Enhancing Global Health System Resilience and Sustainability Post-COVID-19: A Grounded Theory Approach

Global Health System Resilience Health System Sustainability Public Health Post-COVID-19 Era Health Management Efficiency Healthcare Technology Grounded Theory Approach.

Authors

  • Darmadi Darmadi
    darmadi.usu.ac.id@outlook.com
    Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, North Sumatera, 20155,, Indonesia
  • Zhanna R. Gardanova 2) Department of Psychotherapy, Pirogov Russian National Research Medical University, 117997 Moscow, Russia. 3) Department of Fundamental Disciplines, Independent Non-profit Organization of Higher Education "Medical University MGIMO-MED”, Moscow Region,, Russian Federation
  • Maria V. Mikhailova Department of Prosthetic Dentistry, I.M. Sechenov First Moscow State Medical University, Moscow,, Russian Federation
  • Zahraa H. Al-Qaim Department of Anesthesia Techniques, Al-Mustaqbal University College, 51001 Hilla,, Iraq
  • Evgeniy V. Kostyrin Department of Finances, Bauman Moscow State Technical University, Moscow,, Russian Federation
  • Mikhail E. Kosov 7) Department of Public Finance, Financial University under the Government of the Russian Federation, Moscow, Russia. 8) Department of State and Municipal Finance, Plekhanov Russian University of Economics, Moscow, Russia. 9) Legal Management Institute HSLA, HSE University, Moscow,, Russian Federation
  • Marina V. Vasiljeva Autonomous Non-Profit Organization "Publishing House Scientific Review” (Nauchnoe Obozrenie), Moscow,, Russian Federation

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Based on a grounded theory approach to healthcare professionals' experience, this study conducted a qualitative assessment of new opportunities and provided a conceptual justification of forward-looking trends of global health system efficiency improvement and resilience toward universal health in the post-COVID-19 era. The data were collected through semi-structured interviews, while theoretical saturation was reached after 20 interviews with international experts in Global Health System Resilience (psychologists, nurses, and community health consultants). The data were analyzed using four coding stages: initial, focused, axial, and theoretical. The results showed that to achieve global health system resilience toward universal health and safety coverage in the post-COVID-19 era, it is required to develop a strategy including the support of healthcare professionals, which allows coping with the emotional and psychological impact of the pandemic. Moreover, opportunities for professional development and collaboration can enhance their resilience and adaptability during and after crises. The findings suggest factors of global health system resilience ranked using the AHP method. The present research provides a valuable insight into the significance of telemedicine, remote care, and ensuring the safety of the healthcare industry and patients as the most crucial factors for enhancing health system sustainability. This article provides new policy recommendations to ensure the long-term effectiveness and sustainability of health systems.

 

Doi: 10.28991/ESJ-2023-07-06-011

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