TY - JOUR
T1 - Rapid response to crisis
T2 - Health system lessons from the active period of COVID-19
AU - Salvador-Carulla, Luis
AU - Rosenberg, Sebastian
AU - Mendoza, John
AU - Tabatabaei-Jafari, Hossein
N1 - Funding Information:
The authors wish to thank the members of the Pandemic-Mental Health International Network (Pan-MHIN) who participated in the webinar series and associated meetings: Nerea Almeda; Universidad Loyola Andalucia, Spain, Amir Aryani; Swinburne University, Australia, Jose-Luis Ayuso-Mateos; Hospital Universitario de La Princesa in Madrid, Spain, Nasser Bagheri; Australian National University, Australia, Marco O. Bertelli; San Sebastiano Foundation, Misericordia di Firenze, Italy, Lucinda Brogden; National Mental Health Commission, Australia, Giulio Castelpietra; Central Health Directorate, Regione Autonoma Friuli Venezia Giulia, Trieste, Italy, Lynne Coulson Barr; Mental Health Complaints Commissioner (2014 ? 2020), Victoria, Australia, Hazel Dalton; University of Newcastle, Australia, Pat Dudgeon; University of Western Australia, Australia, Annette Erlangsen; Australian National University, Australia, Jane Farmer; Swinburne University, Australia, MaryAnne Furst; Australian National University, Australia, Carlos Garcia-Alonso; Universidad Loyola Andalucia, Spain, Jim Gillespie; University of Sydney, Australia, Natalia Gonzalez-Brito; Servicio Canario de Salud, Canary Islands, Spain, Brian Kelly; University of Newcastle, Australia, Helen Killaspy; University College London, the UK, Chris Lilley; Sunshine Coast Hospital and Health Service. Queensland, Australia, Catherine Lourey; New South Wales Mental Health Commissioner, Australia, Roberto Mezzina; International School Franca and Franco Basaglia, Trieste, Italy, Elizabeth Moore; ACT Office of Mental Health and Wellbeing, Australia, Kenneth Mort; New York City Mental Hygiene Planning, USA, Kerim M. Munir; Harvard Medical School, USA, David Perkins; University of Newcastle, Australia, Mikkel Rasmussen; Central Health Region, Denmark, Daniel Rock; WA Primary Health Alliance, Australia, Alan Rosen; Sydney University, Australia, Antoni Serrano-Blanco; Parc Sanitari Sant Joan de D?u, Sant Boi de Llobregat (Barcelona), Spain, Marion Wands; ConNetica Consulting, Australia, Chia-Yi Wu; School of nursing, National Taiwan University, College of Medicine, Taiwan. We also wish to thank Marita Linkson, Tobias James and Sarah McLaughlin for their assistance in organising the webinar series and their technical support.
Publisher Copyright:
© 2020 Fellowship of Postgraduate Medicine
Funding Information:
The authors wish to thank the members of the Pandemic-Mental Health International Network (Pan-MHIN) who participated in the webinar series and associated meetings: Nerea Almeda; Universidad Loyola Andalucia, Spain, Amir Aryani; Swinburne University, Australia, Jose-Luis Ayuso-Mateos; Hospital Universitario de La Princesa in Madrid, Spain, Nasser Bagheri; Australian National University, Australia, Marco O. Bertelli; San Sebastiano Foundation, Misericordia di Firenze, Italy, Lucinda Brogden; National Mental Health Commission, Australia, Giulio Castelpietra; Central Health Directorate, Regione Autonoma Friuli Venezia Giulia, Trieste, Italy, Lynne Coulson Barr; Mental Health Complaints Commissioner (2014 – 2020), Victoria, Australia, Hazel Dalton; University of Newcastle, Australia, Pat Dudgeon; University of Western Australia, Australia, Annette Erlangsen; Australian National University, Australia, Jane Farmer; Swinburne University, Australia, MaryAnne Furst; Australian National University, Australia, Carlos Garcia-Alonso; Universidad Loyola Andalucia, Spain, Jim Gillespie; University of Sydney, Australia, Natalia Gonzalez-Brito; Servicio Canario de Salud, Canary Islands, Spain, Brian Kelly; University of Newcastle, Australia, Helen Killaspy; University College London, the UK, Chris Lilley; Sunshine Coast Hospital and Health Service. Queensland, Australia, Catherine Lourey; New South Wales Mental Health Commissioner, Australia, Roberto Mezzina; International School Franca and Franco Basaglia, Trieste, Italy, Elizabeth Moore; ACT Office of Mental Health and Wellbeing, Australia, Kenneth Mort; New York City Mental Hygiene Planning, USA, Kerim M. Munir; Harvard Medical School, USA, David Perkins; University of Newcastle, Australia, Mikkel Rasmussen; Central Health Region, Denmark, Daniel Rock; WA Primary Health Alliance, Australia, Alan Rosen; Sydney University, Australia, Antoni Serrano-Blanco; Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat (Barcelona), Spain, Marion Wands; ConNetica Consulting, Australia, Chia-Yi Wu; School of nursing, National Taiwan University, College of Medicine, Taiwan. We also wish to thank Marita Linkson, Tobias James and Sarah McLaughlin for their assistance in organising the webinar series and their technical support.
