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Journal articles on the topic 'Health system resilience'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Sulistiadi, Wahyu. "Health Policy Reform through Strengthening Indonesia's Health Resilience System." Journal of Indonesian Health Policy and Administration 8, no. 3 (2023): 106. http://dx.doi.org/10.7454/ihpa.v8i3.7321.

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The National Health System in Indonesia is developing and being discussed more seriously after entering the COVID-19 pandemic. With a national health system and several existing tools, Indonesia needed more time to be ready to face the challenges of that time. Upstream health policies should be optimized to mobilize resources and increase the nation's efforts to build a national resilience system. This paper was built using selected policy documents up-to-date and reliable literature. By reviewing empirical evidence, the author believes and shows the role of strengthening health policies in bu

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Koeva, Stefka, and Maria Rohova. "HEALTH SYSTEM RESILIENCE: CONCEPT DEVELOPMENT." Journal of IMAB - Annual Proceeding (Scientific Papers) 26, no. 3 (2020): 3251–58. http://dx.doi.org/10.5272/jimab.2020263.3251.

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Hall, Jane, and Philip Haywood. "Investing in health system resilience." Australian Health Review 47, no. 2 (2023): 137–38. http://dx.doi.org/10.1071/ah23051.

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Chamberland-Rowe, Caroline, François Chiocchio, and Ivy Lynn Bourgeault. "Harnessing instability as an opportunity for health system strengthening: A review of health system resilience." Healthcare Management Forum 32, no. 3 (2019): 128–35. http://dx.doi.org/10.1177/0840470419830105.

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In recent years, resilience has emerged as a prominent topic in global health systems discourse as a result of the increasing variety and volume of sources of instability inflicting strain on systems. In line with this study’s intent to bring together existing literature on health system resilience as a means to understand the process through which systems achieve resilience, a review of academic literature related to health system resilience was conducted. Emerging from this review is an operational model of resilience that builds on existing health systems frameworks. The model highlights he

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Saulnier, Dell D., and Stephanie M. Topp. "We need to talk about ‘bad’ resilience." BMJ Global Health 9, no. 2 (2024): e014041. http://dx.doi.org/10.1136/bmjgh-2023-014041.

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In this analysis, we argue against seeing health system resilience as an inherently positive concept. The rise in the popularity of health system resilience has led to its increasingly normative framing. We question this widely accepted perspective by examining the underlying assumptions associated with this normative framing of ‘good’ resilience. Our focus is on the risks of accepting the assumption, which can lead us to ignore the social nature of health systems and overlook the consequences of change if resilience is seen as a positive, achievable objective. Finally, we suggest that seeing

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Biddle, Louise, Katharina Wahedi, and Kayvan Bozorgmehr. "Health system resilience: a literature review of empirical research." Health Policy and Planning 35, no. 8 (2020): 1084–109. http://dx.doi.org/10.1093/heapol/czaa032.

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Abstract The concept of health system resilience has gained popularity in the global health discourse, featuring in UN policies, academic articles and conferences. While substantial effort has gone into the conceptualization of health system resilience, there has been no review of how the concept has been operationalized in empirical studies. We conducted an empirical review in three databases using systematic methods. Findings were synthesized using descriptive quantitative analysis and by mapping aims, findings, underlying concepts and measurement approaches according to the resilience defin

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Saadati, Seyed Milad, and Fatemeh Rezazadeh. "Stress, Resilience, and the Immune System: A Health Psychology Analysis." KMAN Counseling and Psychology Nexus 1, no. 1 (2023): 109–17. https://doi.org/10.61838/kman.psynexus.1.1.13.

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To investigate the relationship between stress resilience and immune system functionality, emphasizing the psychological mechanisms that contribute to immune regulation and the potential for resilience-building interventions to enhance immune responses. This comprehensive review synthesizes existing research from psychological, immunological, and epidemiological studies. It examines the impact of acute and chronic stress on immune function, explores the role of psychological resilience as a mediator, and evaluates the effectiveness of various stress management and resilience-building strategie

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Saadati, Seyed Milad, and Fatemeh Rezazadeh. "Stress, Resilience, and the Immune System: A Health Psychology Analysis." KMAN Counseling and Psychology Nexus 1, no. 1 (2023): 109–17. http://dx.doi.org/10.61838/kman.psychnexus.1.1.14.

