Iranian Primary Healthcare System's Response to Pandemic Covid- 19 Using Healthcare Incident Command System

Autor: Majid Amraei, Arezoo Yari, Yadolah Zarezadeh, Homa Yousefi-Khoshsabeghe, Mohamad Esmaeil Motlagh, Mohsen Soufi Boubakran
Rok vydání: 2021
Předmět:
DOI: 10.21203/rs.3.rs-313718/v1
Popis: Background: The healthcare incident command system (HICS) is a potent disaster management tool in healthcare systems. The present study aimed to evaluate the effects of HICS on the district health networks (DHNs) covered by provincial Medical Universities (PMU) in terms of the management and commanding of the corona crisis in Iran. Methods: This cross-sectional research was performed in June 2020 in Iran. Data were collected using the HICS assessment tool by trained crisis management experts in the DHNs. In addition, we investigated the effects of the HICS use on the management and commanding of the corona crisis. Furthermore, the effects of the HICS use were evaluated on two groups of DHNs with active HICS and DHNs with inactive or no HICS. Results: The total mean score of the corona incident command and management was 78.79±11.90 (range: 20-100) in all the DHNs. The DHNs had the highest scores in the dimensions of organizational support and coordination and the lowest score in the dimension of support and planning. Significant differences were observed between the DHNs with active HICS and DHNs with inactive or no HICS in terms of the mean scores of incident management and command and its dimensions.Conclusions: According to the results, the HICS use had a positive impact on the improvement of incident management and command and all of its dimensions. Therefore, the HICS could be used in primary healthcare for the systematic and proper management of infectious disease crises and increasing their efficiency in response to these phenomena.
Databáze: OpenAIRE