Fangcang shelter hospitals: a novel concept for responding to public health emergencies
Open accessAbstract
Fangcang shelter hospitals are a novel public health concept. They were implemented for the first time in China in February, 2020, to tackle the coronavirus disease 2019 (COVID-19) outbreak. The Fangcang shelter hospitals in China were large-scale, temporary hospitals, rapidly built by converting existing public venues, such as stadiums and exhibition centres, into health-care facilities. They served to isolate patients with mild to moderate COVID-19 from their families and communities, while providing medical care, disease monitoring, food, shelter, and social activities. We document the development of Fangcang shelter hospitals during the COVID-19 outbreak in China and explain their three key characteristics (rapid construction, massive scale, and low cost) and five essential functions (isolation, triage, basic medical care, frequent monitoring and rapid referral, and essential living and social engagement). Fangcang shelter hospitals could be powerful components of national responses to the COVID-19 pandemic, as well as future epidemics and public health emergencies.
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- Authors
- Chen, S., Zhang, Z., Yang, J., Wang, J., Zhai, X., Bärnighausen, T., & Wang, C.
- Affiliations
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- National Health Commission of the People's Republic of China (CN)
- Harvard University (US)
- Corresponding author
- Yang, Juntao
- Wang, Chen
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 395
- Issue
- 10232
- Pages
- 1305-1314
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- PMC
- PMC7270591
- OpenAlex
- W3012970918
- Cited by
- 724
- References
- 25
- Citations by year
- 2026: 15 · 2025: 45 · 2024: 43 · 2023: 82 · 2022: 110 · 2021: 219 · 2020: 205 · 2019: 1
- FWCI
- 34.30
- Type
- journal article
- Language
- en
- Update notices
- erratum (2020-05-02)
- Open access
- bronze
- doi.org
- Locations
- The Lancet (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Alexander von Humboldt-Stiftung
- American Friends of the Alexander von Humboldt Foundation
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Keywords
- Fangcang shelter hospitals, temporary hospitals, COVID-19 pandemic, public health emergencies, patient isolation, triage, outbreak response
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, China, Cost Control, Disease Outbreaks, Emergencies, Facility Design and Construction, Hospitals, Special, Humans, Mobile Health Units, Patient Isolation, Pneumonia, Viral, Infection Control, Coronavirus Infections, Pandemics
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