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Journal article
Barriers and Facilitators to the Rapid Adaptations of Healthcare Service Delivery during Public Health Emergencies: A Systematic Integrative Review of Literature
Global Implementation Research and Applications, Vol.5(2), pp.237-261
2025
Appears in COVID-19 Research
Abstract
Rapid adaptation of healthcare services during public health emergencies is key in ensuring continuous delivery of essential healthcare services. However, challenges associated with rapid adaptation can lead to disruptions in care delivery, impacting responses to population healthcare needs. To prepare for a prompt future response, it is important to identify and understand the barriers and facilitators influencing rapid adaptation efforts. A systematic integrative review was conducted between March and October 2022, with five healthcare-related databases searched from 2012. Weekly auto-alerts continued until March 2023. The Mixed-Methods Appraisal Tool was used for quality assessment and data extraction conducted using the Consolidated Framework for Implementation Research. Seventeen eligible studies utilised quantitative (10/17, 59%), mixed-methods (4/17, 23%) or qualitative designs (3/17, 18%). Most rapid adaptation in healthcare service delivery happened within 3 months after the World Health Organisation declared Coronavirus disease a pandemic (13/17, 76%), with telehealth being the key rapid adaptation that occurred. Inner setting and process factors served as both barriers and facilitators. Two additional factors not present in the consolidated framework, namely: (1) emergency command and control at the healthcare level and (2) acceptability and resilience, were identified as facilitators to rapid adaptation. This systematic integrative review underscores that while healthcare services rapidly adapted within the initial 3 months of the pandemic, inadequate readiness may have hindered their capacity to respond inclusively, potentially impacting on the sustainability of adapted services. Addressing these issues will support greater preparation for public health emergencies.
Details
- Title
- Barriers and Facilitators to the Rapid Adaptations of Healthcare Service Delivery during Public Health Emergencies: A Systematic Integrative Review of Literature
- Authors
- Oluwatoyin Adenike Adeniji (Corresponding Author) - University of WollongongKaren Stenner - University of SurreyEvangelos Pappas - RMIT UniversityVictoria Traynor - University of the Sunshine Coast, Queensland, School of Health - NursingTheopisti Chrysanthaki - University of SurreyNicola Carey - University of the Highlands and Islands
- Publication details
- Global Implementation Research and Applications, Vol.5(2), pp.237-261
- Publisher
- Springer Cham
- Date published
- 2025
- DOI
- 10.1007/s43477-025-00155-9
- ISSN
- 2662-9275; 2662-9267
- Copyright note
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
- Grant note
- This study is part of a PhD project, jointly funded by the University of Surrey Doctoral College Studentship and the University of Wollongong Higher Degree Research Studentship, through a collaboration called University Global Partnership Network
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health - Nursing
- Language
- English
- Record Identifier
- 991129987302621
- Output Type
- Journal article
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