HCFMUSP: Resilience in Response to the COVID-19 Pandemic

ABSTRACT The teaching case describes a set of emergency actions taken by HCFMUSP to manage the needs brought by the COVID-19 pandemic in Brazil. The case objective considers the issues related to the impact of the pandemic mostly in healthcare operations, emphasizing how to: (a) adapt health system governance in response to a crisis (crisis management); (b) manage the health system capacity, which traditionally is not so resilient; (c) deal with a new disease (knowledge management). Thus, it should allow gathering elements for the management of future crises.

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Empirically evaluating the impact of adjudicative tribunals in the health sector: context, challenges and opportunities

Health Economics Policy and Law ◽

10.1017/s1744133111000156 ◽

2011 ◽

Vol 7 (2) ◽

pp. 147-174

Author(s):

Steven J. Hoffman ◽

Lorne Sossin

Keyword(s):

Health System ◽

Health Sector ◽

Cost Effective ◽

System Level ◽

Challenges And Opportunities ◽

External Impact ◽

Health System Governance ◽

Evaluation Matrix ◽

The Impact ◽

Methodological Difficulties

AbstractAdjudicative tribunals are an integral part of health system governance, yet their real-world impact remains largely unknown. Most assessments focus on internal accountability and use anecdotal methodologies; few, studies if any, empirically evaluate their external impact and use these data to test effectiveness, track performance, inform service improvements and ultimately strengthen health systems. Given that such assessments would yield important benefits and have been conducted successfully in similar settings (e.g. specialist courts), their absence is likely attributable to complexity in the health system, methodological difficulties and the legal environment within which tribunals operate. We suggest practical steps for potential evaluators to conduct empirical impact evaluations along with an evaluation matrix template featuring possible target outcomes and corresponding surrogate endpoints, performance indicators and empirical methodologies. Several system-level strategies for supporting such assessments have also been suggested for academics, health system institutions, health planners and research funders. Action is necessary to ensure that policymakers do not continue operating without evidence but can rather pursue data-driven strategies that are more likely to achieve their health system goals in a cost-effective way.

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The impact of health system governance and policy processes on health services in Iraqi Kurdistan

BMC International Health and Human Rights ◽

10.1186/1472-698x-10-14 ◽

2010 ◽

Vol 10 (1) ◽

Cited By ~ 10

Author(s):

Ali Tawfik-Shukor ◽

Hiro Khoshnaw

Keyword(s):

Health Services ◽

Health System ◽

Iraqi Kurdistan ◽

Health System Governance ◽

The Impact

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Coronavirus: Where Has All the Health Economics Gone?

International Journal of Health Policy and Management ◽

10.34172/ijhpm.2020.108 ◽

2020 ◽

Author(s):

Cam Donaldson ◽

Craig Mitton

Keyword(s):

United Kingdom ◽

Health Economics ◽

Health System ◽

Policy Making ◽

System Capacity ◽

The United Kingdom ◽

Trade Offs ◽

National Productivity ◽

The Impact ◽

Made In

As the coronavirus disease 2019 (COVID-19) pandemic continues to unfold there is an untold number of trade-offs being made in every country around the globe. The experience in the United Kingdom and Canada to date has not seen much uptake of health economics methods. We provide some thoughts on how this could take place, specifically in three areas. Firstly, this can involve understanding the impact of lockdown policies on national productivity. Secondly, there is great importance in studying trade-offs with respect to enhancing health system capacity and the impact of the mix of private-public financing. Finally, there are key trade-offs that will continue to be made both in terms of access to testing and ventilators which would benefit greatly from economic appraisal. In short, health economics could – and we would argue most certainly should – play a much more prominent role in policy-making as it relates to the current as well as future pandemics.

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Analysis of the Challenges and Problems in the Development of Public Health System in Beijing, China

10.21203/rs.3.rs-94341/v1 ◽

2020 ◽

Author(s):

Ayan Mao ◽

Cordia Chu ◽

Yujie Yang ◽

Yueli Meng ◽

Wuqi Qiu

Keyword(s):

Public Health ◽

Health System ◽

Public Health System ◽

Municipal Government ◽

Legal Framework ◽

System Capacity ◽

Health Staff ◽

The Public ◽

Information Strategies ◽

The Impact

Abstract Background: To discern the main problems of Beijing’s public health service system, in order to provide suggestions to modernize the public health system and to enforce the implementation of the “Health Beijing 2030” plan. Methods: We carried out a quantitative study mostly based on interviews. There are over 40 directors and scholars who came from public health institutions and government sectors or organization that related to the public health work in Beijing were interviewed. The interview records were summary analyzed on key issues in accordance with the interview outline. Results: The challenges for the system include the change of structure of the population, the impact of the changing spectrum of diseases and changing environmental factors, and macro-institutional changes. The main problems include structure of the public health system, capacity of public health staff, systems for information management and legal framework for public health. On this basis, several relevant policy recommendations are put forward. Conclusion: To improve the public health system, the Beijing municipal government should design and construction of a system planning and perfecting their investment mechanism on public health. Stability of personnel and encouragement of innovation in scientific research and reliable health information strategies are also urgent needed.

