Optimising health system capacity: A case study of community care staff's role transition in response to the coronavirus pandemic.
Journal article
Martin, A. and Hatzidimitriadou, E. 2021. Optimising health system capacity: A case study of community care staff's role transition in response to the coronavirus pandemic. Health & Social Care in the Community. https://doi.org/10.1111/hsc.13653
| Authors | Martin, A. and Hatzidimitriadou, E. |
|---|---|
| Abstract | The coronavirus disease (COVID-19) increased the demand for critical care spaces and the task for individual countries was to optimise the capacity of their health systems. Correlating governance and health system capacity to respond to global crises has subsequently garnered the pace in reviewing normalised forms of identifying health priorities. Aligning global health security and universal health security enhances the capacity and resilience of a health system. However, weak methods of governance hinder the alignment necessary for controlling infection spread and coping with the increase in demand for hospital critical care. A range of qualitative studies has explored staff experiences of providing care in hospitals amidst the COVID-19 pandemic. Nonetheless, limited understanding of the influence of governance on health and social care staff experiences in response to the COVID-19 pandemic exists. This case study aimed to explore the influence of health system governance on community care staff experiences of role transition in response to the COVID-19 pandemic in England. We used criterion sampling to include community care staff initially recruited to deliver a community integrated model of dementia care at two facilities repurposed in March 2020 to optimise hospital critical care space. Six community care staff participated in the narrative correspondence inquiry. A lack of control over resources, limitations in collective action in decision making and lack of a voice underpinned staff experiences of role transition in contexts of current crisis preparedness, transition shock and moral dilemmas. Health system governance influenced the disposition of community care staff's role transition in response to the COVID-19 pandemic. Staff's mere coping clouds the glass of wider issues in health system governance and capacity. The normative dominance that the control over resources and centrally determined health system priorities ordain require reviewing to enable optimal health and social care cross systems' capacity and resilience. [Abstract copyright: © 2021 John Wiley & Sons Ltd.] |
| Keywords | role transition; healthcare capacity; case study; system governance; coronavirus response |
| Year | 2021 |
| Journal | Health & Social Care in the Community |
| Publisher | Wiley |
| ISSN | 1365-2524 |
| Digital Object Identifier (DOI) | https://doi.org/10.1111/hsc.13653 |
| Funder | European Regional Development Fund |
| Publication dates | |
| Online | 18 Nov 2021 |
| Publication process dates | |
| Deposited | 11 Nov 2021 |
| Accepted | 08 Nov 2021 |
| Accepted author manuscript | File Access Level Open |
| Output status | Published |
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| Additional information | Publications router: Date 2021-11-08 of type 'accepted_date' included in notification. |
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