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Review
. 2024 Jun 4:17:1477-1491.
doi: 10.2147/RMHP.S465167. eCollection 2024.

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

Mihajlo Jakovljevic  1   2   3 , Yuriy Timofeyev  4 , Tatyana Zhuravleva  5
Affiliations
Review

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

Mihajlo Jakovljevic et al. Risk Manag Healthc Policy. .

Abstract

Purpose: This study aims to identify medical care transformations during the COVID-19 pandemic and to assess the economic efficiency of these care transformations.

Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. The databases used in the search protocol included PubMed, RSCI, and Google Scholar.

Results: Ten eligible studies in English and one publication in Russian were identified. In general, the following changes in organization of health care processes since 2020 are observed: hospital at home, telemedicine (physician-to-patient), and the adoption of new information communication technologies within physician-to-physician and physician-to-nurse communication. Earlier trends, such as (a) wider use of electronic devices, (b) adoption of Lean techniques, (c) the incorporation of patient and other customer experience feedback, and (d) the implementation of clinical decision support systems and automation of workflow, tend to be preserved.

Conclusion: The most common changes in hospital care organization and the respective impacts of workflow changes (ie, workflow interventions, redesign, and transformations) on the efficiency of hospital care were summarized and avenues for future research and policy implications were discussed. The pandemic demonstrated a need for building more resilient and adaptive healthcare systems, enhancing crisis preparedness along with rapid and effective responses.

Keywords: care redesign; care transformation; efficiency; hospital care; workflow improvements; workflow redesign.

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Conflict of interest statement

The authors report no conflicts of interest related to this study.

Figures

Figure 1
Figure 1
Flow diagram of systematic review.
See this image and copyright information in PMC

References

    1. Optimizing clinical workflows in healthcare. HIPAA J; Available from: https://www.hipaajournal.com/optimizing-clinical-workflows-in-healthcare/. Accessed May 27, 2024.
    1. Local Burden of Disease HIV Collaborators. Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems. BMC Med. 2021;19:1–25. doi: 10.1186/s12916-020-01876-4 - DOI - PMC - PubMed
    1. Arkenea. Guide to healthcare workflow automation; Available from: https://arkenea.com/blog/guide-to-healthcare-workflow-automation. Accessed May 27, 2024
    1. Sharepowered. Workflow optimization: 4 strategies to enhance hospital processes. 2020; Available from: https://sharepowered.com/workflow-optimization-4-strategies-to-enhance-h.... Accessed May 27, 2024
    1. Deshpande A, Miller-Petrie MK, Lindstedt PA, et al. Mapping geographical inequalities in access to drinking water and sanitation facilities in low-income and middle-income countries, 2000–17. Lancet Glob Health. 2020;8(9):e1162–85. doi: 10.1016/S2214-109X(20)30278-3 - DOI - PMC - PubMed