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

Valéry Ridde, Lola Traverson, Kate Zinszer
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Abstract

Since the beginning of the pandemic, hospitals have been central to the COVID-19 response, often experiencing severe financial, material, and human constraints. In this special issue, we present some of the findings of the HoSPiCOVID research project. One of its main objectives was to compare hospital responses to the first and second waves of the COVID-19 pandemic in Brazil, Canada, France, Japan, and Mali. Studying and comparing how nine different hospitals coped with the pandemic in terms of preparedness and response allowed us to: 1) identify strengths and weaknesses of their responses, including challenges for hospital professionals; and 2) produce lessons learned, using a systematic approach to reflect and analyze their potential of resilience to the crisis. In the five countries, research teams conducted in-depth qualitative studies focused on nine large hospitals, using observation sessions, semistructured interviews with hospital professionals, and lessons learned workshops. The empirical work was supported by an original analytical framework on hospital resilience and a heuristic tool focused on configurations. The studies demonstrate that the hospitals were able to absorb and/or adapt to the crisis by deploying different coping mechanisms, which often required extensive involvement of hospital professionals. More extended study periods would be needed to assess the sustainability of these coping mechanisms and discern whether they have transformative potential. These international comparisons of hospital resilience, based on studies of contrasting contexts and epidemiological situations, allowed researchers to identify lessons learned to support hospital decision-makers in thinking more deeply about managing future health crises.

五国医院应对COVID-19大流行的韧性:多案例研究
自大流行开始以来,医院一直是应对COVID-19的核心,但往往面临严重的资金、物质和人力限制。在本期特刊中,我们将介绍HoSPiCOVID研究项目的一些发现。其主要目标之一是比较巴西、加拿大、法国、日本和马里的医院对第一波和第二波COVID-19大流行的反应。研究和比较九家不同医院在防范和应对方面应对大流行的情况,使我们能够:1)确定其应对措施的优势和劣势,包括医院专业人员面临的挑战;2)总结经验教训,采用系统的方法来反映和分析他们应对危机的潜力。在这5个国家,研究小组以9家大型医院为重点开展了深入的定性研究,方法包括观察会议、对医院专业人员的半结构化访谈和经验教训讲习班。实证工作得到了原始的医院弹性分析框架和侧重于配置的启发式工具的支持。研究表明,医院能够通过部署不同的应对机制来吸收和(或)适应危机,这往往需要医院专业人员的广泛参与。需要更长的研究时间来评估这些应对机制的可持续性,并辨别它们是否具有变革潜力。基于对比背景和流行病学情况的研究,这些医院复原力的国际比较使研究人员能够确定所吸取的经验教训,以支持医院决策者更深入地思考如何管理未来的健康危机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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