Managing Surges in Demand: A Grounded Conceptual Framework of Surge Management Capability.
Med Care Res Rev
; 81(3): 245-258, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38270374
ABSTRACT
Surge management is important to hospital operations, yet surge literature has mostly focused on the addition of resources (e.g., 25% more beds) during events like pandemics. Such views are limiting, as meeting surge demands requires hospitals to engage in practices tailored to a surge's unique contingencies. We argue that a dynamic view of surge management should include surge management capability, which refers to how resources are deployed to respond to surge contingencies. To understand this capability, we qualitatively studied five hospital systems experiencing multiple surges due to COVID-19 between April 2020 and March 2022. We develop a framework showing that managing surges involves preserving capacity, expanding capacity, smoothing capacity demand, and enabling surge management. We contribute to surge literature by identifying practices hospitals can adopt to address surges and offering a better understanding of surge conditions (e.g., degree of novelty) that make some surge management practices more appropriate than others.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Surge Capacity
/
COVID-19
Limits:
Humans
Language:
En
Journal:
Med Care Res Rev
/
Med. care res. rev
/
Medical care research and review
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: