Table 3.
Participant perspectives: health service organization during COVID-19 (n = 942)
| In the healthcare organization where I work… | % Participants responding yes to statement | Response by regions | |||||
|---|---|---|---|---|---|---|---|
| AFRO (n = 73) |
EMRO (n = 78) |
EURO (n = 389) |
PAHO (n = 92) |
SEARO (n = 169) |
WPRO (n = 141) |
||
| Infection control measures included limiting hospital visits by relatives of patients** | n = 678, 97.1% | 95.8% | 86.5% | 98.8% | 98.2% | 98.1% | 97.7% |
| A progressive care organization (intensive, sub intensive, ordinary and subacute care) was created in a COVID-19 hospital or dedicated COVID-19 areas. | n = 597, 90.2% | 78.6% | 86.8% | 91.6% | 90.7% | 93.1% | 85.7% |
| Clinical pathways for COVID-free patients were designed (e.g. surgery, time-dependent diseases, pregnant women). | n = 582, 89.1% | 88.1% | 83.3% | 91.5% | 89.8% | 91.4% | 91.9% |
| We isolated patients under investigation.* | n = 576, 88.9% | 93.5% | 85.5% | 85.5% | 95.6% | 96.0% | 92.0% |
| Elective activities were temporarily suspended (e.g. hospitalizations, surgery, outpatient visit).** | n = 646, 87.7% | 65.2% | 89.8% | 97.1% | 90.2% | 65.7% | 93.2% |
| There is a care pathway for a suspected COVID-19 patient from home or nursing home to hospital.* | n = 494, 77.9% | 67.4% | 79.2% | 75.7% | 72.1% | 83.7% | 92.1% |
| Anyone with symptoms can have a swab taken for testing at home or by attending a specific testing site.** | n = 485, 72.1% | 79.6% | 82.4% | 66.5% | 64.0% | 70.2% | 88.0% |
| We increased single room capacity in order to isolate COVID-19 patients.* | n = 469, 76.1% | 57.5% | 72.3% | 74.6% | 67.4% | 85.0% | 77.4% |
| COVID-19 patients were admitted to dedicated wards within the same hospital as COVID-free patients.** | n = 479, 70.8% | 65.9% | 43.1% | 82.0% | 70.1% | 63.0% | 66.7% |
| COVID-19 patients were admitted to a dedicated hospital or building.** | n = 449, 66.7% | 73.3% | 86.0% | 56.4% | 52.9% | 86.3% | 63.9% |
| A clinical database and/or a bank of biological samples was shared in the hospital network | n = 268, 65.0% | 48.6% | 63.2% | 66.2% | 65.6% | 75.8% | 68.4% |
| Primary care doctors take care of the COVID-19 patients discharged from hospital for monitoring their health status at their home.* | n = 352, 63.2% | 40.0% | 70.5% | 67.2% | 56.8% | 63.2% | 64.5% |
| Nursing homes were immediately isolated to avoid possible infections of residents/patients from an external source.** | n = 359, 60.3% | 38.7% | 68.6% | 51.9% | 43.2% | 84.8% | 78.8% |
| There is an outpatient clinic managed by general practitioners.** | n = 409, 57.5% | 72.5% | 70.6% | 52.0% | 70.2% | 74.5% | 75.3% |
| The bed capacity was extended by means of mobile structures.* | n = 287, 44.0% | 40.9% | 52.9% | 41.0% | 41.7% | 58.7% | 33.8% |
* P < 0.05; ** P < 0.001