Hospital Resilience to the COVID-19 Pandemic in Five Countries: A Multiple Case Study

Ridde, Valéry; Traverson, Lola; Zinszer, Kate

doi:10.1080/23288604.2023.2242112

Cited by 6 publications

(3 citation statements)

References 38 publications

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“…Other resilience and readiness evaluations focused on hospitals’ capacities to deliver care ( 50 ), the resilience of healthcare workers ( 51 ) or building information technology systems in hospitals ( 52 ). These domains and those capitalized in our study are vital for a comprehensive country-level readiness assessment.…”

Section: Discussionmentioning

confidence: 99%

Review of Israel’s action and response during the COVID-19 pandemic and tabletop exercise for the evaluation of readiness and resilience—lessons learned 2020–2021

Muhsen,

Cohen,

Glatman-Freedman

et al. 2024

Front. Public Health

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BackgroundReevaluating response plans is essential to ensuring consistent readiness and resilience to the COVID-19 pandemic. The “During Action Review” and Tabletop (DART) methodology provides a retrospective and prospective assessment to inform the adaptive response. Israel introduced COVID-19 vaccinations in December 2020 and was the first country to implement booster vaccination to address waning immunity and surges caused by new variants. We assessed Israel’s readiness and resilience related to COVID-19 response while capturing the pre-vaccination and vaccination periods.MethodsA DART analysis was conducted between December 2020 and August 2021 among experts involved in the management of the COVID-19 pandemic in Israel. During the retrospective stage, a role-based questionnaire and discussions were undertaken in a participant-led review of the response, focusing on epidemiology and surveillance, risk communication, and vaccines. The prospective stage included tabletop exercises to evaluate short to long-term simulated scenarios.ResultsParticipants emphasized the pivotal role of Israel globally by sharing experiences with the pandemic, and vaccination. Perceived strengths included multi-sectoral collaboration between the Ministry of Health, healthcare providers, academia, military, and others, stretching capacities, expanding laboratory workload, and establishing/maintaining surveillance. The vaccine prioritization plan and strong infrastructure, including computerized databases, enabled real-life assessment of vaccine uptake and impact. Challenges included the need to change case definitions early on and insufficient staffing. Quarantine of patients and contacts was particularly challenging among underprivileged communities. Risk communication approaches need to focus more on creating norms in behavior. Trust issues and limited cooperation were noted, especially among ethnic and religious minorities. To ensure readiness and resiliency, participants recommended establishing a nationally deployed system for bringing in and acting upon feedback from the field, especially concerning risk communication and vaccines.ConclusionOur study appraised strengths and weaknesses of the COVID-19 pandemic response in Israel and led to concrete recommendations for adjusting responses and future similar events. An efficient response comprised multi-sectoral collaboration, policy design, infrastructure, care delivery, and mitigation measures, including vaccines, while risk communication, trust issues, and limited cooperation with minority groups were perceived as areas for action and intervention.

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Section: Discussionmentioning

confidence: 99%

Review of Israel’s action and response during the COVID-19 pandemic and tabletop exercise for the evaluation of readiness and resilience—lessons learned 2020–2021

Muhsen,

Cohen,

Glatman-Freedman

et al. 2024

Front. Public Health

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“…"Bottom-up" communication channels were absent, which, when making decisions, limited listening to and considering staff's experience and expertise [81]. While some promising information and communication practices from hospital case studies have been identified [81,82], attention has also been paid to communication approaches supporting COVID-19 vaccination of the healthcare workforce [83,84] and the public [85]. Therefore, future comparative analyses could help identify the best health crisis communication practices.…”

Section: Implications Of Findingsmentioning

confidence: 99%

From Crisis to Opportunity: A Qualitative Study on Rehabilitation Therapists’ Experiences and Post-Pandemic Perspectives

