Volume 7, Issue 3 (11-2023)
EBHPME 2023, 7(3): 227-239 |
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Najafi M, Arab M, Pouragha B, Nazari M, Rajaee R, Vaziri-Seta M et al . Challenge of Managing Hospitals during the COVID-19 Pandemic:
A Qualitative Study. EBHPME 2023; 7 (3) : 7
URL: http://jebhpme.ssu.ac.ir/article-1-466-en.html
URL: http://jebhpme.ssu.ac.ir/article-1-466-en.html
Marziyeh Najafi 
, Mohammad Arab , Behrooz Pouragha , Morteza Nazari , Roya Rajaee , Masoumeh Vaziri-Seta , Mohsen Seyed Mahmoudi *
, Mohammad Arab , Behrooz Pouragha , Morteza Nazari , Roya Rajaee , Masoumeh Vaziri-Seta , Mohsen Seyed Mahmoudi *
Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran , m.mahmodi20@yahoo.com
Abstract: (261 Views)
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.
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.
Article number: 7
Type of Study: Original article |
Subject:
Healt care Management
Received: 2023/08/21 | Accepted: 2023/11/7 | Published: 2023/12/9
Received: 2023/08/21 | Accepted: 2023/11/7 | Published: 2023/12/9
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