Publisher Copyright:
© 2020 Fellowship of Postgraduate Medicine
PY - 2020/12
Y1 - 2020/12
N2 - Background: This paper outlines the need for a health systems approach and rapid response strategy for gathering information necessary for policy decisions during pandemics and similar crises. It suggests a new framework for assessing the phases of the pandemic. Method: The paper draws its information and conclusions from a rapid synthesis and translation process (RSTP) of a series of webinars and online discussions from the Pandemic-Mental Health International Network (Pan-MHIN) - policy experts from across 16 locations in Australia, Denmark, Italy, Spain, Taiwan, the UK and the USA. While the initial focus of this research was on mental health, COVID-19 has raised much broader issues and questions for health planners. Results: We identified gaps affecting the capacity to respond effectively and quickly, including in relation to system indicators, the inadequacy of the prior classification of the phases of the pandemic, the absences of a healthcare ecosystem approach, and the quick shift to digital technologies. The strengths and weaknesses of COVID-19 responses across different systems, services, sites and countries been identified and compared, including both low and high impacted areas. Conclusions: There is an urgent need for managerial epidemiology based on healthcare ecosystem research encompassing multidisciplinary teams, visualization tools and decision analytics for rapid response. Policy and healthcare context played a key role in the response to COVID-19. Its severity, the containment measures and the societal response varied greatly across sites and countries. Understanding this variation is vital to assess the impact of COVID-19 in specific areas such as ageing or mental health.
AB - Background: This paper outlines the need for a health systems approach and rapid response strategy for gathering information necessary for policy decisions during pandemics and similar crises. It suggests a new framework for assessing the phases of the pandemic. Method: The paper draws its information and conclusions from a rapid synthesis and translation process (RSTP) of a series of webinars and online discussions from the Pandemic-Mental Health International Network (Pan-MHIN) - policy experts from across 16 locations in Australia, Denmark, Italy, Spain, Taiwan, the UK and the USA. While the initial focus of this research was on mental health, COVID-19 has raised much broader issues and questions for health planners. Results: We identified gaps affecting the capacity to respond effectively and quickly, including in relation to system indicators, the inadequacy of the prior classification of the phases of the pandemic, the absences of a healthcare ecosystem approach, and the quick shift to digital technologies. The strengths and weaknesses of COVID-19 responses across different systems, services, sites and countries been identified and compared, including both low and high impacted areas. Conclusions: There is an urgent need for managerial epidemiology based on healthcare ecosystem research encompassing multidisciplinary teams, visualization tools and decision analytics for rapid response. Policy and healthcare context played a key role in the response to COVID-19. Its severity, the containment measures and the societal response varied greatly across sites and countries. Understanding this variation is vital to assess the impact of COVID-19 in specific areas such as ageing or mental health.
KW - COVID-19
KW - Health planning
KW - Health systems research
KW - Information systems
UR - http://www.scopus.com/inward/record.url?scp=85090482806&partnerID=8YFLogxK
U2 - 10.1016/j.hlpt.2020.08.011
DO - 10.1016/j.hlpt.2020.08.011
M3 - Article
AN - SCOPUS:85090482806
SN - 2211-8837
VL - 9
SP - 578
EP - 586
JO - Health Policy And Technology
JF - Health Policy And Technology
IS - 4
ER -
