Your browser doesn't support javascript.
Achieving Resilience in Primary Care during the COVID-19 Pandemic: Competing Visions and Lessons from Alberta.
Leslie, Myles; Fadaak, Raad; Pinto, Nicole; Davies, Jan; Green, Lee; Seidel, Judy; Conly, John; Forest, Pierre-Gerlier.
  • Leslie M; Director of Research, School of Public Policy, University of Calgary; Associate Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB.
  • Fadaak R; Research Associate, School of Public Policy, University of Calgary, Calgary, AB.
  • Pinto N; Research Associate, School of Public Policy, University of Calgary, Calgary, AB.
  • Davies J; Professor of Anesthesia, Cumming School of Medicine, University of Calgary; Anesthesiologist, Department of Anesthesiology, Perioperative and Pain Medicine, Alberta Health Services, Calgary, AB.
  • Green L; Professor and Chair, Faculty of Medicine and Dentistry Department of Family Medicine, University of Alberta, Edmonton, AB.
  • Seidel J; Adjunct Associate Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary; Scientific Director, Primary Healthcare Integration Network, Alberta Health Services, Calgary, AB.
  • Conly J; Professor, Department of Microbiology, Immunology and Infectious Diseases, Cumming School of Medicine, University of Calgary, Infection Prevention and Control, Alberta Health Services, Calgary, AB.
  • Forest PG; Director, School of Public Policy, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB.
Healthc Policy ; 17(2): 54-71, 2021 11.
Article in English | MEDLINE | ID: covidwho-1572941
ABSTRACT
The COVID-19 pandemic has tested the resilience of health systems broadly and primary care (PC) specifically. This paper begins by distinguishing the technical and political aspects of resilience and then draws on a documentary analysis and qualitative interviews with health system and PC stakeholders to examine competing resilience-focused responses to the pandemic in Alberta, Canada. We describe the pre-existing linkages between the province's central service delivery agency and its independent PC clinics. Together, these central and independent elements make up Alberta's broader health system, with the focus of this paper being on PC's particular vision of how resilience ought to be achieved. We describe two specific, pandemic-affected areas of activity by showing how competing visions of resilience emerged in the central service delivery agency and independent PC responses as they met at the system's points of linkage. At the first point of linkage, we describe the centralized activation of an incident management system and the replies made by independent PC stakeholders. At the second point of linkage, we describe central efforts to disseminate infection prevention and control guidance to PC clinics and the improvisational efforts of staff at those independent clinics to operationalize the guidance and ensure continuity of operations. We identify gaps between the resilience visions of the central agency and independent PC, drawing broadly applicable policy lessons for improving responses in present and future public health emergencies. Finding ways to include PC in centralized resilience policy planning is a priority.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: Healthc Policy Year: 2021 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: Healthc Policy Year: 2021 Document Type: Article