The rise of resilient healthcare research during COVID-19: scoping review of empirical research.
Health systems
Healthcare research
Resilience
Resilience in healthcare
Resilient healthcare
Safety-II
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
07 Aug 2023
07 Aug 2023
Historique:
received:
22
02
2023
accepted:
22
07
2023
medline:
9
8
2023
pubmed:
8
8
2023
entrez:
7
8
2023
Statut:
epublish
Résumé
The COVID-19 pandemic has presented many multi-faceted challenges to the maintenance of service quality and safety, highlighting the need for resilient and responsive healthcare systems more than ever before. This review examined empirical investigations of Resilient Health Care (RHC) in response to the COVID-19 pandemic with the aim to: identify key areas of research; synthesise findings on capacities that develop RHC across system levels (micro, meso, macro); and identify reported adverse consequences of the effort of maintaining system performance on system agents (healthcare workers, patients). Three academic databases were searched (Medline, EMBASE, Scopus) from 1st January 2020 to 30th August 2022 using keywords pertaining to: systems resilience and related concepts; healthcare and healthcare settings; and COVID-19. Capacities that developed and enhanced systems resilience were synthesised using a hybrid inductive-deductive thematic analysis. Fifty publications were included in this review. Consistent with previous research, studies from high-income countries and the use of qualitative methods within the context of hospitals, dominated the included studies. However, promising developments have been made, with an emergence of studies conducted at the macro-system level, including the development of quantitative tools and indicator-based modelling approaches, and the increased involvement of low- and middle-income countries in research (LMIC). Concordant with previous research, eight key resilience capacities were identified that can support, develop or enhance resilient performance, namely: structure, alignment, coordination, learning, involvement, risk awareness, leadership, and communication. The need for healthcare workers to constantly learn and make adaptations, however, had potentially adverse physical and emotional consequences for healthcare workers, in addition to adverse effects on routine patient care. This review identified an upsurge in new empirical studies on health system resilience associated with COVID-19. The pandemic provided a unique opportunity to examine RHC in practice, and uncovered emerging new evidence on RHC theory and system factors that contribute to resilient performance at micro, meso and macro levels. These findings will enable leaders and other stakeholders to strengthen health system resilience when responding to future challenges and unexpected events.
Sections du résumé
BACKGROUND
BACKGROUND
The COVID-19 pandemic has presented many multi-faceted challenges to the maintenance of service quality and safety, highlighting the need for resilient and responsive healthcare systems more than ever before. This review examined empirical investigations of Resilient Health Care (RHC) in response to the COVID-19 pandemic with the aim to: identify key areas of research; synthesise findings on capacities that develop RHC across system levels (micro, meso, macro); and identify reported adverse consequences of the effort of maintaining system performance on system agents (healthcare workers, patients).
METHODS
METHODS
Three academic databases were searched (Medline, EMBASE, Scopus) from 1st January 2020 to 30th August 2022 using keywords pertaining to: systems resilience and related concepts; healthcare and healthcare settings; and COVID-19. Capacities that developed and enhanced systems resilience were synthesised using a hybrid inductive-deductive thematic analysis.
RESULTS
RESULTS
Fifty publications were included in this review. Consistent with previous research, studies from high-income countries and the use of qualitative methods within the context of hospitals, dominated the included studies. However, promising developments have been made, with an emergence of studies conducted at the macro-system level, including the development of quantitative tools and indicator-based modelling approaches, and the increased involvement of low- and middle-income countries in research (LMIC). Concordant with previous research, eight key resilience capacities were identified that can support, develop or enhance resilient performance, namely: structure, alignment, coordination, learning, involvement, risk awareness, leadership, and communication. The need for healthcare workers to constantly learn and make adaptations, however, had potentially adverse physical and emotional consequences for healthcare workers, in addition to adverse effects on routine patient care.
CONCLUSIONS
CONCLUSIONS
This review identified an upsurge in new empirical studies on health system resilience associated with COVID-19. The pandemic provided a unique opportunity to examine RHC in practice, and uncovered emerging new evidence on RHC theory and system factors that contribute to resilient performance at micro, meso and macro levels. These findings will enable leaders and other stakeholders to strengthen health system resilience when responding to future challenges and unexpected events.
