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Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the
Dell D Saulnier1,2, Anna Duchenko3, Sierra Ottilie-Kovelman3
1Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
International Journal of Health Policy and Management
|August 14, 2023
Summary
The COVID-19 pandemic revealed strengths in health system resilience, including information sharing and leadership. However, uncertainties remain in decision-making and system transformation, highlighting areas for future resilience research.
Area of Science:
- Public Health
- Health Systems Research
- Resilience Science
Background:
- Global health challenges like COVID-19 are increasingly complex and unpredictable.
- Studying health system responses to pandemics enhances understanding of resilience.
- This research links theoretical resilience concepts to practical applications for strengthening health systems.
Approach:
- A narrative literature review was conducted using a health system resilience framework.
- Searches identified 63 publications discussing health system resilience in relation to COVID-19.
- The review addressed four key questions on resilience dimensions and COVID-19 lessons.
Key Points:
- Established understanding exists for information sharing, flexibility, leadership, learning, and essential services.
- Uncertainties persist regarding decision-making, localized trust, interdependence, and system transformation.
- COVID-19 highlighted the importance of teamwork, inclusivity, and trans-sectoral resilience.
Conclusions:
- Health system resilience knowledge has evolved post-pandemic.
- Further research is needed on the long-term consequences of system changes and subsystem resilience.
- Resilience theory, particularly through governance, can be refined to strengthen health systems for future crises.
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