Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19

Background: Given the significance of the preparedness and responsiveness of healthcare systems in relation to epidemics, this study aimed to determine their influencing factors during epidemic crises with a view to utilizing the findings in the battle against the coronavirus disease 2019 (COVID-19)...

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Main Authors: Mohammadtaghi Mohammadpour, Effat Zarifinezhad, Arash Ghanbarzadegan, Khodadad Naderimanesh, Nasrin Shaarbafchizadeh, Peivand Bastani
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2021-03-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:https://ijms.sums.ac.ir/article_47263_a84ed774b8bef461a6f7f059e4d60a4e.pdf
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author Mohammadtaghi Mohammadpour
Effat Zarifinezhad
Arash Ghanbarzadegan
Khodadad Naderimanesh
Nasrin Shaarbafchizadeh
Peivand Bastani
author_facet Mohammadtaghi Mohammadpour
Effat Zarifinezhad
Arash Ghanbarzadegan
Khodadad Naderimanesh
Nasrin Shaarbafchizadeh
Peivand Bastani
author_sort Mohammadtaghi Mohammadpour
collection DOAJ
description Background: Given the significance of the preparedness and responsiveness of healthcare systems in relation to epidemics, this study aimed to determine their influencing factors during epidemic crises with a view to utilizing the findings in the battle against the coronavirus disease 2019 (COVID-19) outbreak.Methods: This scoping study was conducted in 2020 via the Arksey and O’Malley approach. A systematic search was conducted on five online databases from January 2000 to June 15, 2020. Initially, 1926 English articles were retrieved based on their abstracts. After the screening process, 60 articles were considered for the final analysis. Data were charted by applying Microsoft Office Excel 2013 and were synthesized via thematic analysis. Results: Five main factors have affected the responsiveness and preparedness of countries during the epidemics of severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and COVID-19: community-related interventions, managerial interventions, socioeconomic factors, the readiness of hospitals and health centers, and environmental factors. These themes are associated with 38 related sub-themes. The thematic framework shows that interactions between these five determinantes can affect the preparedness and responsiveness of healthcare systems during pandemics/epidemics. Conclusion: According to the results, healthcare systems need to pay attention to their internal capacities, managerial interventions, and health centers to overcome the current pandemic. They should also consider such external factors as socioeconomic and environmental determinants that can affect their potential preparedness against pandemic/epidemic crises. Community-related interventions such as improvement of the community health literacy, teamwork, and social responsibility can enhance the readiness of healthcare systems against the COVID-19 outbreak.
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spelling doaj.art-7d21a8a37277411da8cee17c0f1527472022-12-21T20:32:12ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882021-03-01462819210.30476/ijms.2020.87608.180147263Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19Mohammadtaghi Mohammadpour0Effat Zarifinezhad1Arash Ghanbarzadegan2Khodadad Naderimanesh3Nasrin Shaarbafchizadeh4Peivand Bastani5Department of Health Care Management and Health Economics, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranAustralian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, AustraliaSocial Determinant of Health Research Centre, Yasuj University of Medical Sciences, Yasuj, IranHealth Management and Economics Research Centre, Isfahan University of Medical Sciences, Isfahan, IranHealth Human Resources Research Centre, School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, IranBackground: Given the significance of the preparedness and responsiveness of healthcare systems in relation to epidemics, this study aimed to determine their influencing factors during epidemic crises with a view to utilizing the findings in the battle against the coronavirus disease 2019 (COVID-19) outbreak.Methods: This scoping study was conducted in 2020 via the Arksey and O’Malley approach. A systematic search was conducted on five online databases from January 2000 to June 15, 2020. Initially, 1926 English articles were retrieved based on their abstracts. After the screening process, 60 articles were considered for the final analysis. Data were charted by applying Microsoft Office Excel 2013 and were synthesized via thematic analysis. Results: Five main factors have affected the responsiveness and preparedness of countries during the epidemics of severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and COVID-19: community-related interventions, managerial interventions, socioeconomic factors, the readiness of hospitals and health centers, and environmental factors. These themes are associated with 38 related sub-themes. The thematic framework shows that interactions between these five determinantes can affect the preparedness and responsiveness of healthcare systems during pandemics/epidemics. Conclusion: According to the results, healthcare systems need to pay attention to their internal capacities, managerial interventions, and health centers to overcome the current pandemic. They should also consider such external factors as socioeconomic and environmental determinants that can affect their potential preparedness against pandemic/epidemic crises. Community-related interventions such as improvement of the community health literacy, teamwork, and social responsibility can enhance the readiness of healthcare systems against the COVID-19 outbreak.https://ijms.sums.ac.ir/article_47263_a84ed774b8bef461a6f7f059e4d60a4e.pdfdelivery of health caredisease outbreakssevere acute respiratory syndromecoronavirus infectionscovid-19
spellingShingle Mohammadtaghi Mohammadpour
Effat Zarifinezhad
Arash Ghanbarzadegan
Khodadad Naderimanesh
Nasrin Shaarbafchizadeh
Peivand Bastani
Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19
Iranian Journal of Medical Sciences
delivery of health care
disease outbreaks
severe acute respiratory syndrome
coronavirus infections
covid-19
title Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19
title_full Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19
title_fullStr Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19
title_full_unstemmed Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19
title_short Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19
title_sort main factors affecting the readiness and responsiveness of healthcare systems during epidemic crises a scoping review on cases of sars mers and covid 19
topic delivery of health care
disease outbreaks
severe acute respiratory syndrome
coronavirus infections
covid-19
url https://ijms.sums.ac.ir/article_47263_a84ed774b8bef461a6f7f059e4d60a4e.pdf
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