Identifiants
pubmed: 37550640
doi: 10.1186/s12913-023-09839-0
pii: 10.1186/s12913-023-09839-0
pmc: PMC10405417
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
833Subventions
Organisme : Research Council of Norway from the FRIPRO TOPPFORSK program
ID : 275367
Organisme : NHMRC Partnership Centre in Health System Sustainability
ID : 9100002
Organisme : NHMRC Investigator Grant
ID : 1176620
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Am J Infect Control. 2021 Apr;49(4):478-483
pubmed: 33091508
BMC Health Serv Res. 2021 Aug 27;21(1):878
pubmed: 34446000
BMC Health Serv Res. 2021 Jul 31;21(1):759
pubmed: 34332581
Front Public Health. 2022 May 31;10:836044
pubmed: 35712311
BMC Health Serv Res. 2022 Apr 26;22(1):558
pubmed: 35473632
BMC Prim Care. 2022 Aug 11;23(1):203
pubmed: 35948965
Res Synth Methods. 2014 Dec;5(4):371-85
pubmed: 26052958
Healthc Manage Forum. 2022 Mar;35(2):90-98
pubmed: 35144506
Healthc Policy. 2021 Nov;17(2):54-71
pubmed: 34895410
J Public Health (Oxf). 2021 Oct 8;43(Supplement_2):ii51-ii56
pubmed: 34622289
JBI Evid Synth. 2020 Oct;18(10):2119-2126
pubmed: 33038124
J Diabetes Metab Disord. 2020 Oct 26;19(2):1967-1978
pubmed: 33134211
Int J Health Policy Manag. 2020 Jan 01;9(1):6-16
pubmed: 31902190
Hum Factors Ergon Manuf. 2022 May;32(3):301-318
pubmed: 35464336
Palliat Med. 2021 May;35(5):814-829
pubmed: 33754892
JMIR Med Inform. 2022 Feb 23;10(2):e34907
pubmed: 35195529
J Am Med Dir Assoc. 2022 Jan;23(1):7-14
pubmed: 34848198
Learn Health Syst. 2021 Mar 18;6(1):e10265
pubmed: 35036549
Res Social Adm Pharm. 2022 Sep;18(9):3534-3541
pubmed: 35082103
Health Policy. 2022 Sep;126(9):853-864
pubmed: 35773063
Appl Ergon. 2020 Sep;87:103111
pubmed: 32310111
Int J Health Policy Manag. 2022 Sep 1;11(9):1956-1959
pubmed: 35658333
Adv Simul (Lond). 2020 Jul 29;5:15
pubmed: 32754345
Saf Sci. 2022 Nov;155:105879
pubmed: 35891964
Disaster Med Public Health Prep. 2022 Feb 14;17:e134
pubmed: 35152933
BMJ Glob Health. 2022 Jun;7(Suppl 3):
pubmed: 35750344
Simul Healthc. 2007 Spring;2(1):4-10
pubmed: 19088602
BMC Fam Pract. 2020 Dec 5;21(1):255
pubmed: 33278877
Sci Afr. 2021 Sep;13:e00945
pubmed: 34430762
J Behav Health Serv Res. 2022 Jul;49(3):406-413
pubmed: 35001257
Image J Nurs Sch. 1991 Fall;23(3):161-6
pubmed: 1916857
BMC Health Serv Res. 2020 Apr 17;20(1):324
pubmed: 32303209
Health Policy Plan. 2020 Oct 1;35(8):1084-1109
pubmed: 32529253
Ann Emerg Med. 2014 Mar;63(3):338-9
pubmed: 24239338
Health Soc Care Community. 2022 Sep;30(5):e2147-e2156
pubmed: 34791749
Int J Health Plann Manage. 2021 May;36(S1):42-57
pubmed: 33502795
Int J Health Policy Manag. 2022 Jun 01;11(6):747-756
pubmed: 33201656
BMC Health Serv Res. 2022 Aug 30;22(1):1101
pubmed: 36042516
Cancer. 2022 Feb 15;128(4):797-807
pubmed: 34767629
Procedia CIRP. 2021;103:32-36
pubmed: 35169538
Int J Health Policy Manag. 2018 Feb 06;7(6):491-503
pubmed: 29935126
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
BMJ Glob Health. 2021 Mar;6(3):
pubmed: 33789869
Int J Health Policy Manag. 2022 Sep 1;11(9):1682-1694
pubmed: 34273936
Health Policy Plan. 2022 Nov 14;37(10):1278-1294
pubmed: 35799347
BMC Health Serv Res. 2021 Oct 04;21(1):1037
pubmed: 34602063
Int J Environ Res Public Health. 2021 Aug 27;18(17):
pubmed: 34501637
BMC Geriatr. 2021 Feb 5;21(1):102
pubmed: 33546612
Bull World Health Organ. 2022 Apr 1;100(4):240-240A
pubmed: 35386565
Int J Environ Res Public Health. 2020 Jun 15;17(12):
pubmed: 32549273
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Iran J Public Health. 2021 Apr;50(4):806-815
pubmed: 34183931
J Perioper Pract. 2021 Jan-Feb;31(1-2):44-50
pubmed: 33292057
Saf Sci. 2021 Jul;139:105277
pubmed: 34720426
Healthcare (Basel). 2022 Jan 27;10(2):
pubmed: 35206859
BMJ Open. 2022 Aug 1;12(8):e058626
pubmed: 35914910
Int J Health Policy Manag. 2022 Oct 19;11(10):2155-2165
pubmed: 34814662
BMC Health Serv Res. 2022 Apr 10;22(1):474
pubmed: 35399088
Confl Health. 2021 Nov 3;15(1):79
pubmed: 34732235
J Nurs Manag. 2022 Mar;30(2):384-392
pubmed: 34897860
Med Care Res Rev. 2022 Aug;79(4):549-561
pubmed: 34802325
JMIR Cardio. 2021 May 5;5(1):e25277
pubmed: 33878021
Glob Qual Nurs Res. 2022 Feb 26;9:23333936221080969
pubmed: 35237707
Int J Health Policy Manag. 2022 Sep 1;11(9):1960-1963
pubmed: 35942969
Environ Syst Decis. 2020;40(2):252-286
pubmed: 32837821
PLoS One. 2022 Feb 7;17(2):e0261904
pubmed: 35130289
J Health Organ Manag. 2022 Mar 4;ahead-of-print(ahead-of-print):
pubmed: 35238189
Syst Rev. 2017 Mar 23;6(1):61
pubmed: 28335799