Oliveira S. R., Cazarin G., Sampaio A. S., de Vasconcelos A. L., Furtado B., de Medeiros S. G., Zacarias A. C., Andrade A. C., de Sousa K. M., Zinszer K., Ridde Valéry. (2023). Potential strengths and weaknesses in hospital resilience in the context of the COVID-19 pandemic in Brazil : a case study. Health Systems & Reform, 9 (2), 2177242 [10 p.]. ISSN 2328-8604.
Titre du document
Potential strengths and weaknesses in hospital resilience in the context of the COVID-19 pandemic in Brazil : a case study
Année de publication
2023
Auteurs
Oliveira S. R., Cazarin G., Sampaio A. S., de Vasconcelos A. L., Furtado B., de Medeiros S. G., Zacarias A. C., Andrade A. C., de Sousa K. M., Zinszer K., Ridde Valéry
Source
Health Systems & Reform, 2023,
9 (2), 2177242 [10 p.] ISSN 2328-8604
The analysis of hospital resilience is essential in understanding how health services prepared for and responded to sudden shocks and unexpected challenges in the COVID-19 health crisis. This study aimed to analyze the resilience of a referral hospital in the state of Pernambuco, Brazil, in the context of the COVID-19 pandemic. The main theoretical approach based on resilience is the system's capacity to maintain essential functions and to absorb, adapt, and transform in the face of unprecedented or unexpected changes. A single case study approach was used to identify the strengths and weaknesses of this response capacity. Data triangulation was employed. Data were collected from April (beginning of case discharges) to October 2020 (decrease in the moving average of cases in 2020). A content analysis was then conducted. Data were analyzed in relation to context, effects, strategies, and impacts in facing the disruptions caused by the pandemic. The results indicated the occurrence of four configurations mostly favorable to hospital resilience during the study period. Among the main strengths were: injection of financial resources; implementation of new hospital protocols; formation of a support network; equipping and continuing education of professionals; and proactive leadership. Weaknesses found in the analysis included: initial insufficiency of personal protective equipment and confirmatory tests; difficulties in restructuring work schedules; increasing illness among professionals; stress generated by constant changes and work overload; sense of discrimination for being a health professional; lack of knowledge about the clinical management of the disease; and the reduction of non-COVID assistance services.
Plan de classement
Entomologie médicale / Parasitologie / Virologie [052]
;
Santé : aspects socioculturels, économiques et politiques [056]
Description Géographique
BRESIL
Localisation
Fonds IRD [F B010087576]
Identifiant IRD
fdi:010087576