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To investigate the relationship between stress resilience and immune system functionality, emphasizing the psychological mechanisms that contribute to immune regulation and the potential for resilience-building interventions to enhance immune responses. This comprehensive review synthesizes existing research from psychological, immunological, and epidemiological studies. It examines the impact of acute and chronic stress on immune function, explores the role of psychological resilience as a mediator, and evaluates the effectiveness of various stress management and resilience-building strategie

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Firda, Amanatul Ainiyah, and Setya Haksama. "BUILDING HEALTH SYSTEM RESILIENCE DURING COVID-19 CRISIS." Jurnal Administrasi Kesehatan Indonesia 8, no. 2 (2020): 1. http://dx.doi.org/10.20473/jaki.v8i2.2020.1-3.

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Coronavirus is a type of virus that causes long-term health threats because coronavirus can adapt to new environments through mutations and recombination which is relatively simple. Whereas in 2019, a new type of coronavirus was founded and known as the COVID-19 pandemic. The COVID-19 pandemic has resulted not only in the high number of infected people and the number of deaths but also in the social, cultural, and economic fields. To reduce the impact of the crisis recurrence, it is necessary to reduce risks and build resilience systems. One of the resilience systems that can deal with disaste

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李國任, 李國任, 蕭文棋 Kuo-Jen Li, 劉金明 Wen-Chi Hsiao та 顏啟華 Chin-Ming Liu. "個人及健康照護體系復原力之理論與應用". 台灣家庭醫學雜誌 31, № 4 (2021): 258–68. http://dx.doi.org/10.53106/168232812021123104002.

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<p>近年來復原力的觀念逐漸受到重視，去年全球嚴重特殊傳染性肺炎疫情盛行，此議題再度被廣泛討論，本文旨在回顧國內外文獻，闡述復原力的定義、理論及學術與臨床上的運用。</p> <p>個人復原力定義為「面對重大壓力、創傷和逆境，協調、處理以及適應的過程」，健康照護體系復原力定義為「體系面臨危機時，應變與維持功能，汲取經驗並重新整頓的能力」。建構個人復原力的內在因子包括自尊心、自我感覺、個人競爭力、社會競爭力、外向性和開放性，外在因子包括天然環境、人為環境、社會網絡及教育，目前已有各式評估量表可應用於臨床研究。健康照護系統復原力則應具備資訊處理、解決問題、建構組織和適應轉型的能力。我們可由復原力矩陣觀察體系適應事件的階段及面向，評估其復原力。持續性的心理諮商、教育訓練、自我學習及團體活動可增強個人復原力，而健康照護體系復原力則須完善整體規劃。</p> <p>復原力可應用於家庭醫學各項臨床業務中，以提升照護品質，在經營及管理上亦可應用復原力觀念，提高單位的應變能力。學術研究方面，未來可發展更適當的評估工具，或對特定對象進行復原力分析或介入成效評估，亦可發展資訊系統建構。</p> <p>總結以上，擁有良好復原力可提升個人心理衛生狀態、促進社區健康並完善健康照護體系，在臨床與學術上也能有良好發展，個人或體系面對

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Roosmini, D., T. F. Kanisha, A. Nastiti, S. W. Kusumah, and I. R. S. Salami. "Preliminary studies of Bandung City Health System Resilience (case study : Covid-19 pandemic)." IOP Conference Series: Earth and Environmental Science 1065, no. 1 (2022): 012065. http://dx.doi.org/10.1088/1755-1315/1065/1/012065.

