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Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity
OBJECTIVES: Coronavirus disease 2019 (COVID-19) has consumed many available resources within contingency plans, necessitating new capacity surges and novel approaches. This study aimed to explore the possibility of implementing the concept of flexible surge capacity to reduce the burden on hospitals...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Author(s). Published by Elsevier Ltd on behalf of The Royal Society for Public Health.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276643/ https://www.ncbi.nlm.nih.gov/pubmed/35994836 http://dx.doi.org/10.1016/j.puhe.2022.06.025 |
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author | Phattharapornjaroen, P. Carlström, E. Sivarak, O. Tansuwannarat, P. Chalermdamrichai, P. Sittichanbuncha, Y. Kongtoranin, L. Phattranonuthai, R. Marlow, P. Winyuchonjaroen, W. Pongpasupa, N. Khorram-Manesh, A. |
author_facet | Phattharapornjaroen, P. Carlström, E. Sivarak, O. Tansuwannarat, P. Chalermdamrichai, P. Sittichanbuncha, Y. Kongtoranin, L. Phattranonuthai, R. Marlow, P. Winyuchonjaroen, W. Pongpasupa, N. Khorram-Manesh, A. |
author_sort | Phattharapornjaroen, P. |
collection | PubMed |
description | OBJECTIVES: Coronavirus disease 2019 (COVID-19) has consumed many available resources within contingency plans, necessitating new capacity surges and novel approaches. This study aimed to explore the possibility of implementing the concept of flexible surge capacity to reduce the burden on hospitals by focussing on community resources to develop home isolation centres in Bangkok, Thailand. STUDY DESIGN: A qualitative study consisted of observational and semi-structured interview data. METHODS: The development and activities of home isolation centres were observed, and interviews were conducted with leaders and operational workforces. Data were deductively analysed and categorised based on the practical elements necessary in disaster and emergency management. RESULTS: Data were categorised into the seven collaborative elements of the major incident medical management and support model. The command-and-control category demonstrated four subcategories: (1) coordination and collaboration; (2) staff engagement; (3) responsibility clarification; and (4) sustainability. Safety presented two subcategories: (1) patients' information privacy and treatment; and (2) personnel safety and privacy. Communication showed internal and external communications subcategories. Assessment, triage, treatment and transport followed the processes of the COVID-19 treatment protocols according to the World Health Organisation (WHO) guidelines and hospital operations. Several supply- and patient-related challenges were identified and managed during centre development. CONCLUSIONS: The use of community resources, based on the flexible surge capacity concept, is feasible under restricted circumstances and reduced the burden on hospitals during the COVID-19 pandemic. Continuous education among multidisciplinary volunteer teams facilitated their full participation and engagement. The concept of flexible surge capacity may promote an alternative community-based care opportunity, irrespective of emergencies' aetiology. |
format | Online Article Text |
id | pubmed-9276643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Author(s). Published by Elsevier Ltd on behalf of The Royal Society for Public Health. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92766432022-07-14 Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity Phattharapornjaroen, P. Carlström, E. Sivarak, O. Tansuwannarat, P. Chalermdamrichai, P. Sittichanbuncha, Y. Kongtoranin, L. Phattranonuthai, R. Marlow, P. Winyuchonjaroen, W. Pongpasupa, N. Khorram-Manesh, A. Public Health Themed Paper– Original Research OBJECTIVES: Coronavirus disease 2019 (COVID-19) has consumed many available resources within contingency plans, necessitating new capacity surges and novel approaches. This study aimed to explore the possibility of implementing the concept of flexible surge capacity to reduce the burden on hospitals by focussing on community resources to develop home isolation centres in Bangkok, Thailand. STUDY DESIGN: A qualitative study consisted of observational and semi-structured interview data. METHODS: The development and activities of home isolation centres were observed, and interviews were conducted with leaders and operational workforces. Data were deductively analysed and categorised based on the practical elements necessary in disaster and emergency management. RESULTS: Data were categorised into the seven collaborative elements of the major incident medical management and support model. The command-and-control category demonstrated four subcategories: (1) coordination and collaboration; (2) staff engagement; (3) responsibility clarification; and (4) sustainability. Safety presented two subcategories: (1) patients' information privacy and treatment; and (2) personnel safety and privacy. Communication showed internal and external communications subcategories. Assessment, triage, treatment and transport followed the processes of the COVID-19 treatment protocols according to the World Health Organisation (WHO) guidelines and hospital operations. Several supply- and patient-related challenges were identified and managed during centre development. CONCLUSIONS: The use of community resources, based on the flexible surge capacity concept, is feasible under restricted circumstances and reduced the burden on hospitals during the COVID-19 pandemic. Continuous education among multidisciplinary volunteer teams facilitated their full participation and engagement. The concept of flexible surge capacity may promote an alternative community-based care opportunity, irrespective of emergencies' aetiology. The Author(s). Published by Elsevier Ltd on behalf of The Royal Society for Public Health. 2022-10 2022-07-13 /pmc/articles/PMC9276643/ /pubmed/35994836 http://dx.doi.org/10.1016/j.puhe.2022.06.025 Text en © 2022 The Author(s) 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 | Themed Paper– Original Research Phattharapornjaroen, P. Carlström, E. Sivarak, O. Tansuwannarat, P. Chalermdamrichai, P. Sittichanbuncha, Y. Kongtoranin, L. Phattranonuthai, R. Marlow, P. Winyuchonjaroen, W. Pongpasupa, N. Khorram-Manesh, A. Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity |
title | Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity |
title_full | Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity |
title_fullStr | Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity |
title_full_unstemmed | Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity |
title_short | Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity |
title_sort | community-based response to the covid-19 pandemic: case study of a home isolation centre using flexible surge capacity |
topic | Themed Paper– Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276643/ https://www.ncbi.nlm.nih.gov/pubmed/35994836 http://dx.doi.org/10.1016/j.puhe.2022.06.025 |
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