Evidence map›Paper›PMID 39054502›Full record

ArticleBMC health services research2024

Strategies to strengthen the resilience of primary health care in the COVID-19 pandemic: a scoping review.

Ali Mohammad Mosadeghrad, Mahnaz Afshari, Parvaneh Isfahani, Farahnaz Ezzati, Mahdi Abbasi, Shahrzad Akhavan Farahani, Maryam Zahmatkesh, Leila Eslambolchi

Abstract readScoping Review
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ali Mohammad MosadeghradHealth policy and management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran.
Mahnaz AfshariHealth policy, School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran.
Parvaneh IsfahaniHealth management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran.
Farahnaz EzzatiHealth services management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran.
Mahdi AbbasiHealth services management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran.
Shahrzad Akhavan FarahaniHealth services management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran.
Maryam ZahmatkeshHealth Management, School of Business and Management, Royal Holloway University of London, London, UK.
Leila EslambolchiHealth services management, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran. leslambolchik@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary Health Care (PHC) systems are pivotal in delivering essential health services during crises, as demonstrated during the COVID-19 pandemic. With varied global strategies to reinforce PHC systems, this scoping review consolidates these efforts, identifying and categorizing key resilience-building strategies.

methodsAdopting Arksey and O'Malley's scoping review framework, this study synthesized literature across five databases and Google Scholar, encompassing studies up to December 31st, 2022. We focused on English and Persian studies that addressed interventions to strengthen PHC amidst COVID-19. Data were analyzed through thematic framework analysis employing MAXQDA 10 software.

resultsOur review encapsulated 167 studies from 48 countries, revealing 194 interventions to strengthen PHC resilience, categorized into governance and leadership, financing, workforce, infrastructures, information systems, and service delivery. Notable strategies included telemedicine, workforce training, psychological support, and enhanced health information systems. The diversity of the interventions reflects a robust global response, emphasizing the adaptability of strategies across different health systems.

conclusionsThe study underscored the need for well-resourced, managed, and adaptable PHC systems, capable of maintaining continuity in health services during emergencies. The identified interventions suggested a roadmap for integrating resilience into PHC, essential for global health security. This collective knowledge offered a strategic framework to enhance PHC systems' readiness for future health challenges, contributing to the overall sustainability and effectiveness of global health systems.

Indexed as

COVID-19Delivery of Health CarePandemicsPrimary Health CareHumansLeadershipTelemedicineCOVID-19CrisisPandemicPrimary health care systemResilienceStrengthening strategies

Identifiers

PMID39054502
PMCPMC11270795

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.