Journal of Medical Council of Iran
Volume 44, Issue 3 (2026)
jmciri 2026, 44(3): 26-39 |
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Madani M R, Reza Rabiei Mandejin M, Varahram M, Gelard P. Developing a Public Policy-Making Model for Crisis Management in Infectious Diseases in Iranian Hospitals (Case Study: COVID19-). jmciri 2026; 44 (3) :26-39
URL: http://jmciri.ir/article-1-3420-en.html
URL: http://jmciri.ir/article-1-3420-en.html
, Department of Public Administration, Faculty of Management, Islamic Azad University, Central Tehran Branch, Tehran, Iran
Abstract: (24 Views)
Abstract
Background: Hospitals face serious challenges during crises like the COVID19 pandemic, including surging demand, equipment shortages, and staff absenteeism. Despite the critical importance of crisis management in these settings, no comprehensive and systematic model has yet been developed for public policymaking in this area. This study aims to provide an integrated model for crisis management in infectious diseases within Iranian hospitals.
Methods: This applied qualitative research employed a metasynthesis approach based on Sandelowski and Barroso’s sevenstep framework, combined with thematic analysis. The statistical population comprised articles published in reputable domestic and international scientific databases and journals, including Taylor & Francis Online, Elsevier, Science Direct, Sage, Springer, JSTOR, Emerald, Wiley, Scopus, ProQuest, MDPI, as well as Persianlanguage databases including Noormags, Civilica, SID (Scientific Information Database), Ensani, Elmnet, and Magiran. A systematic search was conducted within the timeframe of 1990 to 2024. Out of 1,089 identified articles, 69 were selected after systematic screening using the Glyn Critical Appraisal Checklist. To validate the findings, the opinions of 12 experts in healthcare and crisis management were utilized, and intercoder reliability was confirmed using Cohen’s Kappa coefficient (0.903).
Results: The final model comprises five main dimensions, fourteen components, and fortyfive indicators. These dimensions include hospital management actions and performance, emphasizing crisis identification and prediction, safety enhancement, crisis response, incident review, and outbreak prevention; management’s ability in policymaking, planning, and legislation, covering short to longterm planning and updating regulations; hospital resources and facilities, including equipment, communication, financial resources, storage depots, and inspection systems; employeerelated actions, focusing on participation, empowerment, and continuous training; and actions related to reporting and information exchange, encompassing safety assessment, data collection, and twoway information sharing. The model demonstrates that effective crisis management requires a multidimensional and integrated approach that simultaneously addresses managerial, structural, human, logistical, and communicational factors.
Conclusion: The proposed model provides a comprehensive and operational framework for hospital managers and health policymakers. By emphasizing preventive measures, strategic planning, resource provision, workforce empowerment, and effective communication systems, it can enhance hospital resilience in future pandemics. Future research is recommended to quantitatively validate the model, prioritize its components, and investigate the role of emerging technologies in improving crisis management.
Background: Hospitals face serious challenges during crises like the COVID19 pandemic, including surging demand, equipment shortages, and staff absenteeism. Despite the critical importance of crisis management in these settings, no comprehensive and systematic model has yet been developed for public policymaking in this area. This study aims to provide an integrated model for crisis management in infectious diseases within Iranian hospitals.
Methods: This applied qualitative research employed a metasynthesis approach based on Sandelowski and Barroso’s sevenstep framework, combined with thematic analysis. The statistical population comprised articles published in reputable domestic and international scientific databases and journals, including Taylor & Francis Online, Elsevier, Science Direct, Sage, Springer, JSTOR, Emerald, Wiley, Scopus, ProQuest, MDPI, as well as Persianlanguage databases including Noormags, Civilica, SID (Scientific Information Database), Ensani, Elmnet, and Magiran. A systematic search was conducted within the timeframe of 1990 to 2024. Out of 1,089 identified articles, 69 were selected after systematic screening using the Glyn Critical Appraisal Checklist. To validate the findings, the opinions of 12 experts in healthcare and crisis management were utilized, and intercoder reliability was confirmed using Cohen’s Kappa coefficient (0.903).
Results: The final model comprises five main dimensions, fourteen components, and fortyfive indicators. These dimensions include hospital management actions and performance, emphasizing crisis identification and prediction, safety enhancement, crisis response, incident review, and outbreak prevention; management’s ability in policymaking, planning, and legislation, covering short to longterm planning and updating regulations; hospital resources and facilities, including equipment, communication, financial resources, storage depots, and inspection systems; employeerelated actions, focusing on participation, empowerment, and continuous training; and actions related to reporting and information exchange, encompassing safety assessment, data collection, and twoway information sharing. The model demonstrates that effective crisis management requires a multidimensional and integrated approach that simultaneously addresses managerial, structural, human, logistical, and communicational factors.
Conclusion: The proposed model provides a comprehensive and operational framework for hospital managers and health policymakers. By emphasizing preventive measures, strategic planning, resource provision, workforce empowerment, and effective communication systems, it can enhance hospital resilience in future pandemics. Future research is recommended to quantitatively validate the model, prioritize its components, and investigate the role of emerging technologies in improving crisis management.
Type of Study: Review |
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