ADAPTIVE ORGANIZATIONAL MODEL OF A SPECIALIZED INFECTIOUS HOSPITAL DURING THE COVID-19 PANDEMIC
Authors
Khusanov A.M., Alimova H.P.
Share
Annotation
Objective: To evaluate the effectiveness of an adaptive organizational model implemented in a specialized infectious hospital during the COVID-19 pandemic.
Materials and Methods: A retrospective–prospective organizational study was conducted at the Republican Specialized Hospital “Zangiota-1” (2020–2025). Aggregated data from 123,441 hospitalized patients were analyzed, including bed capacity, length of stay, ICU transfers, staffing, and resource provision. Organizational-analytical, comparative, and statistical methods were applied (p < 0.05).
Results: The hospital was reorganized into a referral infectious center with dynamic bed management, functional zoning, and centralized governance. Implementation of flexible bed re-profiling, ICU expansion, a maternity complex, and a hemodialysis unit was associated with improved performance: bed occupancy decreased from 92.4% to 84.2%, average length of stay from 14.6 to 9.4 bed-days, and ICU transfers from 15.2% to 9.1%. Stable staffing and resource provision supported institutional resilience during peak and post-COVID periods.
Conclusion: The adaptive organizational model improved hospital manageability, resource efficiency, and institutional resilience, supporting the feasibility of crisis-oriented management approaches under epidemiological instability.
Keywords
Authors
Khusanov A.M., Alimova H.P.
Share
References:
Omrane A, Bedoui W, et al. (2022). Organizational agility and COVID-19 pandemic management: The case of a public hospital. Archives des Maladies Professionnelles et de l’Environnement, 83(4), 379. https://doi.org/10.1016/j.admp.2022.07.095
Vahia A, Chaudhry ZS, et al. (2021). Rapid reorganization of an academic infectious diseases program during the COVID-19 pandemic in Detroit: A novel unit-based group rounding model. Clinical Infectious Diseases, 72(6), 1074–1080. https://doi.org/10.1093/cid/ciaa903
Stańczyk A, Rosiak O. (2022). The model of work organization on the example of COVID-19 unit according to protocol BPMN 2.0. Lekarz Wojskowy, 100(2), 91–97. https://doi.org/10.53301/lw/146854
Zhelyazkova A, Fischer PM, et al. (2022). COVID-19 management at one of the largest hospitals in Germany: Concept, evaluation and adaptation. Health Services Management Research, 36(1), 63–74. https://doi.org/10.1177/09514848221100752
Głód G, Rogowska K. (2024). Change management as a key factor in hospital functioning during the SARS-CoV-2 pandemic. Studia i Prace Kolegium Zarządzania i Finansów, 194. https://doi.org/10.33119/sip.2023.194.10
Spagnolello O, Rota S, et al. (2020). Bergamo field hospital confronting COVID-19: Operating instructions. Disaster Medicine and Public Health Preparedness, 1–3. https://doi.org/10.1017/DMP.2020.447
Kim M, Lee JY, et al. (2020). Lessons from a COVID-19 hospital, Republic of Korea. Bulletin of the World Health Organization, 98(12), 842–848. https://doi.org/10.2471/BLT.20.261016
Anesi GL, Lynch Y. (2020). A conceptual and adaptable approach to hospital preparedness for acute surge events due to emerging infectious diseases. Critical Care Explorations, 2(4). https://doi.org/10.1097/CCE.0000000000000110
Brewer B, Schnell N, et al. (2024). Building a special pathogen response center from the ground up. Antimicrobial Stewardship & Healthcare Epidemiology, 4(S1), s95. https://doi.org/10.1017/ash.2024.238
Optimal emergency hospitals construction in an unexpected epidemic with considering the interactive effect. (2024). International Transactions in Operational Research. https://doi.org/10.1111/itor.13473
Agrawal K. (2024). Adaptive architecture and infection prevention in hospitals. Indian Scientific Journal of Research in Engineering and Management. https://doi.org/10.55041/ijsrem30035
Kropf E, Zeitz K. (2022). Hospital design features that optimise pandemic response. Australian Health Review. https://doi.org/10.1071/AH21153
Other articles of the issue