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Developing a health system approach to disaster management: A qualitative analysis of the core literature to complement the WHO Toolkit for assessing health-system capacity for crisis management

PLoS Currents ◽

10.1371/5028b6037259a ◽

2012 ◽

Cited By ~ 13

Author(s):

Claire Bayntun ◽

Gerald Rockenschaub ◽

Virginia Murray

Keyword(s):

Qualitative Analysis ◽

Health System ◽

Crisis Management ◽

Disaster Management ◽

System Approach ◽

System Capacity ◽

The Core

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Exploring the impact of cultural variability on COVID-19-related mortality: A meta-analytic approach

10.21203/rs.3.rs-39104/v1 ◽

2020 ◽

Author(s):

Aysegul Erman ◽

Mike Medeiros

Keyword(s):

Health System ◽

Emergency Preparedness ◽

Population Level ◽

System Capacity ◽

Infection Dynamics ◽

Behavioural Characteristics ◽

Different Populations ◽

Political Economic ◽

High Degree ◽

The Impact

Abstract Deaths associated with COVID-19 shows a high degree of heterogeneity across different populations. An assessment of the global variability in COVID-19-attributable deaths is essential for predicting the health and economic impact of future outbreaks in different settings. Moreover, a comprehensive understanding of population-level predictors is also crucial for devising better-targeted and more appropriate emergency preparedness measures. While, demographic, economic and health-system capacity have featured prominently in recent work, cultural and behavioural characteristics have largely been overlooked. However, cultural differences likely shape both the public policy response and individuals’ behavioural responses to the crisis in ways that can impact infection dynamics and key health outcomes. To address this gap, we used meta-analytic methods to explore the global variability of COVID-19-attributed deaths during the first-wave of the pandemic and identified cultural/behavioural attributes (e.g., individualism, uncertainty avoidance) as independent predictors of COVID-19 fatalities after adjusting for important demographic, political, economic and health-system-related predictors.

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Assessing the impact of non-pharmaceutical interventions (NPI) on the dynamics of COVID-19: A mathematical modelling study of the case of Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0259874 ◽

2021 ◽

Vol 16 (11) ◽

pp. e0259874

Author(s):

Bedilu Alamirie Ejigu ◽

Manalebish Debalike Asfaw ◽

Lisa Cavalerie ◽

Tilahun Abebaw ◽

Mark Nanyingi ◽

...

Keyword(s):

Public Health ◽

Health System ◽

System Capacity ◽

World Health ◽

Rural Populations ◽

Peak Time ◽

The World ◽

The Government ◽

The Impact ◽

Pharmaceutical Interventions

The World Health Organization (WHO) declared COVID-19 a pandemic on March 11, 2020 and by November 14, 2020 there were 53.3M confirmed cases and 1.3M reported deaths in the world. In the same period, Ethiopia reported 102K cases and 1.5K deaths. Effective public health preparedness and response to COVID-19 requires timely projections of the time and size of the peak of the outbreak. Currently, Ethiopia under the COVAX facility has begun vaccinating high risk populations but due to vaccine supply shortages and the absence of an effective treatment, the implementation of NPIs (non-pharmaceutical interventions), like hand washing, wearing face coverings or social distancing, still remain the most effective methods of controlling the pandemic as recommended by WHO. This study proposes a modified Susceptible Exposed Infected and Recovered (SEIR) model to predict the number of COVID-19 cases at different stages of the disease under the implementation of NPIs at different adherence levels in both urban and rural settings of Ethiopia. To estimate the number of cases and their peak time, 30 different scenarios were simulated. The results indicated that the peak time of the pandemic is different in urban and rural populations of Ethiopia. In the urban population, under moderate implementation of three NPIs the pandemic will be expected to reach its peak in December, 2020 with 147,972 cases, of which 18,100 are symptomatic and 957 will require admission to an Intensive Care Unit (ICU). Among the implemented NPIs, increasing the coverage of wearing masks by 10% could reduce the number of new cases on average by one-fifth in urban-populations. Varying the coverage of wearing masks in rural populations minimally reduces the number of cases. In conclusion, the models indicate that the projected number of hospital cases during the peak time is higher than the Ethiopian health system capacity. To contain symptomatic and ICU cases within the health system capacity, the government should pay attention to the strict implementation of the existing NPIs or impose additional public health measures.

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The Impact of the Implementation the Concept of Knowledge Management on Security Crisis Management

Review of Public Administration and Management ◽

10.4172/2315-7844.1000216 ◽

2017 ◽

Vol 05 (02) ◽

Author(s):

Zaki AM Abuzyead ◽

Sherifa Fouad Sherif

Keyword(s):

Knowledge Management ◽

Crisis Management ◽

The Impact

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Efficacy of Mass Quarantine as Leverage of Health System Governance During COVID-19 Outbreak: A Mini Policy Review

Archives of Iranian Medicine ◽

10.34172/aim.2020.08 ◽

2020 ◽

Vol 23 (4) ◽

pp. 265-267 ◽

Cited By ~ 12

Author(s):

Mohammad Hossein Taghrir ◽

Hossein Akbarialiabad ◽

Milad Ahmadi Marzaleh

Keyword(s):

Health System ◽

Disease Outbreaks ◽

Chinese Government ◽

The Public ◽

Infectious Disease Outbreaks ◽

Course Of Action ◽

Health System Governance ◽

The Impact ◽

The City ◽

Health Policymaking

On January 23, 2020, the Chinese government announced the city lockdown of Wuhan. Since then, there have been controversial debates among experts about the efficacy of mass quarantine, the oldest and probably one of the most effective methods for controlling infectious disease outbreaks. The impact of health policymaking section of health system governance becomes visible to all stakeholders and the public in such emergency contexts. The success and failure of such policies should be evaluated in order to find the proper course of action for the local and international communities. In this review, we aim to investigate the efficacy of mass quarantine in China during the coronavirus disease 2019 (COVID-19) pandemic. We found good quality evidence for the effectiveness of mass quarantine during the current stage of COVID-19 pandemic, and these strategies seem to have been highly effective in controlling the spread of the disease.

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