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Challenges of small hospitals in Japan during the COVID-19 pandemic | Synapse

April 22, 2026Antimicrobial Stewardship & Healthcare Epidemiology0 citationsOpen Access

Challenges of small hospitals in Japan during the COVID-19 pandemic

CAChikako AGATA DDDang-An Do TYTomoko Yazawa

Key Points

This research aims to analyze the relationship between hospital size and COVID-19 cluster frequency in Tokyo.
Analyzed data from 630 hospitals in Tokyo over two years.
Examined 488 COVID-19 clusters during the specified period.
Compared cluster frequency between small (20-99 beds) and large (≥600 beds) hospitals.
Smaller hospitals reported fewer COVID-19 clusters per facility (0.5) compared to larger ones (2.0).
Higher cluster frequency per 1000 beds was observed in small hospitals (6.0) versus large hospitals (2.5).

Abstract

Abstract An analysis of 630 hospitals and 488 COVID-19 clusters in Tokyo (2020/07-2022/05) found contrasting associations between hospital size and cluster frequency. Compared to larger hospitals (≥600 beds), smaller ones (20-99 beds) reported fewer clusters per facility (0.5 vs 2.0), but a higher cluster number per 1000 beds (6.0 vs 2.5).

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Cite This Study

AGATA et al. (Thu,) studied this question.

synapsesocial.com/papers/69e865b56e0dea528ddea365 https://doi.org/https://doi.org/10.1017/ash.2026.10368