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Abstract The SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) virus causes the COVID-19 pandemic globally. The city of Bandung is the city that became the cluster of Covid-19 spread after DKI Jakarta at the beginning of the pandemic. In 2019, the Global Health Security Index (GHSI) was developed to assess countries’ readiness to face a pandemic. The index obtained shows that globally the value of this readiness is still minimal. In improving community health system services, health system resilience has been developed and studied in recent years. This study conducted a preliminary

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Binagwaho, Agnes, Dennis Hirwe, and Kedest Mathewos. "Health System Resilience: Withstanding Shocks and Maintaining Progress." Global Health: Science and Practice 10, Supplement 1 (2022): e2200076. http://dx.doi.org/10.9745/ghsp-d-22-00076.

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Witter, Sophie, Steve Thomas, Stephanie M. Topp, et al. "Health system resilience: a critical review and reconceptualisation." Lancet Global Health 11, no. 9 (2023): e1454-e1458. http://dx.doi.org/10.1016/s2214-109x(23)00279-6.

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Duque, Maria, Aaron Clark-Ginsberg, and Seth J. Schwartz. "Immigrants are crucial to U.S. Health System Resilience." F1000Research 13 (April 23, 2024): 352. http://dx.doi.org/10.12688/f1000research.143787.1.

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A polycrisis of climate and non-climate related shocks and stresses are straining U.S. health systems and affecting mental health. In contrast to negative rhetoric surrounding immigrants and immigration, immigrants make contributions that are fundamental to ensuring health system resilience. As in many other countries, in the United States foreign born compensate for health care worker shortages; help subsidize health programs with their labor; and support response, recovery, and rebuilding following disaster. However, immigrants are often trapped in political inflammatory narratives and publi

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Zimmermann, Julia, Marina Karanikolos, Jonathan Cylus, and Martin McKee. "We Need a Combination of Approaches to Evaluate Health System Resilience Comment on "Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic"." International Journal of Health Policy and Management 13 (July 20, 2024): 8564. http://dx.doi.org/10.34172/ijhpm.8564.

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Health system resilience has become a desirable health system attribute in the current permacrisis environment. The article by Saulnier and colleagues reviews the literature on health system resilience and refines the concept, pinpointing dimensions of resilience governance that have not reached consensus, or that are missing from the literature. In this commentary we complement the findings by discussing different conceptual frameworks for understanding resilience and introducing resilience testing, a method to assess health system resilience using a hypothetical shock scenario. Resilience te

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Bulut, Tevfik. "Classification of resilience of Turkish health system to extraordinary health crises at provincial level." HEALTH SCIENCES QUARTERLY 5, no. 3 (2025): 363–80. https://doi.org/10.26900/hsq.2824.

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This study aimed to classify the provincial-level resilience of the Turkish health system using K-Means and Partitioning Around Medoids (PAM) clustering methods, utilizing data from the Ministry of Health's 2022 Health Statistics Yearbook. Prior to clustering analysis, the 15 variables used to assess health system resilience were reduced to 9 through Principal Component Analysis (PCA). Clustering analyses were subsequently performed on these remaining variables using the PAM and K-Means methods. The health systems of 81 provinces were classified into 3 distinct clusters based on their resilien

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Shrivastava, SaurabhRamBihariLal, PrateekSaurabh Shrivastava, and Jegadeesh Ramasamy. "Ensuring health system resilience following a public health emergency: World Health Organization." Annals of Tropical Medicine and Public Health 10, no. 1 (2017): 282. http://dx.doi.org/10.4103/1755-6783.205573.

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Vărzaru, Anca Antoaneta. "Assessing the Relationships of Expenditure and Health Outcomes in Healthcare Systems: A System Design Approach." Healthcare 13, no. 4 (2025): 352. https://doi.org/10.3390/healthcare13040352.

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Background/Objectives: The COVID-19 pandemic has significantly altered healthcare systems worldwide, highlighting healthcare expenditure’s critical role in fostering population resilience and wellness. This extraordinary situation has brought to light the delicate balance that governments must maintain between the need to protect public health and budgetary restraints. The relationship between healthcare expenditure and outcomes, such as healthy life years, health expectancy, and standardized death rate, has become a central point in understanding the dynamics of healthcare systems and their c

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Rohova, Maria, and Stefka Koeva. "HEALTH SYSTEM RESILIENCE: REVIEW OF THE CONCEPT AND A FRAMEWORK FOR ITS UNDERSTANDING." Journal of IMAB - Annual Proceeding (Scientific Papers) 27, no. 4 (2021): 4060–67. http://dx.doi.org/10.5272/jimab.2021274.4060.

