ArticleJournal of public health management and practice : JPHMP
Early Impacts of the COVID-19 Pandemic on Public Health Systems and Practice in 3 Canadian Provinces From the Perspective of Public Health Leaders: A Qualitative Study.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The influence of public health organization on response to the COVID-19 pandemic in four Canadian provinces: A comparative qualitative analysis.Health policy OPEN · 2025Review
- Challenges faced by health policymakers responding to COVID-19 in remote communities in Northwest Territories, Canada.Health promotion international · 2025Article
- Article
- Reaching national Covid-19 vaccination targets whilst decreasing inequalities in vaccine uptake: Public health teams' challenges in supporting disadvantaged populations.Public health in practice (Oxford, England) · 2024Article
- Strategies to strengthen the resilience of primary health care in the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- Article
- Identifying skills required of new epidemiologists: a content analysis of Canadian job postings and master's programs.Frontiers in public health · 2024Article
- Article
- Alcohol, drug and tobacco prevention in Swedish municipalities - impact from the COVID-19 pandemic considering socio-demographic context.European journal of public health · 2023Article
- Promise and peril: how health system reforms impacted public health in three Canadian provinces.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- The Governance of Core Competencies for Public Health: A Rapid Review of the Literature.Public health reviews · 2023Review
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Authors and funding
9 authors.
Funding
Abstract
contextThe COVID-19 pandemic has impacted health systems worldwide. Studies to date have largely focused on the health care system with less attention to the impact on public health systems and practice.
objectiveTo describe the early impacts of COVID-19 on public health systems and practice in 3 Canadian provinces from the perspective of public health system leaders and synthesize lessons learned.
designA qualitative study using semistructured virtual interviews with public health leaders between October 2020 and April 2021. The World Health Organization's essential public health operations framework guided data collection and analysis.
settingThis study involved the Canadian provinces of Alberta, Ontario, and Québec. These provinces were chosen for their large populations, relatively high COVID-19 burden, and variation in public health systems.
participantsPublic health leaders from Alberta (n = 21), Ontario (n = 18), and Québec (n = 19) in organizations with a primary mandate of stewardship and/or administration of essential public health operations (total n = 58).
resultsWe found that the COVID-19 pandemic led to intensified collaboration in public health systems and a change in workforce capacity to respond to the pandemic. This came with opportunities but also challenges of burnout and disruption of non-COVID-19 services. Information systems and digital technologies were increasingly used and there was greater proximity between public health leaders and other health system leaders. A renewed recognition for public health work was also highlighted.
conclusionsThe COVID-19 pandemic impacted several aspects of public health systems in the provinces studied. Our findings can help public health leaders and policy makers identify areas for further investment (eg, intersectoral collaboration, information systems) and develop plans to address challenges (eg, disrupted services, workforce burnout) that have surfaced.
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