Pandemic Performance Measures of Resilience for Healthcare and Education in the Netherlands.

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Sophie Hadjisotiriou, Tom H Oreel, Vincent A W J Marchau, Hubert P L M Korzilius, Jannie Coenen, Vittorio Nespeca, Etiënne A J A Rouwette, Vítor V Vasconcelos, Rick Quax, Heiman F L Wertheim, Marcel G M Olde Rikkert
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引用次数: 0

Abstract

During the COVID-19 pandemic, policymakers focused on improving health outcomes and safeguarding healthcare availability, which have led to negative consequences for other societal systems that persist today. The impact of these policies on health and non-healthcare systems depends on the resilience of these systems, that is, the capability of a system to maintain functioning during crises by using its adaptive capacity and transformative response. Policymaking during the COVID-19 pandemic might have benefitted from considering the resilience of non-healthcare societal systems and the impact of policy choices on these systems. However, so far, the development of resilience indicators for complex systems and their application in a pandemic context remains undervalued. Therefore, in this paper, we developed performance measures for the resilience of healthcare and education as showcases for pandemic policymaking. We applied a disaster management model (COPEWELL) to both the healthcare and educational system in the Netherlands. An initial list of performance measures for each system was established based on their national quality registries. To safeguard face and content validity actors ranked these measures for each system, resulting in five performance measures for each. The healthcare resilience measures cover healthcare performance both inside and outside hospitals, and the education resilience measures apply to primary, secondary schools, and higher education. Assessing the added value of multisystem policymaking using such resilience measures is a next step to be taken.

荷兰卫生保健和教育应变能力的流行病绩效措施。
在2019冠状病毒病大流行期间,政策制定者将重点放在改善健康结果和保障医疗保健可获得性上,这给其他社会制度带来了负面影响,至今仍在继续。这些政策对卫生和非卫生保健系统的影响取决于这些系统的复原力,也就是说,一个系统通过利用其适应能力和变革性应对措施在危机期间保持运作的能力。在COVID-19大流行期间,如果考虑到非医疗保健社会系统的复原力以及政策选择对这些系统的影响,政策制定可能会受益。然而,到目前为止,复杂系统复原力指标的制定及其在大流行背景下的应用仍然被低估。因此,在本文中,我们制定了医疗保健和教育韧性的绩效指标,作为大流行病政策制定的样板。我们将灾害管理模型(COPEWELL)应用于荷兰的医疗保健和教育系统。根据每个系统的国家质量登记建立了一份初步绩效衡量指标清单。为了保证表面和内容的有效性,参与者对每个系统的这些度量进行排序,从而为每个系统产生五个性能度量。医疗保健弹性措施涵盖医院内外的医疗保健绩效,教育弹性措施适用于小学、中学和高等教育。利用这种弹性措施评估多系统决策的附加价值是下一步要采取的措施。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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