Khoshmaram Najibeh, Gholipour Kamal, Farahbakhsh Mostafa, Tabrizi Jafar Sadegh
Department of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Medical Philosophy and History Research Center, Department of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Health Serv Res. 2025 May 14;25(1):691. doi: 10.1186/s12913-025-12812-8.
The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on health systems worldwide, resulting in disruptions to essential health service delivery, such as routine immunizations, maternal and child health, and treatment for communicable and noncommunicable diseases. These services have been disrupted due to the diversion of resources towards the COVID-19 response. Therefore, the objective of this scoping review was to identify the strategies and challenges associated with maintaining the continuity of essential health services during a pandemic.
This scoping review study was conducted in 2023 using the proposed Arksey and O'Malley framework. We conducted searches on PubMed, Scopus, ProQuest, and Web of Science using relevant keywords. Additionally, we searched Google Scholar, hand-searched reference lists of included studies, and reviewed organizational reports, websites, and other sources of information. Content analysis was employed to summarize the themes from the selected articles.
Our search of major databases yielded 3,732 results. After the screening process, 47 articles were included in the scoping review. The extracted interventions were classified into six groups based on the building blocks of the World Health Organization health system: leadership and governance, access to essential medicines, health systems financing, the health workforce, health service delivery, and health information systems.
The implementation of effective strategies and interventions can help ensure the provision of essential health services during a pandemic. These strategies include leveraging technology for remote care, ensuring the safety of healthcare workers and patients, strengthening supply chains, and establishing flexible and adaptive healthcare systems.
2019年冠状病毒病（COVID-19）大流行对全球卫生系统产生了重大影响，导致基本卫生服务的提供受到干扰，如常规免疫、母婴健康以及传染病和非传染病的治疗。由于资源转向应对COVID-19，这些服务受到了干扰。因此，本范围综述的目的是确定在大流行期间维持基本卫生服务连续性相关的策略和挑战。
本范围综述研究于2023年采用拟议的阿克斯赛和奥马利框架进行。我们使用相关关键词在PubMed、Scopus、ProQuest和科学网进行搜索。此外，我们还搜索了谷歌学术，人工检索纳入研究的参考文献列表，并查阅了组织报告、网站及其他信息来源。采用内容分析法总结所选文章的主题。
我们对主要数据库的搜索产生了3732条结果。经过筛选过程，47篇文章被纳入范围综述。根据世界卫生组织卫生系统的组成部分，提取的干预措施分为六组：领导与治理、基本药物获取、卫生系统筹资、卫生人力、卫生服务提供和卫生信息系统。
有效策略和干预措施的实施有助于确保在大流行期间提供基本卫生服务。这些策略包括利用技术进行远程护理、确保医护人员和患者的安全、加强供应链以及建立灵活且适应性强的卫生保健系统。
