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Defining Health System Capacity: A Rapid Review
Heather K O'Grady1,2, Alexandra Leone1,2, Sinéad McElhone3
1Niagara Health Knowledge Institute, Niagara Health System, St. Catharines, Ontario, Canada.
Healthcare Management Forum
|February 4, 2026
Summary
Defining health system capacity is complex. This review found inconsistent conceptualizations, synthesizing 11 key elements from literature to guide future understanding of health system capacity.
Area of Science:
- Health Services Research
- Public Health Policy
Background:
- Health systems are crucial for population health.
- Health system capacity, its ability to meet community needs, lacks a clear definition.
- Understanding this capacity is vital for effective health service delivery.
Purpose of the Study:
- To explore conceptualizations of health system capacity in academic and grey literature.
- To identify key elements defining health system capacity.
Main Methods:
- A standardized rapid review methodology was employed.
- Duplicate screening and data extraction ensured rigor.
- Narrative synthesis summarized definitions and frameworks.
Main Results:
- Twenty-two relevant documents were identified.
- Only three documents offered a unique definition of health system capacity.
- Twenty documents provided frameworks, synthesized into 11 key elements.
Conclusions:
- Conceptualization of health system capacity is infrequent and inconsistent in published literature.
- This review provides a foundational understanding and synthesis of key elements.
- The identified elements can guide future research and policy on health system capacity.
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