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Rapid response to crisis: Health system lessons from the active period of COVID-19

BACKGROUND: This paper outlines the need for a health systems approach and rapid response strategy for gathering information necessary for policy decisions during pandemics and similar crises. It suggests a new framework for assessing the phases of the pandemic. METHOD: The paper draws its informati...

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Autores principales: Salvador-Carulla, Luis, Rosenberg, Sebastian, Mendoza, John, Tabatabaei-Jafari, Hossein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450947/
https://www.ncbi.nlm.nih.gov/pubmed/32874862
http://dx.doi.org/10.1016/j.hlpt.2020.08.011
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author Salvador-Carulla, Luis
Rosenberg, Sebastian
Mendoza, John
Tabatabaei-Jafari, Hossein
author_facet Salvador-Carulla, Luis
Rosenberg, Sebastian
Mendoza, John
Tabatabaei-Jafari, Hossein
author_sort Salvador-Carulla, Luis
collection PubMed
description BACKGROUND: This paper outlines the need for a health systems approach and rapid response strategy for gathering information necessary for policy decisions during pandemics and similar crises. It suggests a new framework for assessing the phases of the pandemic. METHOD: The paper draws its information and conclusions from a rapid synthesis and translation process (RSTP) of a series of webinars and online discussions from the Pandemic-Mental Health International Network (Pan-MHIN) - policy experts from across 16 locations in Australia, Denmark, Italy, Spain, Taiwan, the UK and the USA. While the initial focus of this research was on mental health, COVID-19 has raised much broader issues and questions for health planners. RESULTS: We identified gaps affecting the capacity to respond effectively and quickly, including in relation to system indicators, the inadequacy of the prior classification of the phases of the pandemic, the absences of a healthcare ecosystem approach, and the quick shift to digital technologies. The strengths and weaknesses of COVID-19 responses across different systems, services, sites and countries been identified and compared, including both low and high impacted areas. CONCLUSIONS: There is an urgent need for managerial epidemiology based on healthcare ecosystem research encompassing multidisciplinary teams, visualization tools and decision analytics for rapid response. Policy and healthcare context played a key role in the response to COVID-19. Its severity, the containment measures and the societal response varied greatly across sites and countries. Understanding this variation is vital to assess the impact of COVID-19 in specific areas such as ageing or mental health.
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spelling pubmed-74509472020-08-28 Rapid response to crisis: Health system lessons from the active period of COVID-19 Salvador-Carulla, Luis Rosenberg, Sebastian Mendoza, John Tabatabaei-Jafari, Hossein Health Policy Technol Article BACKGROUND: This paper outlines the need for a health systems approach and rapid response strategy for gathering information necessary for policy decisions during pandemics and similar crises. It suggests a new framework for assessing the phases of the pandemic. METHOD: The paper draws its information and conclusions from a rapid synthesis and translation process (RSTP) of a series of webinars and online discussions from the Pandemic-Mental Health International Network (Pan-MHIN) - policy experts from across 16 locations in Australia, Denmark, Italy, Spain, Taiwan, the UK and the USA. While the initial focus of this research was on mental health, COVID-19 has raised much broader issues and questions for health planners. RESULTS: We identified gaps affecting the capacity to respond effectively and quickly, including in relation to system indicators, the inadequacy of the prior classification of the phases of the pandemic, the absences of a healthcare ecosystem approach, and the quick shift to digital technologies. The strengths and weaknesses of COVID-19 responses across different systems, services, sites and countries been identified and compared, including both low and high impacted areas. CONCLUSIONS: There is an urgent need for managerial epidemiology based on healthcare ecosystem research encompassing multidisciplinary teams, visualization tools and decision analytics for rapid response. Policy and healthcare context played a key role in the response to COVID-19. Its severity, the containment measures and the societal response varied greatly across sites and countries. Understanding this variation is vital to assess the impact of COVID-19 in specific areas such as ageing or mental health. Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. 2020-12 2020-08-27 /pmc/articles/PMC7450947/ /pubmed/32874862 http://dx.doi.org/10.1016/j.hlpt.2020.08.011 Text en © 2020 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Salvador-Carulla, Luis
Rosenberg, Sebastian
Mendoza, John
Tabatabaei-Jafari, Hossein
Rapid response to crisis: Health system lessons from the active period of COVID-19
title Rapid response to crisis: Health system lessons from the active period of COVID-19
title_full Rapid response to crisis: Health system lessons from the active period of COVID-19
title_fullStr Rapid response to crisis: Health system lessons from the active period of COVID-19
title_full_unstemmed Rapid response to crisis: Health system lessons from the active period of COVID-19
title_short Rapid response to crisis: Health system lessons from the active period of COVID-19
title_sort rapid response to crisis: health system lessons from the active period of covid-19
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450947/
https://www.ncbi.nlm.nih.gov/pubmed/32874862
http://dx.doi.org/10.1016/j.hlpt.2020.08.011
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