Building Perspectives for Resilient Health System: Lessons Learned from the Experience of Patients and Health Professionals during COVID-19

• Published in: Journal of health management Vol. 26; no. 2; pp. 203 - 213
• Main Authors: Dsouza, Viola Savy, Kurian, Jestina Rachel, D’souza, Brayal, Sekaran, Varalakshmi Chandra, Ashok, Lena
• Format: Journal Article
• Language: English
• Published: New Delhi, India SAGE Publications 01.04.2024
• Subjects: COVID-19; clinicians and patient perspective; qualitative research; isolation wards and ICUs
• ISSN: 0972-0634; 0973-0729
• DOI: 10.1177/09720634241229267

The study seeks to explore experiences and perceived needs of patients in source isolation and healthcare professionals’ management of COVID-19 patients to inform practice in the event of emerging health disaster. Participants were recruited through snowball and purposive sampling strategy. We conducted semi-structured telephone interviews to understand their subjective evaluations of these events. We applied inductive thematic analysis, which yielded six themes. The health events resulting from COVID-19 varied and shaped patient perspectives. Response to care received and trust in healthcare providers was encouraging, including expressions of gratitude and resilience towards discomfort brought on by isolation. Processing COVID-19 in isolation describes how patients cognitively and psychologically dealt with the illness. Clinicians’ experiences of working in isolation centred around workflow management, maintaining safety, focus on patient-centric approach and expanding roles of health workers, even as complacency towards COVID-19 was on the rise. Effective deployment of resources, efforts of experienced clinicians and staff, along with cooperation and resilience of patients, paves the way for the system to endure through the crisis. These lessons can be preserved for practice as global health entities are pushing for pandemic response, preparedness and prevention through measures such as the pandemic treaty.