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Strategies to Strengthen the Resilience of Primary Health Care in the Covid-19 Pandemic: A Scoping Review Publisher Pubmed



Mosadeghrad AM1 ; Afshari M2 ; Isfahani P3 ; Ezzati F4 ; Abbasi M4 ; Farahani SA4 ; Zahmatkesh M5 ; Eslambolchi L4
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Authors Affiliations
  1. 1. Health policy and management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Health policy, School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran
  3. 3. Health management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran
  4. 4. Health services management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Health Management, School of Business and Management, Royal Holloway University of London, London, United Kingdom

Source: BMC Health Services Research Published:2024


Abstract

Background: Primary Health Care (PHC) systems are pivotal in delivering essential health services during crises, as demonstrated during the COVID-19 pandemic. With varied global strategies to reinforce PHC systems, this scoping review consolidates these efforts, identifying and categorizing key resilience-building strategies. Methods: Adopting Arksey and O'Malley's scoping review framework, this study synthesized literature across five databases and Google Scholar, encompassing studies up to December 31st, 2022. We focused on English and Persian studies that addressed interventions to strengthen PHC amidst COVID-19. Data were analyzed through thematic framework analysis employing MAXQDA 10 software. Results: Our review encapsulated 167 studies from 48 countries, revealing 194 interventions to strengthen PHC resilience, categorized into governance and leadership, financing, workforce, infrastructures, information systems, and service delivery. Notable strategies included telemedicine, workforce training, psychological support, and enhanced health information systems. The diversity of the interventions reflects a robust global response, emphasizing the adaptability of strategies across different health systems. Conclusions: The study underscored the need for well-resourced, managed, and adaptable PHC systems, capable of maintaining continuity in health services during emergencies. The identified interventions suggested a roadmap for integrating resilience into PHC, essential for global health security. This collective knowledge offered a strategic framework to enhance PHC systems' readiness for future health challenges, contributing to the overall sustainability and effectiveness of global health systems. © The Author(s) 2024.
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Ali Mohammad Mosadeghrad (1)