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Resilience and capacity for resilience is an emerging concept in health system governance and a comparatively new dimension of health systems performance, an area in which health policy faces problems and challenges not sufficiently explored. Although it has been attracting significant attention, the conceptualization of health system resilience that goes beyond the normative interpretation of the construct is still not well developed. The aim of the study is to review the concept of health system resilience and to extend the existing understanding in the context of health system governance. D

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Stone, Jonathan, John Mitrofanis, Daniel M. Johnstone, et al. "Acquired Resilience: An Evolved System of Tissue Protection in Mammals." Dose-Response 16, no. 4 (2018): 155932581880342. http://dx.doi.org/10.1177/1559325818803428.

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This review brings together observations on the stress-induced regulation of resilience mechanisms in body tissues. It is argued that the stresses that induce tissue resilience in mammals arise from everyday sources: sunlight, food, lack of food, hypoxia and physical stresses. At low levels, these stresses induce an organised protective response in probably all tissues; and, at some higher level, cause tissue destruction. This pattern of response to stress is well known to toxicologists, who have termed it hormesis. The phenotypes of resilience are diverse and reports of stress-induced resilie

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Nyasulu, PhD, Juliet Charity Yauka, Mercy Dokiso Chirwa, PhD, Judgement Kumwenda, BSc, and Maria Chikalipo, PhD. "Health systems’ resilience during the COVID-19 pandemic public health emergency: The role of existing community health structures in rural Malawi." American Journal of Disaster Medicine 17, no. 3 (2022): 207–17. http://dx.doi.org/10.5055/ajdm.2022.0435.

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The emergence of the COVID-19 pandemic has put health systems under enormous pressure, pushing for health systems’ resilience. Malawi, mostly rural with hard-to-reach areas, had their first case in April 2020, amidst political turmoil. So far, much has been documented on how health systems contained the COVID-19 pandemic. This paper describes the role of community health system structures in ensuring health systems’ resilience during the COVID-19 pandemic in rural Malawi.To highlight the role of community health structures in the Malawian health system, we developed and applied a framework on

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Marchal, Bruno, Joris Michielsen, Sara Simon, et al. "Making ‘resilience’ useful again: recognising health system resilience as an effective boundary object." BMJ Global Health 8, no. 5 (2023): e012064. http://dx.doi.org/10.1136/bmjgh-2023-012064.

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M. Cay, Maria Kristina, and Hermogenes B. Panganiban. "Health System and Organizational Resilience of Public Hospitals in Batangas Province." International Multidisciplinary Research Journal 3, no. 3 (2021): 71–80. http://dx.doi.org/10.54476/iimrj237.

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In highly volatile and uncertain times, organizations need to develop a resilience capacity which enables them to cope effectively with unexpected events, bounce back from crisis and foster future success. This study is meant to deepen the understanding of the public health system and the embedded construct of resilience of public hospitals in the province of Batangas. Adapted from the Health System Rapid Diagnostic Tool (2012) and Organizational Resilience Capability Assessment (2016), the study aimed to come up with a typology of the public hospitals in the province based on their health sys

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Zhao, Jingyi, Xiaowei Hao, Xiaofeng Sun, Yajie Du, Meng Zhang, and Qing Wang. "Including Health System Capacities into the Assessment Framework of a Temperature-Resilience Health System." Risk Management and Healthcare Policy Volume 17 (December 2024): 3085–98. https://doi.org/10.2147/rmhp.s494486.

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Fridell, My, Sanna Edwin, Johan von Schreeb, and Dell D. Saulnier. "Health System Resilience: What Are We Talking About? A Scoping Review Mapping Characteristics and Keywords." International Journal of Health Policy and Management 9, no. 1 (2019): 6–16. http://dx.doi.org/10.15171/ijhpm.2019.71.

