Vulnerabilities to disasters in healthcare facilities in the face of the COVID-19 pandemic: a scoping review.

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  • Additional Information
    • Transliterated Title:
      Vulnerabilidades a desastres em estabelecimentos de saúde frente à pandemia de COVID-19: revisão de escopo.
    • Source:
      Publisher: Associação Brasileira de Pós-Graduação em Saúde Coletiva Country of Publication: Brazil NLM ID: 9713483 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1678-4561 (Electronic) Linking ISSN: 14138123 NLM ISO Abbreviation: Cien Saude Colet Subsets: MEDLINE
    • Publication Information:
      Original Publication: Rio de Janeiro : Associação Brasileira de Pós-Graduação em Saúde Coletiva, [1996]-
    • Subject Terms:
      COVID-19*/epidemiology ; COVID-19*/prevention & control ; Health Facilities*/standards; Humans ; Delivery of Health Care/organization & administration ; Disasters ; Risk Management/organization & administration ; Risk Management/methods ; Disaster Planning/organization & administration
    • Abstract:
      This article maps the structural, nonstructural and functional vulnerabilities of healthcare facilities to the COVID-19 pandemic. It reports on a scoping review guided by JBI recommendations and structured by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus and Web of Science Repositories and databases were consulted, as was the grey literature. The protocol was registered in the Open Science Framework. The 54 studies included summarised 36 vulnerabilities in three categories in 29 countries. Functional and non-structural vulnerabilities were the most recurrent. Limited material and human resources, service disruption, non-COVID procedures and inadequate training were the items with most impact. COVID-19 exposed nations to the need to strengthen health systems to ensure their resilience in future health crises. Prospective risk management and systematic analysis of health facility vulnerabilities are necessary to ensure greater safety, sustainability and improved standards of preparedness and response to events of this nature.
    • Contributed Indexing:
      Local Abstract: [Publisher, Portuguese] O objetivo do artigo é mapear as vulnerabilidades estruturais, não-estruturais e funcionais de estabelecimentos de saúde frente à pandemia de COVID-19. Revisão de escopo conduzida mediante recomendações do JBI e estruturada pelos Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Foram consultados repositórios e bases de dados: PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus e Web of Science, além de literatura cinzenta. O protocolo foi registrado em Open Science Framework, 54 estudos foram incluídos, sumarizando 36 vulnerabilidades entre as três categorias, em 29 países. As vulnerabilidades funcionais e não-estruturais foram as mais recorrentes. Recursos materiais e humanos limitados, interrupção dos serviços e procedimentos não-COVID, além de capacitação profissional insuficiente foram os itens que mais impactaram. A COVID-19 expôs às nações a necessidade de fortalecer os sistemas de saúde para garantir sua resiliência em futuras crises sanitárias. Ações de gestão de risco prospectivas e análise sistematizada de vulnerabilidades dos estabelecimentos de saúde são necessárias para garantir maior segurança, sustentabilidade e melhor padrão de preparação e resposta a futuros eventos dessa natureza.
    • Publication Date:
      Date Created: 20240703 Date Completed: 20240703 Latest Revision: 20240705
    • Publication Date:
      20240705
    • Accession Number:
      10.1590/1413-81232024297.01842024
    • Accession Number:
      38958307