Coronavirus (COVID-19) is posing a primary and you may unprecedented issue to fitness provider thought and you will birth across the fitness expertise around the globe. This nationally funded data is examining the brand new response of one’s Colombian health program with the COVID-19 pandemic, attracting towards the qualitative circumstances training out-of about three local fitness options inside the nation. The new strategy could be told by concept of ‘biggest program change’-or matched change among multiple health care communities or other relevant stakeholders- to determine processes you to definitely both allow and bekarlar iГ§in Гјcretsiz NorveГ§ sohbet siteleri you may prevent variation out of health functions towards the challenges showed by COVID-19. The research tend to collect details about skill ‘bottlenecks’ together with profitable methods and you may forms of creativity you to definitely have emerged in your town, with the potential for being ‘scaled up’ across the Colombia’s health properties.

Methods/framework

It qualitative study could well be undertaken in 2 phases. In the 1st, as much as 29 stakeholder interview was used to find out instant pressures and you can potential to own change in reaction to COVID-19 that can easily be shared within the a fast means that have health services frontrunners to tell fitness provider believe. The newest stakeholders should include think, seller and you can mediator communities from inside the fitness program at the federal height. From the second, around 60 then interview could be presented to cultivate for the-breadth case degree of around three regional wellness systems at the metropolitan town height in this Colombia. The latest interview study might be formulated with documentary research and, where feasible, non-new member observance out-of thought group meetings.

Dialogue

The new study’s findings usually help testing of the importance of the concept of big program change in a framework out of ‘crisis’ choice-and work out and you will subscribe to around the globe lessons for the boosting fitness systems’ strength to resolve COVID-19 and upcoming pandemics. Research results could well be common one of certain stakeholders on Colombian medical care program when you look at the a formative and you may prompt method so you’re able to up-date health care believe as a result so you can COVID-19 and future pandemics. Performing the research simultaneously out of COVID-19 introduces many basic issues (plus real distancing and you may tension for the health attributes) that happen to be anticipated regarding data structure and you can research team’s ways of doing work.

Benefits to your literature

This study commonly explore new benefits of one’s thought of biggest system transform, or matched up developments involving several stakeholders, in reaction with the COVID-19 pandemic when you look at the Colombia.

Biggest program changes has been put on the research away from prolonged-title considered out-of solution transform, however, absolutely nothing is famous throughout the their benefits within the a context out-of ‘crisis’ choice-making towards, and you will fluidity of the facts getting, applying improvement in the amount of time out of COVID-19.

As a consequence of local wellness system situation knowledge, this study usually choose capacity ‘bottlenecks’ and you can unique techniques, matchmaking and you may development with came up in your area, with the opportunity of replication and ‘scaling up’ around the Colombia’s wellness services.

Records

Coronavirus (COVID-19) is posing a major and you can unmatched difficulties to help you fitness service considered and delivery across the fitness options in the world . Very early facts from Asian economies (Hong-kong, Singapore and Japan) living with COVID-19 shows that ‘integration regarding attributes regarding fitness system and around the other groups amplifies the ability to absorb and you may comply with shock’ . Yet not, local facts is required off their fitness expertise international in order to look at the brand new significance in the hypothesis and to use it and other organizational training for addressing COVID-19. Specific business troubles must be managed to change service combination in the functional and you can governance membership. They might be developing the power, safety and you will quality of characteristics to answer demand out of significantly sick or any other particular diligent influenced by COVID-19, personally otherwise indirectly (service peak), and coordinating a variety of individual health service teams, municipalities or other stakeholders regarding adaptive think from functions locally and you may across the nation (governance top).