Understanding the contribution of primary and community services to health system resilience during the COVID19 Pandemic in Aotearoa, New Zealand: a qualitative interview study
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View abstract on PubMed
Summary
This summary is machine-generated.Primary health and community services in Aotearoa New Zealand showed resilience during COVID-19 by collaborating and adapting. Key challenges included identifying vulnerable clients and digital access barriers, highlighting needs for improved emergency planning and workforce capacity.
Area Of Science
- Health Services Research
- Public Health
- Gerontology
Background
- The COVID-19 pandemic revealed significant weaknesses in health system preparedness globally.
- This study critically examines primary health and community services in Aotearoa New Zealand.
- Focus is on the response to older adults and their unpaid caregivers during the pandemic.
Purpose Of The Study
- To identify effective strategies for enhancing health system resilience.
- To learn from organizational experiences supporting older people and caregivers during COVID-19.
- To inform preparedness for future emergency health situations.
Main Methods
- Cross-sectional qualitative research using semi-structured telephone interviews.
- Conducted with 20 service providers (SPs) across national, Māori, Pacific, rural, and dementia services.
- Data analyzed using a hybrid deductive-inductive thematic analysis following COREQ guidelines.
Main Results
- SPs demonstrated resilience through collaboration, adaptive delivery models, and staff upskilling.
- Challenges included inconsistent client identification, limited aged care access, and digital exclusion.
- Workforce shortages and unclear public policy impacted service delivery.
Conclusions
- Aotearoa New Zealand's COVID-19 response highlighted areas for health system resilience improvement.
- Government showed absorptive resilience; SPs demonstrated adaptive resilience.
- Transformative resilience requires strategic changes: unified planning frameworks, enhanced workforce capacity, and addressing digital exclusion.
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