Bazyar Jafar, Alimoradi Siednour, Seydi Mohammadreza, Pourvakhshoori Negar, Sadeghifar Jamil
Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Pre-Hospital Medical Emergency Organization, Ilam University of Medical Sciences, Ilam, Iran.
J Educ Health Promot. 2021 Dec 31;10:453. doi: 10.4103/jehp.jehp_1599_20. eCollection 2021.
Utilizing the successful experiences of countries and local regions can be useful in the management and control of coronavirus disease-2019 (COVID-19), so the research team aims to determine and extract the strengths, weaknesses, opportunities, and threats of the health system in the risk management of COVID-19 using strengths, weaknesses, opportunities, threats (SWOT) analytical approach.
This study was performed by a qualitative multimethod approach. In addition to reviewing the minutes of meetings and approvals of the Provincial Anti-Corona Headquarters, focused group meetings and in-depth semi-structured individual interviews were conducted. The results were extracted based on the SWOT analytical approach in the form of strengths, weaknesses, opportunities, and threats of the health system and then based on the SWOT matrix, the necessary strategies were identified.
In the necessary strategies, based on SWOT matrix in SO strategies: SO1, formation of regional health assessment teams; SO2, promotion of preparedness, resilience, and effective response; SO3, activation of research and training centers; SO4, integrated management, supervision, and coordination; in WO strategies: WO1, analysis and COVID-19 risk monitoring; WO2, communication and risk information management; WO3, people-based management; and WO4, activation of local economic institutions and manufacturing centers; in ST: ST1, comprehensive care system strategies; and ST2, enhancing social trust with a transparency approach; and finally in WT strategies; WT1, stress management; and WT2, specific financial system design for disaster management were identified.
Now, for the prevention and control of this disease, the need of empathy and participation of all human societies is felt more than anything else. These experience and analysis are based on the SWOT approach for the health system to be able to provide solutions and practical points that can be used by stakeholders.
借鉴国家和地方的成功经验有助于2019冠状病毒病（COVID-19）的管理和控制，因此研究团队旨在运用优势、劣势、机会、威胁（SWOT）分析方法，确定并提炼卫生系统在COVID-19风险管理中的优势、劣势、机会和威胁。
本研究采用定性多方法进行。除了查阅省级抗疫指挥部的会议纪要和审批文件外，还组织了焦点小组会议和深入的半结构化个人访谈。结果基于SWOT分析方法，以卫生系统的优势、劣势、机会和威胁的形式提取，然后根据SWOT矩阵确定必要的策略。
在必要策略方面，基于SWOT矩阵，在SO策略中：SO1，组建区域卫生评估团队；SO2，提升准备、恢复力和有效应对能力；SO3，激活研究和培训中心；SO4，综合管理、监督和协调；在WO策略中：WO1，分析和COVID-19风险监测；WO2，沟通和风险信息管理；WO3，以人为本的管理；WO4，激活地方经济机构和制造中心；在ST策略中：ST1，全面护理系统策略；ST2，以透明方式增强社会信任；最后在WT策略中：WT1，压力管理；WT2，为灾害管理设计特定的金融系统。
现在，对于这种疾病的预防和控制，比以往任何时候都更需要所有人道社会的同理心和参与。这些经验和分析基于SWOT方法，以便卫生系统能够提供利益相关者可以使用的解决方案和实用要点。
