How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, Japan
ABSTRACTThe COVID-19 pandemic has caused serious disruptions to health systems across the world. While the pandemic has not ended, it is important to better understand the resilience of health systems by looking at the response to COVID-19 by hospitals and hospital staff. Part of a multi-country stu...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-06-01
|
| Series: | Health Systems & Reform |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/23288604.2023.2175415 |
| _version_ | 1797667198102142976 |
|---|---|
| author | Ayako Honda Toyomitsu Tamura Hiroko Baba Haruka Kodoi Shinichiro Noda |
| author_facet | Ayako Honda Toyomitsu Tamura Hiroko Baba Haruka Kodoi Shinichiro Noda |
| author_sort | Ayako Honda |
| collection | DOAJ |
| description | ABSTRACTThe COVID-19 pandemic has caused serious disruptions to health systems across the world. While the pandemic has not ended, it is important to better understand the resilience of health systems by looking at the response to COVID-19 by hospitals and hospital staff. Part of a multi-country study, this study looks at the first and second waves of the pandemic in Japan and examines disruptions experienced by hospitals because of COVID-19 and the processes through which they overcame those disruptions. A holistic multiple case study design was employed, and two public hospitals were selected for the study. A total of 57 interviews were undertaken with purposively selected participants. A thematic approach was used in the analysis. The study found that in the early stages of the pandemic, faced with a previously unknown infectious disease, to facilitate the delivery of care to COVID-19 patients while also providing limited non-COVID-19 health care services, the case study hospitals undertook absorptive, adaptive, and transformative actions in the areas of hospital governance, human resources, nosocomial infection control, space and infrastructure management, and management of supplies. The process of overcoming the disruptions caused by the pandemic was complex, and the solution to one issue often caused other problems. To inform preparations for future health shocks and promote resilience, it is imperative to further investigate both organizational and broader health system factors that build absorptive, adaptive, and transformative capacity in hospitals. |
| first_indexed | 2024-03-11T20:09:47Z |
| format | Article |
| id | doaj.art-baa8aef80fca4166b26e8fffdb428f95 |
| institution | Directory Open Access Journal |
| issn | 2328-8604 2328-8620 |
| language | English |
| last_indexed | 2024-03-11T20:09:47Z |
| publishDate | 2023-06-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Systems & Reform |
| spelling | doaj.art-baa8aef80fca4166b26e8fffdb428f952023-10-03T12:13:58ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202023-06-019210.1080/23288604.2023.2175415How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, JapanAyako Honda0Toyomitsu Tamura1Hiroko Baba2Haruka Kodoi3Shinichiro Noda4Graduate School of Economics, Hitotsubashi Institute for Advanced Study (HIAS), Hitotsubashi University, Tokyo, JapanBureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, JapanBureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, JapanBureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, JapanBureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, JapanABSTRACTThe COVID-19 pandemic has caused serious disruptions to health systems across the world. While the pandemic has not ended, it is important to better understand the resilience of health systems by looking at the response to COVID-19 by hospitals and hospital staff. Part of a multi-country study, this study looks at the first and second waves of the pandemic in Japan and examines disruptions experienced by hospitals because of COVID-19 and the processes through which they overcame those disruptions. A holistic multiple case study design was employed, and two public hospitals were selected for the study. A total of 57 interviews were undertaken with purposively selected participants. A thematic approach was used in the analysis. The study found that in the early stages of the pandemic, faced with a previously unknown infectious disease, to facilitate the delivery of care to COVID-19 patients while also providing limited non-COVID-19 health care services, the case study hospitals undertook absorptive, adaptive, and transformative actions in the areas of hospital governance, human resources, nosocomial infection control, space and infrastructure management, and management of supplies. The process of overcoming the disruptions caused by the pandemic was complex, and the solution to one issue often caused other problems. To inform preparations for future health shocks and promote resilience, it is imperative to further investigate both organizational and broader health system factors that build absorptive, adaptive, and transformative capacity in hospitals.https://www.tandfonline.com/doi/10.1080/23288604.2023.2175415COVID-19health care service deliveryhospitalJapanresilience |
| spellingShingle | Ayako Honda Toyomitsu Tamura Hiroko Baba Haruka Kodoi Shinichiro Noda How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, Japan Health Systems & Reform COVID-19 health care service delivery hospital Japan resilience |
| title | How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, Japan |
| title_full | How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, Japan |
| title_fullStr | How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, Japan |
| title_full_unstemmed | How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, Japan |
| title_short | How Hospitals Overcame Disruptions in the Early Stages of the COVID-19 Pandemic: A Case Study from Tokyo, Japan |
| title_sort | how hospitals overcame disruptions in the early stages of the covid 19 pandemic a case study from tokyo japan |
| topic | COVID-19 health care service delivery hospital Japan resilience |
| url | https://www.tandfonline.com/doi/10.1080/23288604.2023.2175415 |
| work_keys_str_mv | AT ayakohonda howhospitalsovercamedisruptionsintheearlystagesofthecovid19pandemicacasestudyfromtokyojapan AT toyomitsutamura howhospitalsovercamedisruptionsintheearlystagesofthecovid19pandemicacasestudyfromtokyojapan AT hirokobaba howhospitalsovercamedisruptionsintheearlystagesofthecovid19pandemicacasestudyfromtokyojapan AT harukakodoi howhospitalsovercamedisruptionsintheearlystagesofthecovid19pandemicacasestudyfromtokyojapan AT shinichironoda howhospitalsovercamedisruptionsintheearlystagesofthecovid19pandemicacasestudyfromtokyojapan |