ORGANIZATION OF THE ACTIVITIES OF MEDICAL ORGANIZATIONS IN THE CONTEXT OF THE COVID-19 PANDEMIC. LITERATURE REVIEW.
Introduction. During the COVID-19 outbreak, the entire world, including Kazakhstan, was focused on emergency care for patients with coronavirus infection. Closure of routine hospitalization for patients with chronic diseases in March 2020 resulted in increased demand for emergency medical services.
Aim. To examine global best strategies for organizing health care organizations in the COVID-19 pandemic by conducting an informative literature search.
Search Strategy. A 2-year in-depth literature review on the organization of hospital operations in the COVID-19 pandemic was conducted. Key words for the search of full-text open-access articles in the PubMed database: COVID-19, inpatient care, primary care, infection control, infection prevention and control. Inclusion criteria: Evidence level A, B publications: meta-analyses, systematic reviews, cohort and cross-sectional studies. Exclusion criteria: expert opinion in the form of short communications, promotional articles.
Results. Analysis of the literature showed that the organization of outpatient and inpatient care was an urgent problem during/after the pandemic, studied globally. Primary healthcare services were under threat during the COVID-19 pandemic and great emphasis was placed on inpatient care, particularly intensive care units. Due to the COVID-19 pandemic, polyclinics and hospitals faced organizational and financial problems against the background of increased burden on the health care system. Therefore, due to lockdown today, telemedicine communication has become the dominant method of health care delivery.
Conclusions. Thus, at this point in time of changing approaches to health care delivery, the health care system needs to be transformed with the digitalization era and COVID-19.
Maksat B. Mamyrkul1, https://orcid.org/0000-0001-8091-0255
Akmaral К. Abikulova1, https://orcid.org/0000-0001-8063-1029
Manas Е. Ramazanov1, https://orcid.org/0000-0002-5019-4259
Aidos K. Bolatov2,3, https://orcid.org/0000-0002-5390-4623
Ardak M. Auyezova⁴, https://orcid.org/0000-0001-5620-1651
Dariga S. Smailova 4, https://orcid.org/0000-0002-7152-7104
1 Kazakh National medical university named after S.D. Asfendiyarov, Almaty, the Republic of Kazakhstan;
2 NСJSC «Astana Medical University», Nur-Sultan, the Republic of Kazakhstan;
3 CF « University Medical Center», Nur-Sultan, the Republic of Kazakhstan;
4Kazakhstan’s Medical University «Kazakhstan School of Public Health», Almaty, the Republic of Kazakhstan.
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Mamyrkul M.B., Abikulova A.К., Ramazanov M.Е., Bolatov A.K., Auyezova A.M., Smailova D.S. Organization of the activities of medical organizations in the context of the COVID-19 pandemic. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 4, pp.33-43. doi 10.34689/SH.2022.24.4.005Related publications:
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