Lessons learned from the resilience of Chinese public health systems, hospitals and personnel to the COVID-19 pandemic: a scoping review protocol. v1

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Background: The SARS-CoV-2 pandemic has brought huge strain on hospitals worldwide; however, while the success of China’s COVID-19 strategy has been attributed to achievements of the government, public health officials, and the attitudes of the general public, the resilience shown by China’s hospitals appears to have been a critical factor in their successful response to the pandemic. Objectives: This paper aims to determine the key findings, recommendations and lessons learned in terms of hospital resilience during the pandemic, analyse the quality and limitations of research in this field at present and contribute to the evaluation of the Chinese response to the COVID-19 outbreak, building on a growing literature on the role of hospital resilience in crisis situations. Methods: We conduct a scoping review of evidence on the resilience of hospitals in China during the COVID-19 crisis in the first half of 2020. Two online databases (the CNKI and WHO databases) were used to identify papers meeting the eligibility criteria. After extracting the data, we present an information synthesis using a resilience framework. Articles were included in the review if they were peer-reviewed studies published between December 2019 and July 2020 in English or Chinese and included empirical results pertaining to the resilience of Chinese hospitals in the COVID-19 pandemic.

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