{"id":"https://openalex.org/W4387865509","doi":"https://doi.org/10.3233/shti230796","title":"Exploring the Operational and Technical Changes in the Healthcare Sector During the COVID-19 Pandemic","display_name":"Exploring the Operational and Technical Changes in the Healthcare Sector During the COVID-19 Pandemic","publication_year":2023,"publication_date":"2023-10-20","ids":{"openalex":"https://openalex.org/W4387865509","doi":"https://doi.org/10.3233/shti230796","pmid":"https://pubmed.ncbi.nlm.nih.gov/37869857"},"language":"en","primary_location":{"id":"doi:10.3233/shti230796","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230796","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230796","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230796","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093109951","display_name":"Suhail Muzaik","orcid":null},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Suhail Muzaik","raw_affiliation_strings":["Health Informatics Centre, Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Tomtebodav\u00e4gen 18A, 171 77 Solna, Sweden"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Informatics Centre, Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Tomtebodav\u00e4gen 18A, 171 77 Solna, Sweden","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5050182250","display_name":"Nadia Davoody","orcid":"https://orcid.org/0000-0003-1813-8529"},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":true,"raw_author_name":"Nadia Davoody","raw_affiliation_strings":["Health Informatics Centre, Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Tomtebodav\u00e4gen 18A, 171 77 Solna, Sweden"],"raw_orcid":"https://orcid.org/0000-0003-1813-8529","affiliations":[{"raw_affiliation_string":"Health Informatics Centre, Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Tomtebodav\u00e4gen 18A, 171 77 Solna, Sweden","institution_ids":["https://openalex.org/I28166907"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5050182250"],"corresponding_institution_ids":["https://openalex.org/I28166907"],"apc_list":null,"apc_paid":null,"fwci":2.9487,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.91863868,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":98},"biblio":{"volume":"309","issue":null,"first_page":"277","last_page":"281"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.7139409780502319},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.635016679763794},{"id":"https://openalex.org/keywords/pandemic","display_name":"Pandemic","score":0.623198390007019},{"id":"https://openalex.org/keywords/limiting","display_name":"Limiting","score":0.5897862911224365},{"id":"https://openalex.org/keywords/procurement","display_name":"Procurement","score":0.48947060108184814},{"id":"https://openalex.org/keywords/nonprobability-sampling","display_name":"Nonprobability sampling","score":0.4608321785926819},{"id":"https://openalex.org/keywords/maturity","display_name":"Maturity (psychological)","score":0.4567923843860626},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.4274529814720154},{"id":"https://openalex.org/keywords/coronavirus-disease-2019","display_name":"Coronavirus disease 2019 (COVID-19)","score":0.41422346234321594},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.3444553017616272},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.27335309982299805},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.19406068325042725},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.19236472249031067},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.17763930559158325},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.16600096225738525},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.09983420372009277},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.08915302157402039},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.08897361159324646},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.08622580766677856}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.7139409780502319},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.635016679763794},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.623198390007019},{"id":"https://openalex.org/C188198153","wikidata":"https://www.wikidata.org/wiki/Q1613840","display_name":"Limiting","level":2,"score":0.5897862911224365},{"id":"https://openalex.org/C201650216","wikidata":"https://www.wikidata.org/wiki/Q829492","display_name":"Procurement","level":2,"score":0.48947060108184814},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.4608321785926819},{"id":"https://openalex.org/C101433766","wikidata":"https://www.wikidata.org/wiki/Q3543263","display_name":"Maturity (psychological)","level":2,"score":0.4567923843860626},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.4274529814720154},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.41422346234321594},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.3444553017616272},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.27335309982299805},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.19406068325042725},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.19236472249031067},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.17763930559158325},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.16600096225738525},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.09983420372009277},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.08915302157402039},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.08897361159324646},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.08622580766677856},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006123","descriptor_name":"Group Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006123","descriptor_name":"Group Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006123","descriptor_name":"Group Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019981","descriptor_name":"Health Care Sector","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019981","descriptor_name":"Health Care Sector","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019981","descriptor_name":"Health Care Sector","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti230796","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230796","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230796","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:37869857","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37869857","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti230796","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230796","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230796","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.4300000071525574,"id":"https://metadata.un.org/sdg/3"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387865509.pdf","grobid_xml":"https://content.openalex.org/works/W4387865509.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W2756879382","https://openalex.org/W2803101883","https://openalex.org/W2954886247","https://openalex.org/W2990634740","https://openalex.org/W3032967828","https://openalex.org/W3040110181","https://openalex.org/W3081423163","https://openalex.org/W3082454838","https://openalex.org/W3193719080"],"related_works":["https://openalex.org/W3111736898","https://openalex.org/W4386731186","https://openalex.org/W2239306219","https://openalex.org/W3036063864","https://openalex.org/W4382807753","https://openalex.org/W563096618","https://openalex.org/W1820505434","https://openalex.org/W2910979491","https://openalex.org/W2343697942","https://openalex.org/W3175946981"],"abstract_inverted_index":{"The":[0,64,79],"COVID-19":[1],"pandemic":[2],"has":[3],"affected":[4],"the":[5,18,41,55,90,99,103,114,117,119,127],"healthcare":[6,23,27],"sector":[7],"globally":[8],"including":[9],"Sweden,":[10],"creating":[11],"subsequent":[12],"operational":[13],"and":[14,93,107,132,136],"technical":[15,108,130],"changes":[16,53,84,122],"to":[17,50,126],"wide":[19],"range":[20],"of":[21,57,66,75,113],"digital":[22,45,101],"services":[24,44,135],"utilized":[25],"by":[26],"professionals":[28],"or":[29],"end":[30],"consumers.":[31],"A":[32],"qualitative":[33],"study":[34,51,80],"using":[35,71],"a":[36],"self-assessment":[37],"survey":[38],"based":[39],"on":[40],"national":[42],"health":[43],"maturity":[46],"assessment":[47],"was":[48,69],"used":[49],"these":[52],"from":[54],"perspective":[56],"personnel":[58],"working":[59],"in":[60],"Swedish":[61],"healthcare-related":[62],"organizations.":[63],"number":[65],"30":[67],"respondents":[68],"selected":[70],"purposive":[72],"sampling,":[73],"out":[74],"them":[76],"11":[77],"responded.":[78],"highlighted":[81],"positively":[82],"perceived":[83,121],"such":[85],"as":[86],"boosting":[87],"digitalization,":[88],"improving":[89],"procurement":[91],"process,":[92],"introducing":[94],"crisis":[95],"management":[96],"teams.":[97],"Improving":[98],"offered":[100],"services,":[102,128],"tools'":[104],"effectiveness,":[105],"efficiency,":[106],"support":[109],"were":[110,123],"also":[111],"some":[112],"results.":[115],"On":[116],"contrary,":[118],"negatively":[120],"limiting":[124,129],"access":[125],"support,":[131],"reprioritizing":[133],"non-essential":[134],"projects.":[137]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2025-12-25T23:11:45.687758","created_date":"2025-10-10T00:00:00"}