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Background <p>The physical and economic impacts of disaster and health emergencies have become a global concern that continues to generate discussion regarding disaster preparedness, response, and mitigation strategies. Maintaining continuity of services during these challenging and dynamic circumstances requires adequate organisational preparedness. This study aimed to map the existing research on the emergency management capabilities of community-based health and social care organisations and identify the factors that impact service continuity as a critical component of business continuity planning.</p> Method <p>This mapping review was carried out in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Eight databases were searched: Medline, PsycINFO, Embase, CINAHL, Scopus, ProQuest, Web of Science, EBSCOhost. Studies written in English and published between January 2000 and August 2022 were included. Eligible studies were primarily focused on business or service continuity of community-based health and social care organisations. Thematic analysis of data was conducted.</p> Results <p>Out of 3,195 articles, 176 met the inclusion criteria, mostly conducted in developed countries. These studies investigated various natural hazard emergencies, disease outbreaks, and pandemics, using different study designs, offering valuable insights into emergency management capabilities of community-based health and social care organisations across the disaster cycle. The findings suggest that several factors can serve as both barriers and enablers to the continuity of care, depending on the context and the specific stage of the disaster cycle at which they are addressed. Limited research was found on organisational preparedness for at-risk clients, including the elderly and individuals with disabilities. Additionally, there is a scarcity of research on the prevention and recovery stages of the emergency management cycle.</p> Conclusion <p>This mapping review offers a comprehensive overview of the factors influencing service continuity, highlights existing research gaps and targeted recommendation for service providers and governments to inform effective planning that ensures continuity of service and supports for people whose health, safety and well-being can be compromised in emergency situations. Future research could focus on strengthening organisational resilience during the prevention phase, examine tools and approaches for optimising emergency management efforts, and investigate strategies to improve cross-sector collaboration across all stages of disaster management cycle.</p>

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Service continuity of community-based health and social care organisations in times of disaster and health emergencies: a mapping review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月8日

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  • Farhana Haque Nila,
  • Michelle Villeneuve,
  • Kuo-Yi Jade Chang,
  • Parvathi Subramaniam

摘要

Background

The physical and economic impacts of disaster and health emergencies have become a global concern that continues to generate discussion regarding disaster preparedness, response, and mitigation strategies. Maintaining continuity of services during these challenging and dynamic circumstances requires adequate organisational preparedness. This study aimed to map the existing research on the emergency management capabilities of community-based health and social care organisations and identify the factors that impact service continuity as a critical component of business continuity planning.

Method

This mapping review was carried out in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Eight databases were searched: Medline, PsycINFO, Embase, CINAHL, Scopus, ProQuest, Web of Science, EBSCOhost. Studies written in English and published between January 2000 and August 2022 were included. Eligible studies were primarily focused on business or service continuity of community-based health and social care organisations. Thematic analysis of data was conducted.

Results

Out of 3,195 articles, 176 met the inclusion criteria, mostly conducted in developed countries. These studies investigated various natural hazard emergencies, disease outbreaks, and pandemics, using different study designs, offering valuable insights into emergency management capabilities of community-based health and social care organisations across the disaster cycle. The findings suggest that several factors can serve as both barriers and enablers to the continuity of care, depending on the context and the specific stage of the disaster cycle at which they are addressed. Limited research was found on organisational preparedness for at-risk clients, including the elderly and individuals with disabilities. Additionally, there is a scarcity of research on the prevention and recovery stages of the emergency management cycle.

Conclusion

This mapping review offers a comprehensive overview of the factors influencing service continuity, highlights existing research gaps and targeted recommendation for service providers and governments to inform effective planning that ensures continuity of service and supports for people whose health, safety and well-being can be compromised in emergency situations. Future research could focus on strengthening organisational resilience during the prevention phase, examine tools and approaches for optimising emergency management efforts, and investigate strategies to improve cross-sector collaboration across all stages of disaster management cycle.