Coronavirus (COVID-19) are posing a major and unprecedented difficulties in order to fitness provider thought and you can delivery all over fitness assistance around the world. So it around the world financed studies try examining brand new effect of your own Colombian health system on COVID-19 pandemic, drawing towards qualitative case education from three regional wellness assistance contained in this the world. The fresh means will be told by the idea of ‘significant system change’-otherwise matched up change among many different healthcare groups and other related stakeholders- to understand process you to definitely both allow and restrict version out of health attributes on pressures demonstrated from the COVID-19. The research will collect information on capability ‘bottlenecks’ in addition to winning practices and you can different innovation that are seen in your community, having the opportunity of being ‘scaled up’ around the Colombia’s wellness attributes.
Methods/design
Which qualitative research could be done in 2 stages. In the first, up to 31 stakeholder interviews could be used to find out instant pressures and possibilities to own improvement in a reaction to COVID-19 which might be mutual in the a fast method which have health service leadership to inform fitness solution think. This new stakeholders ought to include believe, vendor and you can mediator organizations from inside the wellness system during the national top. Regarding next, around sixty further interview might be conducted to develop for the-depth case studies from three local wellness systems at metropolitan town level in this Colombia. The fresh interview research would-be supplemented having documentary data and you can, in which possible, non-new member observance of planning group meetings.
Dialogue
The brand new study’s conclusions will help evaluation of benefit of your concept of big program improvement in a framework out-of ‘crisis’ choice-making and you may join global classes toward boosting wellness systems’ strength to resolve COVID-19 and you will future pandemics. Investigation conclusions was mutual certainly one of individuals stakeholders throughout the Colombian healthcare program for the a formative and fast ways so you can up-date medical care thought in response in order to COVID-19 and you may upcoming pandemics. Conducting the study simultaneously away from COVID-19 raises a great amount of standard products (as well as physical distancing and you can stress into wellness properties) which have been anticipated about studies framework and research team’s way of performing.
Benefits towards literary works
This study usually mention the fresh benefits postimyynti morsiamen huijaus of idea of significant system alter, or paired improvements involving multiple stakeholders, responding into the COVID-19 pandemic into the Colombia.
Biggest system transform might have been placed on the research out of stretched-name believed of solution change, but nothing is known regarding the its value into the a framework off ‘crisis’ decision-and come up with into, and fluidity of the facts getting, implementing improvement in the time out-of COVID-19.
Thanks to local wellness system situation degree, this study often identify capabilities ‘bottlenecks’ and you can novel strategies, relationship and you may invention having came up in your town, which have the opportunity of duplication and you will ‘scaling up’ across Colombia’s fitness properties.
Records
Coronavirus (COVID-19) is actually posing a major and unprecedented challenge to help you fitness solution think and you may delivery all over health solutions globally . Early research away from Western economies (Hong kong, Singapore and The japanese) coping with COVID-19 shows that ‘integration off functions on wellness program and you will across almost every other sectors amplifies the capability to take-in and you will comply with shock’ . However, local proof needs off their health systems around the globe in check to examine brand new relevance of this hypothesis in order to use it or any other organizational classes for addressing COVID-19. Particular organizational issues have to be handled to alter services consolidation at functional and you will governance levels. These are typically development the ability, protection and you will top-notch qualities to resolve demand out of significantly unwell or any other type of diligent impacted by COVID-19, really or ultimately (service peak), and you can matching a variety of individual health provider groups, municipalities or any other stakeholders on the transformative planning out of services locally and you will nationally (governance height).