Organizational Pathology and Crisis Management of Health and Treatment Experts: Effective Management Strategies in Dealing and Controlling the Epidemic of Coronavirus Disease 2019

Abstract

Abstract BACKGROUND: Most studies on hospital crisis management demonstrated that the health-care systems are not sufficiently prepared to face a sudden pandemic. The purpose of this study is to evaluate the organizational pathology and crisis management of health and treatment experts during the pandemic, with an emphasis on coronavirus disease 2019 (COVID-19). METHODS: First, a systematic literature review to identify all relevant studies in accordance with hospital management and eligibility criteria was conducted. Thereafter, the structured method of developing consensus among panel members using Delphi method was designed. The expert panel consists of 10 specialized clinicians and four senior supervisors who were involved with hospital challenges during the COVID-19 pandemic. The samples were selected by snowball method since the researchers have difficulty finding participants for their studies. RESULTS: The final model presented includes six main dimensions, i.e., psychological, technology, screening and triage, management, economy, and human resources. Twenty components of model were self-assessment programs, management dashboard and classified information, management and monitoring, self-care training, triage training and human resources training, health waste management, essential training, emergency and flexible structures, organization of resources and facilities, efficiency of material resources and humanity and control of financial indicators, education and learning, professional development and empowerment. CONCLUSION: Strengthening the psychological infrastructure, technology, screening and triage, management, economy, and human resources in hospital management causes medical centers to have more organizational flexibility when crises occur and to experience new crisis management in the organization and before crises occur.