as the least significant indicator. The consistency ratios for both methods were within acceptable limits, confirming the reliability of expert judgments. **Conclusions:** 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. **Keywords:** AHP; BWM; COVID-19; hospital preparedness; multicriteria decision-making; respiratory pandemics. 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