Mahmoudjanlou Shahrzad, Mahmoudi Ghahraman, Jahani Mohammad-Ali
Medical & Health Services Administration, Sari Branch Islamic Azad University Sari Iran.
Hospital Administration Research Center, Sari Branch Islamic Azad University Sari Iran.
Health Sci Rep. 2024 Oct 3;7(10):e70059. doi: 10.1002/hsr2.70059. eCollection 2024 Oct.
Despite the advances in medical science, the epidemic of infectious diseases has faced serious challenges to the health system of countries, so the purpose of this study was to identify obstacles and management strategies to prepare for planning preventive measures and better care in dealing with infectious diseases in hospitals.
The current qualitative research was of the grounded theory type, which was conducted in 2023. The semistructured interview questions were obtained from experts. The initial selection of the sample was made from experts in the field of health and treatment from all over the country. The snowball method was used to increase the sample volume until it reached sufficient Value. After analyzing the data through MAXQDA2020 software, this research reached saturation by interviewing 20 experts.
Four main areas, 15 subthemes, and 93 codes were identified in the management of epidemics, which included leadership and management (planning, physical structure, information management, financial resources, manpower, medicine and equipment, and internal and external coordination), Stewardship (macro policy and syndromic care system), safety and resilience (crisis management and emergency and disaster risk management), management of infectious diseases (instructions, education, infection prevention and control, treatment management).
This study presents the strategies of the health system in dealing with the epidemic of infectious diseases to overcome the obstacles and challenges of preparation and response, which can help health managers in designing future programs, and finally, it shows that hospitals should have a plan for resilience in crises.
尽管医学科学取得了进步,但传染病的流行给各国卫生系统带来了严峻挑战,因此本研究的目的是确定障碍和管理策略,为制定预防措施以及在医院应对传染病时提供更好的护理做准备。
当前的定性研究属于扎根理论类型,于2023年进行。半结构化访谈问题来自专家。样本的初步选择来自全国各地卫生与治疗领域的专家。采用滚雪球法增加样本量,直至达到足够的规模。通过MAXQDA2020软件对数据进行分析后,本研究通过访谈20位专家达到了饱和状态。
在疫情管理中确定了四个主要领域、15个子主题和93个编码,包括领导与管理(规划、物理结构、信息管理、财政资源、人力、药品与设备以及内部和外部协调)、管理工作(宏观政策和症候群护理系统)、安全与恢复力(危机管理以及应急和灾害风险管理)、传染病管理(指导、教育、感染预防与控制、治疗管理)。
本研究提出了卫生系统应对传染病流行的策略,以克服准备和应对方面的障碍与挑战,这有助于卫生管理人员设计未来的项目,最后表明医院应该有危机恢复力计划。