Vulnerabilities to disasters in healthcare facilities in the face of the COVID-19 pandemic: a scoping review.

Autor: Silva ESD; Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro. R. Afonso Cavalcanti 275, Cidade Nova. 20211-130 Rio de Janeiro RJ Brasil. enf.estersouza@outlook.com., Kneodler TDS; Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro. R. Afonso Cavalcanti 275, Cidade Nova. 20211-130 Rio de Janeiro RJ Brasil. enf.estersouza@outlook.com., Silva TASM; Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro. R. Afonso Cavalcanti 275, Cidade Nova. 20211-130 Rio de Janeiro RJ Brasil. enf.estersouza@outlook.com., Oliveira AB; Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro. R. Afonso Cavalcanti 275, Cidade Nova. 20211-130 Rio de Janeiro RJ Brasil. enf.estersouza@outlook.com.
Jazyk: Portuguese; English
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2024 Jul; Vol. 29 (7), pp. e01842024. Date of Electronic Publication: 2024 Feb 07.
DOI: 10.1590/1413-81232024297.01842024
Abstrakt: This article maps the structural, nonstructural and functional vulnerabilities of healthcare facilities to the COVID-19 pandemic. It reports on a scoping review guided by JBI recommendations and structured by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus and Web of Science Repositories and databases were consulted, as was the grey literature. The protocol was registered in the Open Science Framework. The 54 studies included summarised 36 vulnerabilities in three categories in 29 countries. Functional and non-structural vulnerabilities were the most recurrent. Limited material and human resources, service disruption, non-COVID procedures and inadequate training were the items with most impact. COVID-19 exposed nations to the need to strengthen health systems to ensure their resilience in future health crises. Prospective risk management and systematic analysis of health facility vulnerabilities are necessary to ensure greater safety, sustainability and improved standards of preparedness and response to events of this nature.
Databáze: MEDLINE