Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments
| Autor: | Walter Zingg, Sanjeev Singh, Rifat Atun, Nina Zhu, Jay K. Varma, Martin McKee, Alison Holmes, Izhar Hussain, Gabriel Birgand, Enrique Castro-Sánchez, Andrew Kambugu, Raheelah Ahmad, Marc Mendelson, Esmita Charani, Jaime Labarca, Gabriel Levy Hara, Ewan Ferlie |
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| Přispěvatelé: | ESRC, Economic & Social Research Council (ESRC), National Institute for Health Research, University of Zurich, Ahmad, Raheelah |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
610 Medicine & health
HN Interconnectedness 1117 Public Health and Health Services 10234 Clinic for Infectious Diseases RA0421 Surveys and Questionnaires Health care Pandemic JS Humans Social media Pandemics Research Theme 1: COVID-19 Pandemic QR355 GE business.industry SARS-CoV-2 Health Policy Public Health Environmental and Occupational Health COVID-19 Legislature 2739 Public Health Environmental and Occupational Health Public relations 2719 Health Policy GF Health-promotion Cross-Sectional Studies COMPASS (COntrol and Management of PAndemicS through Strategic analysis) study group Facilitator Thematic analysis business Psychology Discipline |
| Zdroj: | Journal of Global Health |
| ISSN: | 2047-2978 |
| Popis: | Additional material: Online Supplementary Document available at http://jogh.org/documents/2021/jogh-11-05011-s001.pdf . Copyright © 2021 The Author(s). Background: Variation in the approaches taken to contain the SARS-CoV-2 (COVID-19) pandemic at country level has been shaped by economic and political considerations, technical capacity, and assumptions about public behaviours. To address the limited application of learning from previous pandemics, this study aimed to analyse perceived facilitators and inhibitors during the pandemic and to inform the development of an assessment tool for pandemic response planning. Methods A cross-sectional electronic survey of health and non-health care professionals (5 May - 5 June 2020) in six languages, with respondents recruited via email, social media and website posting. Participants were asked to score inhibitors (−10 to 0) or facilitators (0 to +10) impacting country response to COVID-19 from the following domains - Political, Economic, Sociological, Technological, Ecological, Legislative, and wider Industry (the PESTELI framework). Participants were then asked to explain their responses using free text. Descriptive and thematic analysis was followed by triangulation with the literature and expert validation to develop the assessment tool, which was then compared with four existing pandemic planning frameworks. Results 928 respondents from 66 countries (57% health care professionals) participated. Political and economic influences were consistently perceived as powerful negative forces and technology as a facilitator across high- and low-income countries. The 103-item tool developed for guiding rapid situational assessment for pandemic planning is comprehensive when compared to existing tools and highlights the interconnectedness of the 7 domains. Conclusions The tool developed and proposed addresses the problems associated with decision making in disciplinary silos and offers a means to refine future use of epidemic modelling. This study did not receive any external funding. |
| Databáze: | OpenAIRE |
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