@article{fdi:010088054, title = {{H}ospital governance during the {COVID}-19 pandemic : a multiple-country case study}, author = {{G}autier, {L}. and {N}oda, {S}. and {C}habrol, {F}anny and {D}avid, {P}. {M}. and {D}uhoux, {A}. and {H}ou, {R}enyou and {O}liveira, {S}. {R}. {D}. and {T}raverson, {L}ola and {Z}inszer, {K}. and {R}idde, {V}al{\'e}ry}, editor = {}, language = {{ENG}}, abstract = {{I}n 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. {H}ospitals' governance played a crucial role in their ability to reorganize and respond to the pressing needs of their staff. {W}e discuss and compare six hospital cases from four countries on different continents: {B}razil, {C}anada, {F}rance, and {J}apan. {O}ur study examined how governance strategies (e.g., special task forces, communications management tools, etc.) were perceived by hospital staff. {K}ey findings from a total of 177 qualitative interviews with diverse hospital stakeholders were analyzed using three categories drawn from the {E}uropean {O}bservatory on {H}ealth {S}ystems and {P}olicies 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. {O}ur study gleaned rich accounts for these three categories, highlighting significant variations across settings. {T}hese 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.}, keywords = {{C}omparative health systems ; hospital governance ; multiple case study ; resilience ; {BRESIL} ; {CANADA} ; {FRANCE} ; {JAPON}}, booktitle = {}, journal = {{H}ealth {S}ystems and {R}eform}, volume = {9}, numero = {2}, pages = {2173551 [9 ]}, ISSN = {2328-8604}, year = {2023}, DOI = {10.1080/23288604.2023.2173551}, URL = {https://www.documentation.ird.fr/hor/fdi:010088054}, }