Department of Psychology, University of Montréal, Pavillon Marie-Victorin, Montréal, Québec, Canada.
School of Public Health, University of Montréal, Montréal, Québec, Canada.
Health Syst Reform. 2023 Jun 15;9(2):2231644. doi: 10.1080/23288604.2023.2231644.
In this concluding article of the special issue, we examine lessons learned from hospitals' resilience to the COVID-19 pandemic in Brazil, Canada, France, Japan, and Mali. A quality lesson learned (QLL) results from a systematic process of collecting, compiling, and analyzing data derived ideally from sustained effort over the life of a research project and reflecting both positive and negative experiences. To produce QLLs as part of this research project, a guide to their development was drafted. The systematic approach we adopted to formulate quality lessons, while certainly complex, took into account the challenges faced by the different stakeholders involved in the fight against the COVID-19 pandemic. Here we present a comparative analysis of the lessons learned by hospitals and their staff with regard to four common themes that were the subject of empirical analyses: 1) infrastructure reorganization; 2) human resources management; 3) prevention and control of infection risk; and 4) logistics and supply. The lessons learned from the resilience of the hospitals included in this research indicate several factors to consider in preparing for a health crisis: 1) strengthening the coordination and leadership capacities of hospital managers and health authorities; 2) improving communication strategies; 3) strengthening organizational capacity; and 4) adapting resources and strategies, including for procurement and infection risk management.
在本期特刊的结论部分，我们考察了巴西、加拿大、法国、日本和马里的医院在应对 COVID-19 大流行方面的韧性中吸取的经验教训。一个优质经验教训（QLL）是从一个研究项目的整个生命周期中收集、编纂和分析数据的系统过程中得出的，反映了积极和消极的经验。为了在这个研究项目中产生 QLL，我们起草了一份关于其开发的指南。我们为制定优质经验教训而采用的系统方法虽然复杂，但考虑到了参与抗击 COVID-19 大流行的不同利益相关者所面临的挑战。在这里，我们对医院及其工作人员在四个共同主题方面的经验教训进行了比较分析，这些主题是经验分析的主题：1）基础设施重组；2）人力资源管理；3）感染风险的预防和控制；以及 4）物流和供应。本研究中纳入的医院的韧性经验教训表明，在为卫生危机做准备时需要考虑几个因素：1）加强医院管理者和卫生当局的协调和领导能力；2）改进沟通策略；3）加强组织能力；以及 4）调整资源和策略，包括采购和感染风险管理。
