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Health system resilience is often viewed positively, but this framing risks ignoring social factors and consequences. A critical rethinking is needed to ensure resilience remains useful for health policy and research.

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Area of Science:

  • Health Policy
  • Health Systems Research
  • Sociology of Health

Background:

  • The concept of health system resilience has gained significant traction.
  • There is an increasing tendency to frame resilience as an inherently positive attribute.

Purpose of the Study:

  • To challenge the normative framing of health system resilience.
  • To examine the risks associated with assuming resilience is always "good."
  • To highlight the potential negative impacts on health system policy and research.

Main Methods:

  • Critical analysis of the assumptions underlying the positive framing of resilience.
  • Examination of how this framing can obscure the social dimensions of health systems.
  • Exploration of the consequences of viewing resilience as a purely achievable objective.

Main Results:

  • The normative framing of resilience can lead to overlooking the social nature of health systems.
  • Assuming resilience is inherently positive may cause researchers and policymakers to ignore the consequences of change.
  • This perspective can be detrimental to effective health system policy and research.

Conclusions:

  • A critical re-evaluation of the assumptions about health system resilience is necessary.
  • Moving beyond a purely positive view of resilience is crucial for maintaining its utility.
  • Understanding the social context is vital for effective health system strengthening.