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dc.contributor.authorHeltveit-Olsen, Silje Rebekka
dc.contributor.authorLunde, Lene
dc.contributor.authorBrænd, Anja Maria
dc.contributor.authorSpehar, Ivan
dc.contributor.authorHøye, Sigurd
dc.contributor.authorSundvall, Pär-Daniel
dc.contributor.authorSkoglund, Ingmarie
dc.contributor.authorFossum, Guro Haugen
dc.contributor.authorStraand, Jørund
dc.contributor.authorRisør, Mette Bech
dc.date.accessioned2024-01-19T10:26:31Z
dc.date.available2024-01-19T10:26:31Z
dc.date.issued2024-01-12
dc.description.abstractObjective - To explore the experiences and views of Norwegian Municipality Chief Medical Officers (MCMOs) on preparedness, collaboration, and organization during the COVID-19 pandemic to gain insight into local crisis management of value for future pandemic responses.<p> <p>Design - Longitudinal qualitative interview study. We conducted semi-structured digital interviews with nine MCMOs working in different municipalities in Norway from September to December 2020. Five MCMOs were re-interviewed from January to April 2021. We used thematic analysis to analyze the data.<p> <p>Results - Through the analysis, three major themes were identified in the material; 1) The view of preparedness changed from being low-priority and dormant to the desire to strengthen preparedness as a permanent measure; 2) The nature of the pandemic forced a change in internal and external communication and collaboration for the MCMOs towards direct dialogue, teamwork and digital networking; 3) The pandemic changed the role and position of the MCMO within the municipal organization. Although most MCMOs were given a leading role in the municipal pandemic response, some MCMOs experienced that they were not positioned to fully exercise their intended role. In our material, de-authorization of the MCMO role seemed to coincide with the increasing size and organizational complexity of the municipality.<p> <p>Conclusions - The Norwegian pandemic response and outcome have been regarded as successful internationally. Although the MCMOs managed to implement flexible and quick responses facilitated by teamwork, dialogue, and joint sensemaking, they also identified several challenges and shortcomings of the Norwegian pandemic preparedness requiring organizational and financial changes to sustain future health system resilience.en_US
dc.identifier.citationHeltveit-Olsen SR, Lunde L, Brænd AM, Spehar I, Høye S, Sundvall P, Skoglund I, Fossum GH, Straand J, Risør MB. Local management of the COVID-19 pandemic in Norway: a longitudinal interview study of municipality chief medical officers. Scandinavian Journal of Primary Health Care. 2024
dc.identifier.cristinIDFRIDAID 2226590
dc.identifier.doi10.1080/02813432.2023.2301562
dc.identifier.issn0281-3432
dc.identifier.issn1502-7724
dc.identifier.urihttps://hdl.handle.net/10037/32632
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalScandinavian Journal of Primary Health Care
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleLocal management of the COVID-19 pandemic in Norway: a longitudinal interview study of municipality chief medical officersen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)