Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries

The WHO declared the coronavirus disease 2019 (COVID-19) outbreak as a public health emergency of international concern on January 30, 2020, and then a pandemic on March 11, 2020. COVID-19 affected over 200 countries and territories worldwide, with 25,541,380 confirmed cases and 852,000 deaths assoc...

Full description

Bibliographic Details
Main Authors: Ji Zhang, Xinpu Lu, Yinzi Jin, Zhi-Jie Zheng
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2020-12-01
Series:Global Health Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2414644720300580
_version_ 1797869745154818048
author Ji Zhang
Xinpu Lu
Yinzi Jin
Zhi-Jie Zheng
author_facet Ji Zhang
Xinpu Lu
Yinzi Jin
Zhi-Jie Zheng
author_sort Ji Zhang
collection DOAJ
description The WHO declared the coronavirus disease 2019 (COVID-19) outbreak as a public health emergency of international concern on January 30, 2020, and then a pandemic on March 11, 2020. COVID-19 affected over 200 countries and territories worldwide, with 25,541,380 confirmed cases and 852,000 deaths associated with COVID-19 globally, as of September 1, 2020.1While facing such a public health emergency, hospitals were on the front line to deliver health care and psychological services. The early detection, diagnosis, reporting, isolation, and clinical management of patients during a public health emergency required the extensive involvement of hospitals in all aspects. The response capacity of hospitals directly determined the outcomes of the prevention and control of an outbreak.The COVID-19 pandemic has affected almost all nations and territories regardless of their development level or geographic location, although suitable risk mitigation measures differ between developing and developed countries. In low- and middle-income countries (LMICs), the consequences of the pandemic could be more complicated because incidence and mortality might be associated more with a fragile health care system and shortage of related resources.2–3 As evidenced by the situation in Bangladesh, India, Kenya, South Africa, and other LMICs, socioeconomic status (SES) disparity was a major factor in the spread of disease, potentially leading to alarmingly insufficient preparedness and responses in dealing with the COVID-19 pandemic.4 Conversely, the pandemic might also bring more unpredictable socioeconomic and long-term impacts in LMICs, and those with lower SES fare worse in these situations.This review aimed to summarize the responsibilities of and measures taken by hospitals in combatting the COVID-19 outbreak. Our findings are hoped to provide experiences, as well as lessons and potential implications for LMICs.
first_indexed 2024-04-10T00:16:25Z
format Article
id doaj.art-49ab62e95e934fc18d1cbd5f8304fb44
institution Directory Open Access Journal
issn 2096-3947
language English
last_indexed 2024-04-10T00:16:25Z
publishDate 2020-12-01
publisher KeAi Communications Co., Ltd.
record_format Article
series Global Health Journal
spelling doaj.art-49ab62e95e934fc18d1cbd5f8304fb442023-03-16T05:05:29ZengKeAi Communications Co., Ltd.Global Health Journal2096-39472020-12-0144113117Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countriesJi Zhang0Xinpu Lu1Yinzi Jin2Zhi-Jie Zheng3Department of Global Health, School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing 100191, China; Institute for Global Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing 100191, ChinaGraduate School of Education, Peking University, 5 Yiheyuan Road, Haidian District, Beijing 100871, China; Peking University Cancer Hospital & Institute, 52 Fucheng Road, Haidian District, Beijing 100142, ChinaDepartment of Global Health, School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing 100191, China; Institute for Global Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing 100191, ChinaDepartment of Global Health, School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing 100191, China; Institute for Global Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing 100191, China; Corresponding author:The WHO declared the coronavirus disease 2019 (COVID-19) outbreak as a public health emergency of international concern on January 30, 2020, and then a pandemic on March 11, 2020. COVID-19 affected over 200 countries and territories worldwide, with 25,541,380 confirmed cases and 852,000 deaths associated with COVID-19 globally, as of September 1, 2020.1While facing such a public health emergency, hospitals were on the front line to deliver health care and psychological services. The early detection, diagnosis, reporting, isolation, and clinical management of patients during a public health emergency required the extensive involvement of hospitals in all aspects. The response capacity of hospitals directly determined the outcomes of the prevention and control of an outbreak.The COVID-19 pandemic has affected almost all nations and territories regardless of their development level or geographic location, although suitable risk mitigation measures differ between developing and developed countries. In low- and middle-income countries (LMICs), the consequences of the pandemic could be more complicated because incidence and mortality might be associated more with a fragile health care system and shortage of related resources.2–3 As evidenced by the situation in Bangladesh, India, Kenya, South Africa, and other LMICs, socioeconomic status (SES) disparity was a major factor in the spread of disease, potentially leading to alarmingly insufficient preparedness and responses in dealing with the COVID-19 pandemic.4 Conversely, the pandemic might also bring more unpredictable socioeconomic and long-term impacts in LMICs, and those with lower SES fare worse in these situations.This review aimed to summarize the responsibilities of and measures taken by hospitals in combatting the COVID-19 outbreak. Our findings are hoped to provide experiences, as well as lessons and potential implications for LMICs.http://www.sciencedirect.com/science/article/pii/S2414644720300580HospitalResponsibilityInfectious diseaseCoronavirus disease 2019COVID-19Pandemic
spellingShingle Ji Zhang
Xinpu Lu
Yinzi Jin
Zhi-Jie Zheng
Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries
Global Health Journal
Hospital
Responsibility
Infectious disease
Coronavirus disease 2019
COVID-19
Pandemic
title Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries
title_full Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries
title_fullStr Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries
title_full_unstemmed Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries
title_short Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries
title_sort hospitals responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 covid 19 pandemic implications for low and middle income countries
topic Hospital
Responsibility
Infectious disease
Coronavirus disease 2019
COVID-19
Pandemic
url http://www.sciencedirect.com/science/article/pii/S2414644720300580
work_keys_str_mv AT jizhang hospitalsresponsibilityinresponsetothethreatofinfectiousdiseaseoutbreakinthecontextofthecoronavirusdisease2019covid19pandemicimplicationsforlowandmiddleincomecountries
AT xinpulu hospitalsresponsibilityinresponsetothethreatofinfectiousdiseaseoutbreakinthecontextofthecoronavirusdisease2019covid19pandemicimplicationsforlowandmiddleincomecountries
AT yinzijin hospitalsresponsibilityinresponsetothethreatofinfectiousdiseaseoutbreakinthecontextofthecoronavirusdisease2019covid19pandemicimplicationsforlowandmiddleincomecountries
AT zhijiezheng hospitalsresponsibilityinresponsetothethreatofinfectiousdiseaseoutbreakinthecontextofthecoronavirusdisease2019covid19pandemicimplicationsforlowandmiddleincomecountries