The paper aims to deliberate on a public healthcare system of the state of Haryana during a crisis situation. It delves upon the elements of a resilient public healthcare system and followed a systematic investigation of the system. The research process has followed a survey method in which a structured questionnaire was used. Responses have been collected from government employees who were managing the healthcare system of the state through judgemental sampling. Dimensions of public healthcare system were chosen which were classified as the factors contributing in enhancing the resilience of the system. These factors are Leadership and Governance, Financing, Service Delivery, Medical Products, Information, Health Workforce, and Safety. Multiple items under each of the factors have been rated on the Likert Scale. Descriptive research design has been used to find out which factors have been rated higher in defining the resilient public healthcare system. Findings from the data analysis demonstrated that for the factor Leadership and Governance, two items; (i) Having a surveillance system that sense the crisis, monitors the system, and detects errors & problems quickly; (ii) implementing a multidisciplinary approach within the healthcare system scored the highest rating. For Financing developing strategies to optimize the use of available resources and protecting the resources scored highest rating, establishing strategies and rules to maintain the quality of service at the same level before plus using a well-established care pathway to manage patients and treatment came out to the top for service delivery. For strategies realted to Medical Products sustaining the inventory system scored the highest rating. Availability of data to anticipate possible problems that may arise within the system during the crisis and establishing a system to analyse the information and release the results periodically were given highest rating under the factor information. Training health professionals periodically to keep them up to date scored top rating under the factor of health workforce. Providing guidelines and protocols to increase safety at the workplace was given top priority under the factor of safety. Among the factors Leadership and Governance got the highest rating followed by Health Workforce. The paper provides great insight to both the practitioners and policy-makers to effectively manage a public healthcare system.

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A Deliberation on a Resilient Public Healthcare System During a Crisis Situation in the State of Haryana

  • Ankur Gupta,
  • Alok Pandey,
  • Kishore Kumar Morya,
  • Anureet Kaur

摘要

The paper aims to deliberate on a public healthcare system of the state of Haryana during a crisis situation. It delves upon the elements of a resilient public healthcare system and followed a systematic investigation of the system. The research process has followed a survey method in which a structured questionnaire was used. Responses have been collected from government employees who were managing the healthcare system of the state through judgemental sampling. Dimensions of public healthcare system were chosen which were classified as the factors contributing in enhancing the resilience of the system. These factors are Leadership and Governance, Financing, Service Delivery, Medical Products, Information, Health Workforce, and Safety. Multiple items under each of the factors have been rated on the Likert Scale. Descriptive research design has been used to find out which factors have been rated higher in defining the resilient public healthcare system. Findings from the data analysis demonstrated that for the factor Leadership and Governance, two items; (i) Having a surveillance system that sense the crisis, monitors the system, and detects errors & problems quickly; (ii) implementing a multidisciplinary approach within the healthcare system scored the highest rating. For Financing developing strategies to optimize the use of available resources and protecting the resources scored highest rating, establishing strategies and rules to maintain the quality of service at the same level before plus using a well-established care pathway to manage patients and treatment came out to the top for service delivery. For strategies realted to Medical Products sustaining the inventory system scored the highest rating. Availability of data to anticipate possible problems that may arise within the system during the crisis and establishing a system to analyse the information and release the results periodically were given highest rating under the factor information. Training health professionals periodically to keep them up to date scored top rating under the factor of health workforce. Providing guidelines and protocols to increase safety at the workplace was given top priority under the factor of safety. Among the factors Leadership and Governance got the highest rating followed by Health Workforce. The paper provides great insight to both the practitioners and policy-makers to effectively manage a public healthcare system.