Abstract BACKGROUND: The COVID-19 pandemic exposed significant vulnerabilities in healthcare systems worldwide, emphasizing the need for robust hospital crisis management models tailored to infectious disease outbreaks. OBJECTIVE: This study aims to develop a comprehensive hospital management model for pandemic conditions by comparing COVID-19 response strategies of Dr. Masih Daneshvari Hospital (Iran) with five internationally recognized hospitals, identifying key challenges and proposing strategic solutions. METHODS: An exploratory mixed-method approach was employed. The qualitative phase comprised a comparative analysis of six hospitals’ crisis management strategies and a Delphi panel of 14 experts from Dr. Masih Daneshvari Hospital to refine the model. The quantitative phase surveyed 210 hospital staff to validate the model using Confirmatory Factor Analysis and paired sample t -tests. RESULTS: The finalized hospital crisis management model encompasses six core dimensions: psychological support, technology, screening and triage, management, economic considerations, and human resources. Statistical analysis revealed significant deficiencies in psychological support, human resources, and educational aspects ( P < 0.05). Comparative findings showed all hospitals adhered to World Health Organization standards, yet differences in resource availability impacted management effectiveness. Key interventions included expanding intensive care unit capacity, telemedicine adoption, staff psychological support, and infection control measures. CONCLUSION: An integrated hospital management framework addressing psychological well-being, technology use, efficient screening, robust management, economic resilience, and workforce empowerment is essential for pandemic preparedness and response. Aligning this model with preventive medicine strategies promotes early detection, reduces disease transmission, enhances healthcare worker resilience, and strengthens health system capacity to effectively manage future pandemics.
Rouzbahani et al. (Tue,) studied this question.
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