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. 2021 May 6;19(1):76.
doi: 10.1186/s12961-021-00707-z.

Learning from public health and hospital resilience to the SARS-CoV-2 pandemic: protocol for a multiple case study (Brazil, Canada, China, France, Japan, and Mali)

Valéry Ridde  1 , Lara Gautier  2   3 , Christian Dagenais  4 , Fanny Chabrol  5 , Renyou Hou  5   6 , Emmanuel Bonnet  7 , Pierre-Marie David  8   9 , Patrick Cloos  2   10 , Arnaud Duhoux  9   11 , Jean-Christophe Lucet  12   13 , Lola Traverson  5 , Sydia Rosana de Araujo Oliveira  14 , Gisele Cazarin  14 , Nathan Peiffer-Smadja  12   13   15 , Laurence Touré  16 , Abdourahmane Coulibaly  16 , Ayako Honda  17 , Shinichiro Noda  18 , Toyomitsu Tamura  18 , Hiroko Baba  18 , Haruka Kodoi  19 , Kate Zinszer  2   3
Affiliations

Learning from public health and hospital resilience to the SARS-CoV-2 pandemic: protocol for a multiple case study (Brazil, Canada, China, France, Japan, and Mali)

Valéry Ridde et al. Health Res Policy Syst. .

Abstract

Background: All prevention efforts currently being implemented for COVID-19 are aimed at reducing the burden on strained health systems and human resources. There has been little research conducted to understand how SARS-CoV-2 has affected health care systems and professionals in terms of their work. Finding effective ways to share the knowledge and insight between countries, including lessons learned, is paramount to the international containment and management of the COVID-19 pandemic. The aim of this project is to compare the pandemic response to COVID-19 in Brazil, Canada, China, France, Japan, and Mali. This comparison will be used to identify strengths and weaknesses in the response, including challenges for health professionals and health systems.

Methods: We will use a multiple case study approach with multiple levels of nested analysis. We have chosen these countries as they represent different continents and different stages of the pandemic. We will focus on several major hospitals and two public health interventions (contact tracing and testing). It will employ a multidisciplinary research approach that will use qualitative data through observations, document analysis, and interviews, as well as quantitative data based on disease surveillance data and other publicly available data. Given that the methodological approaches of the project will be largely qualitative, the ethical risks are minimal. For the quantitative component, the data being used will be made publicly available.

Discussion: We will deliver lessons learned based on a rigorous process and on strong evidence to enable operational-level insight for national and international stakeholders.

Keywords: COVID-19; Design; Equity; Hospital; Lessons learned; Public health; Resilience.

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Conflict of interest statement

The authors declare no competing interests.

Figures

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Fig. 1
Map of case studies
Fig. 2
Fig. 2
Health system resilience conceptual framework
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Fig. 3
Ideal hospital configuration
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Fig. 4
Comparative analysis example
See this image and copyright information in PMC

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