Evidence map›Paper›PMID 41144308›Full record

ArticleMilitary medicine2026

A Qualitative Study on Civil-Military Cooperation in a Dutch Hospital During COVID-19.

Jacobine Janse, Jori P Kalkman, Adriaan P C C Hopperus Buma, Aura Timen

Abstract read
In one paragraph

Article in Military medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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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

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jacobine JanseAthena Institute, VU University Amsterdam, De Boelelaan 1085, Amsterdam, 1081 HV, The Netherlands.ORCID 0000-0002-4342-0991
Jori P KalkmanFaculty of Military Sciences, Netherlands Defense Academy, Postbus 90002, Breda, 4800 PA, The Netherlands.ORCID 0000-0001-7685-019X
Adriaan P C C Hopperus BumaDepartment of Public Health, Netherlands School of Public and Occupational Health, Churchillaan 11, Utrecht, 3527 GV, The Netherlands.
Aura TimenAthena Institute, VU University Amsterdam, De Boelelaan 1085, Amsterdam, 1081 HV, The Netherlands.ORCID 0000-0002-5793-5443

Funding

Dutch Ministry of Defense
6 · The paper itself

Abstract

introductionDuring the COVID-19 outbreak, military personnel were deployed on an unprecedented scale to overwhelmed healthcare institutions. In the Netherlands too, military medical personnel were deployed to cope with the major patient influx. This study focuses on the civil-military cooperation at the Dutch University Medical Centre Utrecht (UMCU). We explore collaboration experiences and identify lessons for future collaboration. MATERIALS AND

methodsA qualitative study was conducted based on a theoretical framework consisting of network theory, literature on emergent networks, and inter-organizational theory. Data were collected from semi-structured interviews with 34 participants; both civil and military personnel. An abductive thematic analysis was guided by five themes recovered from earlier research on civil-military cooperation. An ethical review and approval for non-medical research was obtained from the Research Ethics Review Committee Faculty of Science of the VU University Amsterdam (BETCHIE 2022.038).

resultsMilitary assistance at UMCU was perceived to be essential in the COVID-19 crisis and was characterized by its prolonged duration. Day-to-day obstacles arose and were overcome, including varying levels of medical skills and organizational culture differences. Yet, the prolonged duration of the deployment had a severe impact on the collaboration. The common goal became indistinct over time and the collaboration suffered from an ambiguous crisis definition and lacked a clear exit strategy. This uncertainty caused declining motivation amongst personnel.

conclusionsMilitary medical support was highly appreciated, but crisis support lacked clearly defined phases to demarcate an end to the crisis, which also hampered the collaboration. Therefore, more attention to the different phases of the Emergency Management Cycle (EMC) is needed. Collaborative actions in the preparedness phase can familiarize partners in an early stage. Distinction between the response and recovery phase can provide transparency on the exit strategy.

Indexed as

Cooperative BehaviorCOVID-19Military PersonnelAdultFemaleHumansInterviews as TopicMaleMiddle AgedNetherlandsQualitative ResearchSARS-CoV-2

Identifiers

PMID41144308
PMCPMC13143289

What OpenQuestion holds

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LicenceCC BY
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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.