Challenge of Managing Hospitals during the COVID-19 Pandemic: A Qualitative Study
Background: The COVID-19 pandemic has posed many challenges on the health system and hospitals to provide services. This study investigated the difference between factors affecting hospital management which considered in preparing a disaster management plan for hospital in the face of a pandemic bas...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Shahid Sadoughi University of Medical Sciences
2023-11-01
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| Series: | Journal of Evidence Based Health Policy, Management & Economics |
| Subjects: | |
| Online Access: | http://jebhpme.ssu.ac.ir/article-1-466-en.pdf |
| _version_ | 1797377648466329600 |
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| author | Marziyeh Najafi Mohammad Arab Behrooz Pouragha Morteza Nazari Roya Rajaee Masoumeh Vaziri-Seta Mohsen Seyed Mahmoudi |
| author_facet | Marziyeh Najafi Mohammad Arab Behrooz Pouragha Morteza Nazari Roya Rajaee Masoumeh Vaziri-Seta Mohsen Seyed Mahmoudi |
| author_sort | Marziyeh Najafi |
| collection | DOAJ |
| description | Background: The COVID-19 pandemic has posed many challenges on the health system and hospitals to provide services. This study investigated the difference between factors affecting hospital management which considered in preparing a disaster management plan for hospital in the face of a pandemic based on the experiences of hospital managers.
Methods: This qualitative research was conducted on selected hospitals affiliated in Alborz University of Medical Sciences in 2021. Data were gathered with purposive sampling and semi-structured interviews with 16 hospital managers. MAXQDA 10 and framework analysis were used to analyze the data.
Results: The results were categorized in four categories: 1) Mitigation including staffing, bed capacity, enough space for quarantines, protective equipment, diagnosis and treatment equipment, funding, medicines, patient follow-up, management and leadership; 2) Preparedness such as crisis committee, preparedness and response plan, measures, action plan; 3) Response including motivating health workers, cooperation and coordination; 4) Recovery and lessons learned including providing facilities, expediting patient processes, control, economic conditions, and planning better, passive defense, regular crisis committee meetings, human resources, documentation and use of information systems in planning.
Conclusion: In addition to providing the necessary infrastructure, it is important to plan for fair distribution of resources and effective supply chain management. A mechanism should also be developed at the national level to anticipate future health crises and to prevent and control diseases in the most effective way. |
| first_indexed | 2024-03-08T19:55:38Z |
| format | Article |
| id | doaj.art-cc3135e4b7f44244828e224f1b477aa2 |
| institution | Directory Open Access Journal |
| issn | 2538-5070 2538-4716 |
| language | English |
| last_indexed | 2024-03-08T19:55:38Z |
| publishDate | 2023-11-01 |
| publisher | Shahid Sadoughi University of Medical Sciences |
| record_format | Article |
| series | Journal of Evidence Based Health Policy, Management & Economics |
| spelling | doaj.art-cc3135e4b7f44244828e224f1b477aa22023-12-24T06:50:21ZengShahid Sadoughi University of Medical SciencesJournal of Evidence Based Health Policy, Management & Economics2538-50702538-47162023-11-0173227239Challenge of Managing Hospitals during the COVID-19 Pandemic: A Qualitative StudyMarziyeh Najafi0Mohammad Arab1Behrooz Pouragha2Morteza Nazari3Roya Rajaee4Masoumeh Vaziri-Seta5Mohsen Seyed Mahmoudi6 Department of Health Services Management, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Department of Health Services Management, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran Department of Health Services Management, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran Department of Health Services Management, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran Municipality of Tehran, Tehran, Iran Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Background: The COVID-19 pandemic has posed many challenges on the health system and hospitals to provide services. This study investigated the difference between factors affecting hospital management which considered in preparing a disaster management plan for hospital in the face of a pandemic based on the experiences of hospital managers. Methods: This qualitative research was conducted on selected hospitals affiliated in Alborz University of Medical Sciences in 2021. Data were gathered with purposive sampling and semi-structured interviews with 16 hospital managers. MAXQDA 10 and framework analysis were used to analyze the data. Results: The results were categorized in four categories: 1) Mitigation including staffing, bed capacity, enough space for quarantines, protective equipment, diagnosis and treatment equipment, funding, medicines, patient follow-up, management and leadership; 2) Preparedness such as crisis committee, preparedness and response plan, measures, action plan; 3) Response including motivating health workers, cooperation and coordination; 4) Recovery and lessons learned including providing facilities, expediting patient processes, control, economic conditions, and planning better, passive defense, regular crisis committee meetings, human resources, documentation and use of information systems in planning. Conclusion: In addition to providing the necessary infrastructure, it is important to plan for fair distribution of resources and effective supply chain management. A mechanism should also be developed at the national level to anticipate future health crises and to prevent and control diseases in the most effective way.http://jebhpme.ssu.ac.ir/article-1-466-en.pdfpreparednessmanaging hospitalcoronavirus disease 2019 (covid-19)pandemic |
| spellingShingle | Marziyeh Najafi Mohammad Arab Behrooz Pouragha Morteza Nazari Roya Rajaee Masoumeh Vaziri-Seta Mohsen Seyed Mahmoudi Challenge of Managing Hospitals during the COVID-19 Pandemic: A Qualitative Study Journal of Evidence Based Health Policy, Management & Economics preparedness managing hospital coronavirus disease 2019 (covid-19) pandemic |
| title | Challenge of Managing Hospitals during the COVID-19 Pandemic:
A Qualitative Study |
| title_full | Challenge of Managing Hospitals during the COVID-19 Pandemic:
A Qualitative Study |
| title_fullStr | Challenge of Managing Hospitals during the COVID-19 Pandemic:
A Qualitative Study |
| title_full_unstemmed | Challenge of Managing Hospitals during the COVID-19 Pandemic:
A Qualitative Study |
| title_short | Challenge of Managing Hospitals during the COVID-19 Pandemic:
A Qualitative Study |
| title_sort | challenge of managing hospitals during the covid 19 pandemic a qualitative study |
| topic | preparedness managing hospital coronavirus disease 2019 (covid-19) pandemic |
| url | http://jebhpme.ssu.ac.ir/article-1-466-en.pdf |
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