Hospitals during economic crisis: a systematic review based on resilience system capacities framework

Foroughi, Zeynab, Ebrahimi, Parvin, Aryankhesal, Aidin ORCID: https://orcid.org/0000-0002-6695-227X, Maleki, Mohammadreza and Yazdani, Shahram (2022) Hospitals during economic crisis: a systematic review based on resilience system capacities framework. BMC Health Services Research, 22. ISSN 1472-6963

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Abstract

Background: Hospitals are the biggest users of the health system budgets. Policymakers are interested in improving hospital efficiency while maintaining their performance during the economic crisis. This study aims at analysing the hospitals’ policy solutions during the economic crisis using the resilience system capacities framework. Method: This study is a systematic review. The search strategy was implemented on the Web of Science, PubMed, Embase, Scopus databases, and Econbiz search portal. Data were extracted and analysed through the comparative table of resilience system capacities framework and the World Health Organization (WHO) health system’s six building blocks (i.e., leadership and governance, service delivery, health workforce, health systems financing, health information systems, and medicines and equipment). Findings: After the screening, 78 studies across 36 countries were reviewed. The economic crisis and adopted policies had a destructive effect on hospital contribution in achieving Universal Health Coverage (UHC). The short-term absorptive capacity policies were the most frequent policies against the economic crisis. Moreover, the least frequent and most effective policies were adaptive policies. Transformative policies mainly focused on moving from hospital-based to integrated and community-based services. The strength of primary care and community-based services, types and combination of hospital financing systems, hospital performance before the crisis, hospital managers’ competencies, and regional, specialties, and ownership differences between hospitals can affect the nature and success of adopted policies. Conclusion: The focus of countries on short-term policies and undermining necessary contextual factors, prioritizing efficiency over quality, and ignoring the interrelation of policies compromised hospital contribution in UHC.

Item Type: Article
Additional Information: Funding Information: This study was part of a PhD thesis supported by the School of Health Management and Information Sciences, Iran University of Medical Sciences, Iran (IUMS/SHMIS_1397-3-37-12709).
Uncontrolled Keywords: economic crisis,hospital,resilience,health policy,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2719
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 09 Feb 2023 17:30
Last Modified: 21 Jul 2024 07:33
URI: https://ueaeprints.uea.ac.uk/id/eprint/91095
DOI: 10.1186/s12913-022-08316-4

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