Building resilient hospitals in the Eastern Mediterranean Region

Lessons from the Covid-19 pandemic

Datos Bibliográficos

ID21880422
AutoresMerette Khalil (0000-0001-7322-4484, World Health Organization Regional Office for the Eastern Mediterranean), Awad Mataria (0000-0001-5499-3667, World Health Organization Regional Office for the Eastern Mediterranean), Hamid Ravaghi (0000-0003-2717-920X, World Health Organization Regional Office for the Eastern Mediterranean, autor de correspondencia)
Año2022
Volumen7
NúmeroSuppl 3
Páginase008754
Fecha de publicación2022-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMJ Global Health (JOURNAL)
Identificadores de la revistaISSN: 2059-7908 • E-ISSN: 2059-7908
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2022-008754
PMID35750344
OpenAlexW4283460781
IdiomaEN
Citas recibidas10
Referencias citadas31

Since the COVID-19 pandemic began, hospitals in the Eastern Mediterranean Region (EMR) have faced significant challenges in providing essential services, while simultaneously combatting this pandemic and responding to new and ongoing shocks and emergencies. Despite these challenges, policy-makers and hospital managers adapted their hospital responses to maintain operations and continue providing essential health services in resource-restraint and fragile and conflict affected, offering valuable insights to others in similar contexts. The aim of this paper is to share the lessons learnt from hospital responses to COVID-19 from the EMR. To do this, we triangulated findings from literature review, open-ended online surveys and 46 in-depth key informant interviews from 18 EMR countries. Qualitative findings from semistructured key informant interviews along with the open-ended survey responses resulted in nine major themes for lessons learnt in the EMR. These themes include Preparedness, Leadership and Coordination, Communication, Human Resources, Supplies and Logistics, Surge Capacity and Essential Services, Clinical Management (including Rapid Identification, Diagnosis and Isolation), Infection Prevention and Control, and Information and Research. Each of the nine themes (domains) included 4–6 major subthemes offering key insights into the regional hospital response to health emergencies. Resilient hospitals are those that can provide holistic, adaptable, primary-care-based health systems to deliver high-quality, effective and people-centred health services and respond to future outbreaks. Both bottom-up and top-down approaches are needed to strengthen collaboration between policy-makers, hospitals, front-line workers and communities to mitigate the continued spread of SARS CoV2, build resilient hospital systems and improve public health preparedness and emergency response

Business · Health care · Medical emergency · Pandemic · Political science · Preparedness · Public relations · Qualitative research · Sociology · Disaster Response and Management · Healthcare Systems and Reforms · Legal, Health, Environmental and COVID-19 Challenges · Medicine · Nursing