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Background: Health systems are based on 6 functions that need to work together at all times to effectively deliver safe and quality health services. These functions are vulnerable to shocks and changes; if a health system is unable to withstand the pressure from a shock, it may cease to function or collapse. The concept of resilience has been introduced with the goal of strengthening health systems to avoid disruption or collapse. The concept is new within health systems research, and no common description exists to describe its meaning. The aim of this study is to summarize and characterize t

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Mathur, Medha, Varun J. Wani, Rivu Basu, et al. "Urban Health Resilience: Strategies for Strengthening Public Health Systems in Response to Urbanization Challenges." Indian Journal of Community Medicine 49, Suppl 2 (2024): S159—S163. https://doi.org/10.4103/ijcm.ijcm_755_24.

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The social structure of India is rapidly evolving, towards modernization. The urban population of India is projected to approach 60 crores by 2036. Urban health resilience stands for building the capacity of urban systems to withstand and adapt to health-related stresses like natural disasters, man-made disasters, and pandemics like COVID-19 and the capability to recover from them by well-equipped hospitals, efficient emergency response mechanisms, and a network of well-trained and motivated healthcare professionals. Also, the involvement of communities is central to building urban health resi

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Franczok-Kuczmowska, Agnieszka. "The meaning of resilience in adulthood." Kwartalnik Naukowy Fides et Ratio 3, no. 51 (2022): 133–40. http://dx.doi.org/10.34766/fetr.v3i51.1089.

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The aim of this article is to present an extensive description of resilience in adulthood in the modern times. Taking into account resilience’s definition problems, the differences and similarities between the concepts of resilience and resiliency were taken into account. The article discusses a broad definition of resilience, referring to many scientific perspectives. The conclusion is drawn that resilience should be conceptualized as a dynamic process. The meta-analysis of the relationships between the factors indicates the presence of many factors directly and indirectly related to the resi

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Belloni, Giulia, Stefanie Monod, Camille Poroes, Nolwenn Bühler, Mauricio Avendano, and Didier Wernli. "Health systems governance, shocks and resilience: a scoping review of key concepts and theories." BMJ Global Health 10, no. 6 (2025): e017358. https://doi.org/10.1136/bmjgh-2024-017358.

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IntroductionIt is often argued that health system resilience to shocks is influenced by governance. Multiple theoretical perspectives seemed to have emerged in the literature, but there has been limited analysis of their foundation and implications so far. To address this gap, the aim of this paper is to carry out a scoping review of conceptualisation and theories on the definition and relationship between governance and health system resilience in the context of shocks.MethodsSix electronic databases were searched using the following keywords: resilience, health system, framework and governan

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Saulnier, Dell D., Karl Blanchet, Carmelita Canila, et al. "A health systems resilience research agenda: moving from concept to practice." BMJ Global Health 6, no. 8 (2021): e006779. http://dx.doi.org/10.1136/bmjgh-2021-006779.

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Health system resilience, known as the ability for health systems to absorb, adapt or transform to maintain essential functions when stressed or shocked, has quickly gained popularity following shocks like COVID-19. The concept is relatively new in health policy and systems research and the existing research remains mostly theoretical. Research to date has viewed resilience as an outcome that can be measured through performance outcomes, as an ability of complex adaptive systems that is derived from dynamic behaviour and interactions, or as both. However, there is little congruence on the theo

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Dsouza, Sushma Marita, Anuradha Katyal, Shrikant Kalaskar, et al. "A scoping review of health systems resilience assessment frameworks." PLOS Global Public Health 4, no. 9 (2024): e0003658. http://dx.doi.org/10.1371/journal.pgph.0003658.

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Health system resilience is a prerequisite for effectively managing cataclysmic events adversely affecting health outcomes. The COVID-19 pandemic reasserted the importance of having resilient health systems and called for a relook at the existing framework that measures health system resilience. Mixed methods were used in this study. The review started with the measurement of health systems resilience and its context. Ebola epidemic triggered the importance, hence our search focused on published literature from 2014 to 2021. Based on the review, a semi-structured tool was developed for key in-

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Desai, Vikas K., Suresh K. Rathi, and Hemant Desai. "Urban Health System and Climate Resilience—Surat Case Study." Journal of Health Management 18, no. 3 (2016): 499–507. http://dx.doi.org/10.1177/0972063416651713.

