ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Policy
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1518998
Healthcare workers' views on the response to COVID-19 in long-term care hospitals in Korea: A mixed-method study
Provisionally accepted
- Kyung Hee University, Seoul, Republic of Korea
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Introduction: Long-term care hospitals (LTCHs) faced challenges beyond the scope of their previous practice in response to the pandemic. However, not much is known about LTCHs' responses and business continuity plans (BCPs) during the pandemic. We investigated attempts by LTCHs to maintain continuity of operation during COVID-19 in order to gain insight on how to support them in future crises.Methods: A mixed-method design was used, comprising a survey and individual interviews, to understand the responses and measures taken to address the pandemic.Results: For LTCHs, inpatient ward operations were identified as an essential function. Following the government's recommendation, most (85.7%) confirmed having BCPs, but over half felt that the operational effectiveness of BCPs was inadequate. Only 9.5% formed teams dedicated to infectious disease emergency preparedness and response before COVID-19. Qualitative analysis identified six main themes that explained the efforts of the LTCHs: workplace culture and leadership, communication, human resources, safety, continuity of essential service, and financial and supply management. The themes explained the reasons for operational effectiveness and provided examples and context on how staff responded in small and medium-sized LTCHs during the pandemic, considering elements in health service continuity planning.Management of significant changes forced by the pandemic necessitates preparing a response that considers key components beforehand, particularly for vulnerable healthcare facilities. To address unexpected crises, LTCHs should develop, implement, and practice well-thought-out plans to enhance organizational resiliency and ensure continued hospital functioning.
Keywords: Long-Term Care, COVID-19 response, mixed methods, Business continuity planning, Healthcare workers, Infection prevention and control, disaster preparedness
Received: 29 Oct 2024; Accepted: 12 May 2025.
Copyright: © 2025 Yun, La, Kim, Han and Lee. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: In Seo La, Kyung Hee University, Seoul, Republic of Korea
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