Coronavirus disease‑2019 risk management using strengths, weaknesses, opportunities, threats analysis approach in the health system: A qualitative multimethod study

نویسندگان

1 Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran, Department of Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Department of Public Health and Health Education, School of Health, Ilam University of Medical Sciences, Ilam, Iran

3 Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran Pre‑Hospital Medical Emergency Organization, Ilam University of Medical Sciences, Ilam, Iran,

4 Pre‑Hospital Medical Emergency Organization, Ilam University of Medical Sciences, Ilam, Iran

5 Department of Treatment Management, Ilam University of Medical Sciences, Ilam, Iran

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چکیده

BACKGROUND: Utilizing the successful experiences of countries and local regions can be useful inthe management and control of coronavirus disease‑2019 (COVID‑19), so the research team aimsto determine and extract the strengths, weaknesses, opportunities, and threats of the health systemin the risk management of COVID‑19 using strengths, weaknesses, opportunities, threats (SWOT)analytical approach.MATERIALS AND METHODS: This study was performed by a qualitative multimethod approach.In addition to reviewing the minutes of meetings and approvals of the Provincial Anti‑CoronaHeadquarters, focused group meetings and in‑depth semi‑structured individual interviews wereconducted. The results were extracted based on the SWOT analytical approach in the form ofstrengths, weaknesses, opportunities, and threats of the health system and then based on the SWOTmatrix, the necessary strategies were identified.RESULTS: In the necessary strategies, based on SWOT matrix in SO strategies: SO1, formationof regional health assessment teams; SO2, promotion of preparedness, resilience, and effectiveresponse; SO3, activation of research and training centers; SO4, integrated management,supervision, and coordination; in WO strategies: WO1, analysis and COVID‑19 risk monitoring;WO2, communication and risk information management; WO3, people‑based management; andWO4, activation of local economic institutions and manufacturing centers; in ST: ST1, comprehensivecare system strategies; and ST2, enhancing social trust with a transparency approach; and finallyin WT strategies; WT1, stress management; and WT2, specific financial system design for disastermanagement were identified.CONCLUSION: Now, for the prevention and control of this disease, the need of empathy andparticipation of all human societies is felt more than anything else. These experience and analysisare based on the SWOT approach for the health system to be able to provide solutions and practicalpoints that can be used by stakeholders.