Challenges of the Management and Resource Allocation during Coronavirus Disease 2019 Outbreak: Experience from an Internal Medicine Centre, Iran

The potency of health systems to effectively respond to crises varies between high- and low-income countries. The COVID-19 pandemic has presented numerous challenges for hospitals worldwide. In this context, the resilience of health systems and the capacity of health institutions and populations play a key role in mounting an effective response to crises.We gathered data on the condition and resilience of health systems in the two main hospitals in Mashhad, Iran, during three peaks of the COVID-19 pandemic. The results highlighted the fact that health systems officials and managers need to consider the consequences of COVID-19, such as the need for more beds and trained healthcare workers. Hospitals should take into account the impact of the COVID-19 pandemic across all wards and departments and prioritize the well-being of healthcare workers since they are at the forefront of the fight against this pandemic.