Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran
Abstract Background During health crises, the demand for government healthcare services rises sharply due to increased patient admissions, resource shortages, and systemic pressure. The resilience of public hospitals in critical conditions is essential for maintaining healthcare services, reducing m...
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| Format: | Article |
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BMC
2025-04-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-025-22474-0 |
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| author | Omid Sadeghkhani Peyman Mehdi Alamdarloo Maryam Alsadat Mahmoodi Mehr Elahe Shokri Kazem Abadi Sedighe sadat Tabatabaei Far Sajad Delavari |
| author_facet | Omid Sadeghkhani Peyman Mehdi Alamdarloo Maryam Alsadat Mahmoodi Mehr Elahe Shokri Kazem Abadi Sedighe sadat Tabatabaei Far Sajad Delavari |
| author_sort | Omid Sadeghkhani |
| collection | DOAJ |
| description | Abstract Background During health crises, the demand for government healthcare services rises sharply due to increased patient admissions, resource shortages, and systemic pressure. The resilience of public hospitals in critical conditions is essential for maintaining healthcare services, reducing mortality, and ensuring system sustainability. This study aims to develop a resilience model for the public healthcare sector in response to unknown pandemics, with a focus on COVID-19. Methods This qualitative study employed a grounded theory approach. Participants included 25 senior and mid-level managers and medical personnel from hospitals affiliated with the COVID-19 response center in Shiraz. Data were collected through semi-structured interviews, observations, field notes, and memoing. Data analysis was conducted using MAXQDA-2010 software and Corbin and Strauss’s constant comparison method. Results Findings indicate that resilience in the public health sector during the pandemic was influenced by four key factors: infrastructure and supply chain management, financial management, human resource management, and crisis management. Among these factors, the preparedness of the health system played a central role in determining resilience. Conclusion To enhance resilience in future pandemics, Policymakers should prioritize sustainable financing, strengthen supply chain mechanisms, and improve human resource management to ensure effective crises response. |
| format | Article |
| id | doaj-art-5ede6856fd8b44c7aae1b2d754a4b217 |
| institution | OA Journals |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-5ede6856fd8b44c7aae1b2d754a4b2172025-08-20T02:25:41ZengBMCBMC Public Health1471-24582025-04-0125111610.1186/s12889-025-22474-0Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in IranOmid Sadeghkhani0Peyman Mehdi Alamdarloo1Maryam Alsadat Mahmoodi Mehr2Elahe Shokri Kazem Abadi3Sedighe sadat Tabatabaei Far4Sajad Delavari5Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical SciencesStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical SciencesStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical SciencesStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical SciencesStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical SciencesHealth Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical SciencesAbstract Background During health crises, the demand for government healthcare services rises sharply due to increased patient admissions, resource shortages, and systemic pressure. The resilience of public hospitals in critical conditions is essential for maintaining healthcare services, reducing mortality, and ensuring system sustainability. This study aims to develop a resilience model for the public healthcare sector in response to unknown pandemics, with a focus on COVID-19. Methods This qualitative study employed a grounded theory approach. Participants included 25 senior and mid-level managers and medical personnel from hospitals affiliated with the COVID-19 response center in Shiraz. Data were collected through semi-structured interviews, observations, field notes, and memoing. Data analysis was conducted using MAXQDA-2010 software and Corbin and Strauss’s constant comparison method. Results Findings indicate that resilience in the public health sector during the pandemic was influenced by four key factors: infrastructure and supply chain management, financial management, human resource management, and crisis management. Among these factors, the preparedness of the health system played a central role in determining resilience. Conclusion To enhance resilience in future pandemics, Policymakers should prioritize sustainable financing, strengthen supply chain mechanisms, and improve human resource management to ensure effective crises response.https://doi.org/10.1186/s12889-025-22474-0Health system resiliencePublic health resilienceHealth system preparednessPandemic preparednessHospital resilienceGrounded theory |
| spellingShingle | Omid Sadeghkhani Peyman Mehdi Alamdarloo Maryam Alsadat Mahmoodi Mehr Elahe Shokri Kazem Abadi Sedighe sadat Tabatabaei Far Sajad Delavari Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran BMC Public Health Health system resilience Public health resilience Health system preparedness Pandemic preparedness Hospital resilience Grounded theory |
| title | Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran |
| title_full | Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran |
| title_fullStr | Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran |
| title_full_unstemmed | Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran |
| title_short | Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran |
| title_sort | resilience model of public health sector during unknown pandemics a grounded theory approach for covid 19 in iran |
| topic | Health system resilience Public health resilience Health system preparedness Pandemic preparedness Hospital resilience Grounded theory |
| url | https://doi.org/10.1186/s12889-025-22474-0 |
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