0026/2024 - VULNERABILIDADES A DESASTRES EM ESTABELECIMENTOS DE SAÚDE FRENTE À PANDEMIA DE COVID-19: REVISÃO DE ESCOPO VULNERABILITIES TO DISASTERS IN HEALTHCARE FACILITIES IN THE FACE OF THE COVID-19 PANDEMIC: A SCOPING REVIEW
Objetivo: mapear as vulnerabilidades estruturais, não-estruturais e funcionais de estabelecimentos de saúde frente à pandemia de COVID-19. Métodos: revisão de escopo conduzida mediante recomendações do JBI e estruturada pelos Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Foram consultados repositórios e bases de dados: PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus e Web of Science, além de literatura cinzenta. O protocolo foi registrado em Open Science Framework. Resultados: 54 estudos foram incluídos, sumarizando 36 vulnerabilidades dentre as três categorias, em 29 países. As vulnerabilidades funcionais e não-estruturais foram as mais recorrentes. Recursos materiais e humanos limitados, interrupção dos serviços e procedimentos não-COVID, além de capacitação profissional insuficiente foram os itens que mais impactaram. Conclusão: a COVID-19 expôs às nações a necessidade de fortalecer os sistemas de saúde, para garantir sua resiliência às futuras crises sanitárias. Ações de gestão de risco prospectivas e análise sistematizada de vulnerabilidades dos estabelecimentos de saúde são necessárias para garantir maior segurança, sustentabilidade e melhor padrão de preparação e resposta a futuros eventos dessa natureza.
Palavras-chave:
hospitais; centros de saúde; desastres; vulnerabilidades a desastres; infecções por coronavirus
Abstract:
Objective: to map the structural, nonstructural and functional vulnerabilities of healthcare facilities to the pandemic of COVID-19. Methods: a scoping review based on JBI recommendations and structured by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Repositories and databases were consulted: PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus and Web of Science, as well as gray literature. The protocol was registered in Open Science Framework. Results: 54 studies were included, summarizing 36 vulnerabilities among the three categories, in 29 countries. Functional and non-structural vulnerabilities were the most recurrent. Limited material and human resources, disruption of services and non-COVID procedures, and insufficient professional training were the most impacting items. Conclusion: COVID-19 exposed nations to the need to strengthen health systems to ensure their resilience to future health crises. Actions of prospective risk management and systematized analysis of health facilities vulnerabilities are necessary to ensure greater safety, sustainability and improved standard of preparedness and response to events of this nature.
Keywords:
hospital; health center; vulnerability analysis; COVID-19.
VULNERABILITIES TO DISASTERS IN HEALTHCARE FACILITIES IN THE FACE OF THE COVID-19 PANDEMIC: A SCOPING REVIEW
Resumo (abstract):
Objective: to map the structural, nonstructural and functional vulnerabilities of healthcare facilities to the pandemic of COVID-19. Methods: a scoping review based on JBI recommendations and structured by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Repositories and databases were consulted: PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus and Web of Science, as well as gray literature. The protocol was registered in Open Science Framework. Results: 54 studies were included, summarizing 36 vulnerabilities among the three categories, in 29 countries. Functional and non-structural vulnerabilities were the most recurrent. Limited material and human resources, disruption of services and non-COVID procedures, and insufficient professional training were the most impacting items. Conclusion: COVID-19 exposed nations to the need to strengthen health systems to ensure their resilience to future health crises. Actions of prospective risk management and systematized analysis of health facilities vulnerabilities are necessary to ensure greater safety, sustainability and improved standard of preparedness and response to events of this nature.
Palavras-chave (keywords):
hospital; health center; vulnerability analysis; COVID-19.
Silva, E. S., Kneodler, T. da S, Silva, T. A. S. M., Oliveira, A. B.. VULNERABILIDADES A DESASTRES EM ESTABELECIMENTOS DE SAÚDE FRENTE À PANDEMIA DE COVID-19: REVISÃO DE ESCOPO. Cien Saude Colet [periódico na internet] (2024/Fev). [Citado em 05/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/vulnerabilidades-a-desastres-em-estabelecimentos-de-saude-frente-a-pandemia-de-covid19-revisao-de-escopo/19074?id=19074&id=19074
