Local management of the COVID-19 pandemic in Norway: a longitudinal interview study of municipality chief medical officers

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Heltveit-Olsen, Silje Rebekka (author)

Local management of the COVID-19 pandemic in Norway: a longitudinal interview study of municipality chief medical officers

Article/chapterEnglish2024

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2024

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LIBRIS-ID:oai:gup.ub.gu.se/334678
https://gup.ub.gu.se/publication/334678URI
https://doi.org/10.1080/02813432.2023.2301562DOI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Objective: 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. 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. 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. 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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
COVID-19
crisis management
municipality chief medical officers
public health
qualitative research

Added entries (persons, corporate bodies, meetings, titles ...)

Lunde, Lene (author)
Brænd, Anja Maria (author)
Spehar, Ivan (author)
Høye, Sigurd (author)
Skoglund, Ingmarie,1955Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xskogi (author)
Sundvall, Pär-DanielGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xsupar (author)
Fossum, Guro Haugen (author)
Straand, Jørund (author)
Risør, Mette Bech (author)
Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

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In:Scandinavian Journal of Primary Health Care41:1, s. 214-2240281-34321502-7724

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