Strengthening Primary Health Care System Resilience in Covid-19 Pandemic: A Scoping Review

Authors

  • Ali Mohammad Mosadeghrad 1- Ph.D. Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Alireza Emamzadeh 2- MD. Student, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Matin Jafari 3- Pharm D. Student, School of Pharmacology, Tehran University of Medical Sciences, Tehran, Iran
  • Sara Mohammadi 2- MD. Student, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Shahrzad Akhavan 4- Ph.D. Student, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Shayan Shojaei 2- MD. Student, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Tina Taherkhani 2- MD. Student, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract:

Background and Aim: Primary health care is a holistic approach that aims to maximize people's health and well-being as quickly as possible in their immediate living environment. The primary health care system is the first point of contact of the people with the health system. Therefore, increasing its resilience will play a significant role in controlling and managing pandemics. This research aimed to identify strategies to strengthen the resilience of the primary health care system in the Covid-19 pandemic. Materials and Methods: This study was conducted using the scoping review method. Using appropriate keywords search was done on the subject of the study in PubMed, Web of Science, Scopus, SID, Iranmedex and Magiran databases and Google and Google Scholar search engines. Finally, after screening and reviewing the titles, abstracts and texts of the retrieved documents, 36 articles were selected and strategies to strengthen the resilience of the primary health care system in the Covid-19 pandemic were extracted from them. Results: A total of 48 strategies/solutions were extracted to strengthen the resilience of the primary health care system, categorized into 6 groups, namely, governance and leadership, financing, human resources, medicines and equipment, health information systems, and health service delivery. Among the most frequently solutions mentioned were the following: Dynamic and accountable leadership, using valid research evidence in policy-making, contingency planning, increasing inter-sectoral cooperation, advocacy for health policies, community involvement, sustainable financing, recruiting additional staff and training and supporting them, providing sufficient stocks of medicines and diagnostic kits, developing and modernizing public health information systems, facilitating people's access to health centers, continuing to provide health services, and increasing the community’s health literacy. Conclusion: The structural and process components of the primary health care system including "governance and leadership", "financing", "staff", "equipment, vaccines and medicines", "information" and "health care delivery" should be strengthened in a coordinated manner in the primary health care system to be prepared for future epidemics.  

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

Primary Health Care Strengthening Strategies in Iran: A Realistic Review

Background and Aim: The Primary Health Care (PHC) system is the most comprehensive, equitable and efficient way to promote people's health and social welfare by providing preventive, curative, rehabilitative and palliatvie services in a place close to where people live and work. Iran's PHC system faces challenges that limit its effectiveness and efficiency. The aim of this study was to identify...

full text

Strengthening the Primary Health Care System in Iran: A Comprehensive Review Study

Background and Aim: It is essential to take action to strengthen the national primary health care (PHC) system. The purpose of this study was to conduct a comprehensive review to find ways to strengthen the PHC system in Iran based on the experiences of different countries. Materials and Methods: This was a comprehensive review study. The relevant studies were retrieved using Science Direct, P...

full text

Nurse Robots: A Necessity in the Nursing Care System during the Covid-19 Pandemic

Dear Editor, The emergence of diseases due to drug resistance, genetic mutations, and transmission has made the future of infectious diseases complicated and vague. Currently, the prevalence of coronavirus, with high infectivity and significant lethality, has made infection control among nurses and patient one of the main goals of the World Health Organization [1]. At present, the prevention ...

full text

Achievement of the WHO Goals in Iran’s Health Care System. Results From a Scoping Review

Background: Health systems are required to examine achievement of the goals based on appropriate frameworks. Assessment of health system in a country provides an opportunity to address the main mission through recognizing new needs and resolving existing gaps. Then this review study examines Iran’s health systems achievement of the goals set by the World Health Organization’s conceptual framewo...

full text

Health System Resilience: What Are We Talking About? A Scoping Review Mapping Characteristics and Keywords

Background Health systems are based on 6 functions that need to work together at all times to effectively deliver safe and quality health services. These functions are vulnerable to shocks and changes; if a health system is unable to withstand the pressure from a shock, it may cease to function or collapse. The concept of resilience has been introduced with the goal of strengthening healt...

full text

Mental Health Status of Nurses During the COVID-19 Pandemic: A Systematic Review

Background and Aim: Due to the widespread psychological effects of Covid-19 pandemic in the societies, there are strong evidences that the mental health status of nurses is akin to psychological disorders. The aim of this study is to investigate the mental health status and psychological interventions of nurses.   Methods: This study is a systematic review based on the previous studies. ...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 20  issue 1

pages  13- 24

publication date 2022-06

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023