Designing a comprehensive model of hospital resilience in the face of COVID-19 disease

Abstract

Introduction: Health centers must can adapt quickly to catastrophic events, such as natural and human disasters. One way to face various disasters in health centers is to increase resilience. This study tries to identify the affecting factors on hospital resilience and the relationship between them, to design a comprehensive model of hospital resilience in the face of COVID-19 disease. Methods: First, the affecting factors on hospital resilience were identified using a research background study. Then, through an interpretive structural modeling (ISM) technique, a relationship model among the identified factors was obtained. The conceptual model obtained from ISM was goodness of fit by using the Smart PLS3 software. For this purpose, a questionnaire containing 33 questions was administered to 80 managers, experts, and staff of Yazd training hospitals. Results: The results identified 8 general affecting factors on hospital resilience. The eight factors identified in this study were structured at 4 general levels by ISM. The initial level of the model consisted of "stability" and "communication system and information technology" factors. Also, the results of model goodness of fit confirmed the relationships formed by ISM. Conclusion:The results of this study can be used by health managers for the country's hospitals resilience in the face of natural disasters and unforeseen accidents.

A model of the organizational resilience of hospitals in emergencies and disasters

“…The support management dimension, with a path coefficient of 0.968, directly influences approximately 97% of the hospital's organizational resilience changes. Many studies have pointed to this dimension [17,31,[38][39][40][41]. The components of the support management dimension include setting goals and formulating unit strategies, attracting legal support and developing authority limits, evaluating the logistics situation, evaluating the accreditation standards of disaster and disaster management, monitoring the supply chain and equipping resources, using the creative skills of critical employees, and practical making decision patterns of senior managers in the face of disaster.…”

Analysis of bullwhip effect and inventory cost in the online closed-loop supply chain

“…Bullwhip effects in offline CL supply chains have been extensively addressed (Pati et al 2010;Ramírez 2012;Sheng et al 2015;Zou et al 2016;Li et al 2017;Braz et al 2018;Hosoda and Disney 2018;Qiu et al 2018;Ponte et al 2020;Tombido & Baihaqi 2020;Zhang & Zhang 2020;Cannella et al 2021;Saffari et al 2021;Yang et al 2021;Papanagnou 2022;Ponte et al 2022;Tombido et al 2022). Most studies on bullwhip effects in the CL supply chain focus on products' return and recycling for environmental and resource concerns.…”

The impact of COVID-19 on visitors' wayfinding within healthcare centers

“…So far, a number of studies have previously been conducted on factors affecting hospital resilience in confronting COVID-19 in Iran. Moreover, some sorts of management strategies to control the crisis of COVID-19 in terms of the optimum usage of all forces and hospital equipment were reported [48] , [49] . However, there are very limited sources available regarding the architectural attributes of healthcare centers, or even indoor spaces, to investigate the impact of pandemics on users’ (particularly visitors) perception.…”