Gautier L., Noda S., Chabrol Fanny, David P. M., Duhoux A., Hou Renyou, Oliveira S. R. D., Traverson Lola, Zinszer K., Ridde Valéry. (2023). Hospital governance during the COVID-19 pandemic : a multiple-country case study. Health Systems and Reform, 9 (2), 2173551 [9 p.]. ISSN 2328-8604.
Titre du document
Hospital governance during the COVID-19 pandemic : a multiple-country case study
Année de publication
2023
Auteurs
Gautier L., Noda S., Chabrol Fanny, David P. M., Duhoux A., Hou Renyou, Oliveira S. R. D., Traverson Lola, Zinszer K., Ridde Valéry
Source
Health Systems and Reform, 2023,
9 (2), 2173551 [9 p.] ISSN 2328-8604
In response to the disruptions caused by COVID-19, hospitals around the world proactively or reactively developed and/or re-organized their governance structures to manage the COVID-19 response. Hospitals' governance played a crucial role in their ability to reorganize and respond to the pressing needs of their staff. We discuss and compare six hospital cases from four countries on different continents: Brazil, Canada, France, and Japan. Our study examined how governance strategies (e.g., special task forces, communications management tools, etc.) were perceived by hospital staff. Key findings from a total of 177 qualitative interviews with diverse hospital stakeholders were analyzed using three categories drawn from the European Observatory on Health Systems and Policies framework on health systems resilience during the COVID-19 pandemic: 1) delivering a clear and timely COVID-19 response strategy; 2) coordinating effectively within (horizontally) and across (vertically) levels of decision-making; and 3) communicating clearly and transparently with the hospital's diverse stakeholders. Our study gleaned rich accounts for these three categories, highlighting significant variations across settings. These variations were primarily determined by the hospitals' environment prior to the COVID-19 crisis, namely whether there already existed a culture of managerial openness (including spaces for social interactions among hospital staff) and whether preparedness planning and training had been routinely integrated into their activities.
Plan de classement
Entomologie médicale / Parasitologie / Virologie [052]
;
Santé : aspects socioculturels, économiques et politiques [056]
Description Géographique
BRESIL ; CANADA ; FRANCE ; JAPON
Localisation
Fonds IRD [F B010088054]
Identifiant IRD
fdi:010088054
