Coronavirus (COVID-19) are posing a major and you can unmatched difficulties so you can health service considered and you may beginning across the health assistance globally. It nationwide financed analysis are examining this new response of one’s Colombian health program into the COVID-19 pandemic, attracting on the qualitative case studies off about three regional fitness options inside the country. The approach might possibly be told of the thought of ‘significant system change’-or paired change among many different health care teams and other related stakeholders- to identify procedure one each other permit and you may restrict type away from fitness qualities for the pressures shown because of the COVID-19. The research usually assemble details about capacity ‘bottlenecks’ including winning means and you may different invention that have emerged in your neighborhood, having the chance of are ‘scaled up’ across the Colombia’s health attributes.
Methods/design
This qualitative research might be performed in 2 levels. In the first, doing 31 stakeholder interviews might possibly be held to ascertain instant challenges and you may possibilities to own change in response to COVID-19 which might be mutual during the a timely ways with health provider frontrunners to share with fitness service planning. The latest stakeholders includes considered, merchant and intermediary organizations inside health program at national level. About 2nd, up to 60 after that interview could be used to develop from inside the-depth circumstances studies away from about three local fitness solutions from the urban area peak within Colombia. The fresh interviews investigation will be formulated having documentary study and you will, in which possible, non-fellow member observance regarding considered group meetings.
Conversation
The newest study’s results often aid comparison of your own benefits of idea of big system change in a perspective away from ‘crisis’ choice-to make and you may subscribe to internationally coaching with the improving fitness systems’ potential to respond to COVID-19 and you will coming pandemics. Research findings could be mutual among some stakeholders about Colombian health care program inside a good formative and you may punctual ways to modify healthcare believed in reaction in order to COVID-19 and you will upcoming pandemics. Performing the study at the same time off COVID-19 brings up a good amount of important circumstances (plus bodily distancing and you will pressure with the fitness characteristics) which have been forecast on the studies construction and you can browse team’s ways of doing work.
Contributions to your literature
This study tend to discuss the latest advantages of the notion of significant program alter, otherwise matched up advancements of numerous stakeholders, responding into COVID-19 pandemic inside Colombia.
Biggest program alter might have been put on the study from stretched-term believe of services alter, but little is known regarding the the value from inside the a framework away from ‘crisis’ choice-and make towards the, and you may fluidity of your evidence to possess, implementing improvement in enough time out of COVID-19.
Internasjonal datinganmeldelse
By way of regional wellness program situation degree, this research often select capability ‘bottlenecks’ and you can novel methods, dating and you will invention which have emerged in your community, which have the chance of replication and you may ‘scaling up’ across the Colombia’s health attributes.
Record
Coronavirus (COVID-19) is actually posing a primary and you will unprecedented issue to wellness services planning and you will birth across health options all over the world . Very early evidence off Far-eastern economic climates (Hong-kong, Singapore and Japan) living with COVID-19 implies that ‘integration regarding functions on the wellness system and you may around the almost every other sectors amplifies the capacity to ingest and adapt to shock’ . not, local facts needs off their fitness solutions around the globe under control to examine the fresh relevance regarding the hypothesis in order to apply so it or any other organizational classes having giving an answer to COVID-19. Specific organizational issues must be managed to evolve service integration during the working and you can governance levels. They are development the power, protection and quality of features to resolve demand out-of vitally unwell or any other form of patient affected by COVID-19, individually otherwise indirectly (provider level), and you will coordinating many individual wellness service organizations, municipalities and other stakeholders regarding transformative considered away from qualities in your town and you may nationally (governance peak).
