Evidence map›Paper›PMID 40186158›Full record

ArticleBMC public health2025

Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran.

Omid Sadeghkhani, Peyman Mehdi Alamdarloo, Maryam Alsadat Mahmoodi Mehr, Elahe Shokri Kazem Abadi, Sedighe Sadat Tabatabaei Far, Sajad Delavari

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Omid SadeghkhaniHealth Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0003-3243-8675
Peyman Mehdi AlamdarlooStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0009-0009-4440-5222
Maryam Alsadat Mahmoodi MehrStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0002-8169-5865
Elahe Shokri Kazem AbadiStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0002-6345-0688
Sedighe Sadat Tabatabaei FarStudent Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0003-0876-0218
Sajad DelavariHealth Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. sajadd@gmail.com.ORCID http://orcid.org/0000-0002-5539-9026

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring health crises, the demand for government healthcare services rises sharply due to increased patient admissions, resource shortages, and systemic pressure. The resilience of public hospitals in critical conditions is essential for maintaining healthcare services, reducing mortality, and ensuring system sustainability. This study aims to develop a resilience model for the public healthcare sector in response to unknown pandemics, with a focus on COVID-19.

methodsThis qualitative study employed a grounded theory approach. Participants included 25 senior and mid-level managers and medical personnel from hospitals affiliated with the COVID-19 response center in Shiraz. Data were collected through semi-structured interviews, observations, field notes, and memoing. Data analysis was conducted using MAXQDA-2010 software and Corbin and Strauss's constant comparison method.

resultsFindings indicate that resilience in the public health sector during the pandemic was influenced by four key factors: infrastructure and supply chain management, financial management, human resource management, and crisis management. Among these factors, the preparedness of the health system played a central role in determining resilience.

conclusionTo enhance resilience in future pandemics, Policymakers should prioritize sustainable financing, strengthen supply chain mechanisms, and improve human resource management to ensure effective crises response.

Indexed as

COVID-19Hospitals, PublicPandemicsPublic HealthResilience, PsychologicalFemaleGrounded TheoryHumansInterviews as TopicIranMaleQualitative ResearchGrounded theoryHealth system preparednessHealth system resilienceHospital resiliencePandemic preparednessPublic health resilience

Identifiers

PMID40186158
PMCPMC11969843

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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.