Saragosa,

Goraya,

Serrano

et al. 2024

Healthcare

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Rehabilitation therapists (RTs) have developed substantial mental health problems since the pandemic. Our study aimed to understand the experience of COVID-19 on occupational therapists and physiotherapists practicing in Canada, how the pandemic may have affected care delivery, and to identify new learnings articulated by RTs. A qualitative descriptive study design guided data collection through one-on-one interviews, dyadic interviews, and focus groups. We recruited active RTs across Canada, advertising on professional practice networks and social media platforms and using snowball sampling. Forty-nine RTs representing seven Canadian provinces participated. The four overarching themes developed using thematic analysis were (1) navigating uncertainty along with ever-changing practices, policies, and attitudes, (2) morphing roles within a constrained system, (3) witnessing patients suffering and experiencing moral distress, and (4) recognizing the personal toll of the pandemic on self and others, as well as lessons learned. Our study demonstrated that many RTs suffered moral distress, poor mental health, and some from challenging financial situations, especially those in the private sector. They also expressed a resilient attitude in response to these stressors. Implications in the future include identifying promising communication strategies that could act as protective factors, addressing workforce constraints and diminishing resources through innovative models of care.

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“…The virus quickly spread around the world, and during the first two years of the pandemic (January 2020 to December 2021), weekly WHO data reported 280,614,414 confirmed cases and 5,446,891 deaths (https://data.who.int/ dashboards/covid19/data?n=c, accessed on 1 March 2024). One of the most significant social effects of the pandemic was its profound impact on hospital capacities worldwide [4]. In 2020-2021, the European Centre for Disease Prevention and Control (ECDC) reported 12,614,410 COVID-19 hospitalizations in Austria, Belgium, Bulgaria, Cyprus, Czechia, Estonia, France, Ireland, Liechtenstein, Lithuania, Luxembourg, the Netherlands, Romania, Slovakia, Slovenia, and Spain (https://www.ecdc.europa.eu/en/publications-data/ download-data-hospital-and-icu-admission-rates-and-current-occupancy-covid-19, accessed on 1 March 2024).…”

Section: Introductionmentioning

confidence: 99%

The First Two Years of COVID-19 Hospitalization Characteristics and Costs: Results from the National Discharge Registry

Ferrante

2024

Healthcare

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Background: The COVID-19 pandemic has emerged as the primary global health challenge of the new millennium. Understanding its impact on health systems and learning from these experiences are crucial for improving system resilience against future health crises. This paper examines hospitalizations related to COVID-19 in Italy from 2020 to 2021, with a specific focus on the costs associated with these admissions. Design and methods: This is a retrospective, population-based study of Italian hospitalizations of patients diagnosed with COVID-19 during the 2020–2021 period, using data extracted from the National Hospital Discharge Registry. The outcome variables considered include hospital admissions, costs, and length of stay. Results: In Italy, hospitalizations for COVID-19 totaled 357,354 in 2020 and 399,043 in 2021, with the transfer rate being three times higher than that of other patients. Hospitalizations were predominantly concentrated in the northern regions, especially during the first year. Mortality rates increased with age, while hospitalization rates peaked in the youngest and oldest age groups. The financial impact of COVID-19 hospitalizations was approximately €3.1 billion in 2020 and €3.6 billion in 2021. The cost per admission was around €8000 for standard care and €24,000 for intensive therapy in both years. Conclusion: Conducting a cost-benefit analysis of implementing a protective pad around the entire health system, which leverages networks of family doctors and nurses connected in real-time, could be an important step in strengthening health system resilience.

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Hospital Resilience to the COVID-19 Pandemic in Five Countries: A Multiple Case Study

Cited by 6 publications

References 38 publications

Review of Israel’s action and response during the COVID-19 pandemic and tabletop exercise for the evaluation of readiness and resilience—lessons learned 2020–2021

Review of Israel’s action and response during the COVID-19 pandemic and tabletop exercise for the evaluation of readiness and resilience—lessons learned 2020–2021

From Crisis to Opportunity: A Qualitative Study on Rehabilitation Therapists’ Experiences and Post-Pandemic Perspectives

The First Two Years of COVID-19 Hospitalization Characteristics and Costs: Results from the National Discharge Registry

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