Strengthening Primary Health Care for Epidemic and Pandemic Response: A Scoping Review

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 22, 2025

ABSTRACT Aims Epidemics strain healthcare systems and reduce care quality, making primary a crucial frontline component in combating pandemics. The aim of this paper was to explore the experiences countries strengthening health address epidemics pandemics infectious diseases. Design It scoping review conducted 2024. research qualitative nature. Methods Multiple databases were searched including PubMed, Scopus, ProQuest. Upon screening references, Boyatzis approach thematic analysis utilised analyse categorise acquired data based on fundamental building blocks as presented by World Health Organisation (WHO). Results Sixty‐seven studies included study, reporting widespread strategies interventions implemented around globe. majority these within context service delivery, leadership/governance, workforce. Conclusion worldwide during pandemic crisis are extensive varied. Further is required provide comprehensive understanding potential impacts such interventions. Implications for Profession and/or Patient Care There numerous reported literature epidemic response, which policymakers managers can utilise improve patient times crisis. Impact study examined challenges crises, identified various aimed at addressing challenges, primarily workforce management. Healthcare leverage findings enhance crises. Reporting Method PRISMA 2020 guideline studies. or Public Contribution No Contribution.

Language: Английский

---

Primary health care during the COVID-19 pandemic: A qualitative exploration of the challenges and changes in practice experienced by GPs and GP trainees

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(2), P. e0280733 - e0280733

Published: Feb. 9, 2023

The COVID-19 pandemic has rapidly changed general practice in the UK. Research is required to understand how General Practitioners (GPs) and GP trainees adjusted these changes, so that beneficial changes might be sustained, Primary Health Care (PHC) can prepared for future challenges. This study explored experiences perspectives of during pandemic.Remote, semi-structured interviews (n = 21) were conducted with GPs 11) 10), recruited from across UK using convenience purposive sampling. Interviews audio-recorded transcribed verbatim. Interview data analysed an inductive thematic approach.Five overarching themes identified: (1) 'Thrown at deep end'; (2) Telemedicine: 'it needs a happy balance'; (3) Delayed referrals 'holding' patients; (4) Covid Cohort-training Covid; (5) Suggestions lessons practice'. reported turbulent uncertain time major PHC. They described benefits technology medicine, particularly telemedicine, when used balanced manner, highlighting need accompanying teaching guidelines, importance patient preferences. Key tools help manage patients delayed Secondary also identified.Several key occurred as result pandemic, including rapid uptake telemedicine. exposed strengths limitations normal highlighted workplace camaraderie. These findings contribute evidence base adapt PHC infrastructures we emerge pandemic.

Language: Английский

---

A management perspective on resilience in healthcare: a framework and avenues for future research

BMC Health Services Research, Journal Year: 2023, Volume and Issue: 23(1)

Published: July 19, 2023

Abstract Recent major health shocks, such as the 2014–16 Ebola, Zika outbreak, and, last but not least, COVID-19 pandemic, have strongly contributed to drawing attention issue of resilience in healthcare domain. Nevertheless, scientific literature appears fragmented, creating difficulties developing incremental research this relevant managerial field. To fill gap, systematic review aims provide a clear state art dealing with healthcare. Specifically, from analysis theoretical articles and reviews, key dimensions are identified, novel classification framework is proposed. The then used systematize extant empirical contributions. Two main identified: approach (reactive vs. proactive) type crisis deal (acute shocks chronic stressors). Four streams thus (i) proactive approaches acute shocks; (ii) stressors; (iii) reactive (iv) stressors. These scrutinised considering three additional dimensions: level analysis, resources nurture resilience, country context. associated mapping contribute systematising fragmented on healthcare, providing picture field agenda that opens interesting paths for future research.

Language: Английский

---

The role of teleradiology during COVID-19 outbreak

Saudi Medical Journal, Journal Year: 2023, Volume and Issue: 44(2), P. 202 - 210

Published: Feb. 1, 2023

Objectives:

To evaluate the role of teleradiology during COVID-19 pandemic from Saudi radiologists' perspectives to improve radiology quality service.

Methods:

A cross-sectional study was carried out in Arabia among radiologists working at local hospitals October November 2021. It contains 21 questions involved demographic information; general information on services; and impact COVID-19. One-way ANOVA used compare groups. Chi-square test groups regarding their distribution responses. All tests were <0.05 level significance.

Results:

total 102 participated this (56% males, 44% females), 58.8% them sub-specialized chest radiology. Regarding status teleradiology, 69.6% participants believed that is a helpful tool for imaging interpretation. However, uncertain patients' confidentiality. Approximately 87% agreed there positive contribution COVID-19, which enables decreasing risk infection workload. There significant difference between professional degrees overall participant responses (p<0.05). Academicians it enhances departments' work (mean=17.78, SD=1.86).

Conclusion:

Concerns raised complicated cases require physical presence patients, cannot be performed by teleradiology. Additionally, might provide insufficient communication with other professionals discuss images.

Language: Английский

---

A qualitative study of leaders’ experiences of handling challenges and changes induced by the COVID-19 pandemic in rural nursing homes and homecare services

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: April 9, 2024

Abstract Background The COVID-19 pandemic had a major impact on healthcare services globally. In care settings such as small rural nursing homes and leaders were forced to confront, adapt to, both new ongoing challenges protect their employees patients maintain organization's operation. aim of this study was assess how leaders, working in primary services, led homecare during the pandemic. Moreover, sought explore adaptations changes induced by handled services. Methods employed qualitative explorative design with individual interviews. Nine at different levels, small, western Norway included. Results Three main themes emerged from thematic analysis: “Navigating role leader pandemic,” “The aftermath – management services”, benefits drawbacks being pandemic.” Conclusions Leaders multitude immediate used variety adaptive strategies While handling own uncertainty rapidly changing roles, they also coped organizational adopted good conditions for employees, well sound management. results establish intricate nature resilient leadership, encompassing resilience, personality, governance, resource availability, capability adjust employee requirements, context may affect these aspects.

Language: Английский

---

Local management of the COVID-19 pandemic in Norway: a longitudinal interview study of municipality chief medical officers

Scandinavian Journal of Primary Health Care, Journal Year: 2024, Volume and Issue: 42(1), P. 214 - 224

Published: Jan. 2, 2024

To explore the experiences and views of Norwegian Municipality Chief Medical Officers (MCMOs) on preparedness, collaboration, organization during COVID-19 pandemic to gain insight into local crisis management value for future responses.

Language: Английский

---

Immediate outcome assessment of the rapid response team of home health care services at King Abdulaziz Medical City in Riyadh

Journal of Family Medicine and Primary Care, Journal Year: 2023, Volume and Issue: 12(4), P. 686 - 693

Published: April 1, 2023

Paediatrics rapid response team (RRT) is a newly developed service under paediatrics home health care (HHC) programme which standby visiting that responds to non-critical emergency calls. The current study aimed compare the total visits and hospital admissions before after implementation of RRT project.A retrospective chart review was conducted from December 2018 2020. Paediatric patients registered were target population. admission hospitalization rates assessed implantation an RRT. variables related patient profile explore association between admission.Data for 117 114 calls attended HHC covered by analysed. In first year RRT, mean number ER per reduced 4.78 ± 6.10 3.93 4.12 with (P value, 0.06). Also, slight decrease in 3.74 4.43 3.46 4.1 0.29). Follow-up receiving call initial complaint statistically significant reducing both within 7 days P value 0.03 0.04, respectively.The effective decreasing very special group patients. Additionally, emplacement proper triaging code at time attending helped unnecessary visit admission.

Language: Английский

---