How Can Health Systems Better Prepare for the Next Pandemic? Lessons Learned From the Management of COVID-19 in Quebec (Canada).

Autor:	Alami H; Center for Public Health Research of the University of Montreal, Montreal, QC, Canada.; Department of Health Management, Evaluation and Policy, University of Montreal, Montreal, QC, Canada., Lehoux P; Center for Public Health Research of the University of Montreal, Montreal, QC, Canada.; Department of Health Management, Evaluation and Policy, University of Montreal, Montreal, QC, Canada., Fleet R; VITAM Research Centre on Sustainable Health, Laval University, Quebec, QC, Canada.; Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Laval University, Quebec, QC, Canada.; Research Chair in Emergency Medicine Université Laval-CHAU Hôtel-Dieu de Lévis, Lévis, QC, Canada., Fortin JP; VITAM Research Centre on Sustainable Health, Laval University, Quebec, QC, Canada.; Department of Social and Preventive Medicine, Faculty of Medicine, Laval University, Quebec, QC, Canada., Liu J; Faculty of Medicine, University of Montreal, Montreal, QC, Canada., Attieh R; Research Centre of the University of Montreal Hospital Centre, University of Montreal, Montreal, QC, Canada., Cadeddu SBM; Research Centre of the University of Montreal Hospital Centre, University of Montreal, Montreal, QC, Canada.; Faculty of Law, University of Montreal, Montreal, QC, Canada., Abdoulaye Samri M; VITAM Research Centre on Sustainable Health, Laval University, Quebec, QC, Canada., Savoldelli M; School for Advanced Studies in Public Health (EHESP), Rennes, France., Ag Ahmed MA; Research Chair on Chronic Diseases in Primary Care, Sherbrooke University, Chicoutimi, QC, Canada.; The Institute of Tropical Medicine, Antwerp, Belgium.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2021 Jun 18; Vol. 9, pp. 671833. Date of Electronic Publication: 2021 Jun 18 (Print Publication: 2021).
DOI:	10.3389/fpubh.2021.671833
Abstrakt:	The magnitude of the COVID-19 pandemic challenged societies around our globalized world. To contain the spread of the virus, unprecedented and drastic measures and policies were put in place by governments to manage an exceptional health care situation while maintaining other essential services. The responses of many governments showed a lack of preparedness to face this systemic and global health crisis. Drawing on field observations and available data on the first wave of the pandemic (mid-March to mid-May 2020) in Quebec (Canada), this article reviewed and discussed the successes and failures that characterized the management of COVID-19 in this province. Using the framework of Palagyi et al. on system preparedness toward emerging infectious diseases, we described and analyzed in a chronologically and narratively way: (1) how surveillance was structured; (2) how workforce issues were managed; (3) what infrastructures and medical supplies were made available; (4) what communication mechanisms were put in place; (5) what form of governance emerged; and (6) whether trust was established and maintained throughout the crisis. Our findings and observations stress that resilience and ability to adequately respond to a systemic and global crisis depend upon preexisting system-level characteristics and capacities at both the provincial and federal governance levels. By providing recommendations for policy and practice from a learning health system perspective, this paper contributes to the groundwork required for interdisciplinary research and genuine policy discussions to help health systems better prepare for future pandemics. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Alami, Lehoux, Fleet, Fortin, Liu, Attieh, Cadeddu, Abdoulaye Samri, Savoldelli and Ag Ahmed.)
Databáze:	MEDLINE
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