The aim of this study was to evaluate the implementation of contingency plans to cope
with COVID-19 in Brazilian university hospitals. Comprehensive qualitative qualitative
study with semi-structured interviews applied to managers and workers of 8 federal
educational institutions who participated in the construction, implementation and
evaluation of contingency plans to cope with COVID-19. The textual content of the
interviews was submitted to the N-vivo software. Data analysis was performed using
Bardin's content analysis, and as a theoretical basis Donabedian's theory evaluating
the triad structure, process and result. The profile of the 17 participants of the research
was mostly female (76%), 59% are nurses and 23% act as health care managers and
23% as superintendents within the EBSERH. In the structural dimension, the lack of
inputs, such as PPE and medicines, directly interfered in the effectiveness of
contingency plans. It evidenced the historical demands of health professionals
regarding working conditions. The results found in the dimension, structure and result
evidenced the weaknesses of some university hospitals to meet the potential demand
generated by the COVID-19 pandemic. This study demonstrated the importance of
planning, preparing and updating guiding documents for hospital institutions, such as
the contingency plan, aimed at coping with a public health emergency, as well as the
need for integration between management, care, teaching and research services.
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