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Vainieri, Milena, Alessia Caputo, and Alessandro Vinci. "Resilience dimensions in health system performance assessments, European Union." Bulletin of the World Health Organization 102, no. 07 (2024): 498–508. http://dx.doi.org/10.2471/blt.23.291102.

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Sheaff, Rod, Lawrence Benson, Lou Farbus, Jill Schofield, Russell Mannion, and David Reeves. "Network resilience in the face of health system reform." Social Science & Medicine 70, no. 5 (2010): 779–86. http://dx.doi.org/10.1016/j.socscimed.2009.11.011.

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Perrella, Alessandro, and Massimo Bisogno. "The strength and resilience of Italy’s health data system." Lancet Regional Health - Europe 51 (April 2025): 101255. https://doi.org/10.1016/j.lanepe.2025.101255.

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Khodor, Rawya, Lama Bou Karroum, and Fadi El-Jardali. "Flexible ngo-donor coordination in aid interventions to strengthen resilience: the case of Lebanon’s primary healthcare system." BMJ Global Health 9, no. 11 (2024): e016614. http://dx.doi.org/10.1136/bmjgh-2024-016614.

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IntroductionWith shifts in international aid, international donors have increasingly regarded non-governmental organisations (NGOs) as capable of providing alternative public service arrangements. As funding flows to NGOs, particularly in contexts where both actors work towards strengthening health system resilience, NGO-donor relationships evolve. However, despite calls to investigate the contribution of relationships between actors within health systems, including NGOs and their donors, to health system resilience, empirical research is limited. Understanding these relationships is crucial f

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Araja, D., and U. Berkis. "HPR214 Challenges of Measuring Healthcare System Resilience." Value in Health 25, no. 12 (2022): S272. http://dx.doi.org/10.1016/j.jval.2022.09.1342.

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Karreinen, Soila, Kristiina Janhonen, Laura Kihlström, Henna Paananen, Marjaana Viita-aho, and Liina-Kaisa Tynkkynen. "Resilience in local Finnish health systems: how are leaders’ approaches to change manifested in organisational crisis responses?" Journal of Health Organization and Management 39, no. 9 (2024): 1–15. https://doi.org/10.1108/jhom-06-2024-0257.

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PurposeLocal health systems form the basis for health system resilience. Leaders’ standpoints are crucial in advancing resilience capacities and change. This study analysed how local health system leaders’ approaches to change reflect health system resilience capacities. Furthermore, we explored what triggers and hinders change during a crisis.Design/methodology/approachThe data consist of purposively sampled interviews with 14 local Finnish health system leaders during the COVID-19 pandemic. Using abductive content analysis, examples of resisting, absorbing, adapting and transforming were ide

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Kittelsen, Sonja Kristine, and Vincent Charles Keating. "Rational trust in resilient health systems." Health Policy and Planning 34, no. 7 (2019): 553–57. http://dx.doi.org/10.1093/heapol/czz066.

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AbstractThe 2014–15 Ebola epidemic in West Africa highlighted the significance of trust between the public and public health authorities in the mitigation of health crises. Since the end of the epidemic, there has been a focus amongst scholars and practitioners on building resilient health systems, which many see as an important precondition for successfully combatting future outbreaks. While trust has been acknowledged as a relevant component of health system resilience, we argue for a more sustained theoretical engagement with underlying models of trust in the literature. This article takes

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Ismanto, Dedy, and Bayu Bayu. "Resilience System National In The Perspective Of Utilitarianism." International Asia Of Law and Money Laundering (IAML) 1, no. 1 (2022): 69–78. http://dx.doi.org/10.59712/iaml.v1i1.13.

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The importance of optimal health services can be seen from the consideration and general explanation of Law No. 36 of 2009 on health, in the event of health problems, it will lead to a decrease productivity and if productivity falls, then National Development will be hampered, meaning here it can be concluded, that health must be a concern for all elements, because all elements have the same interests and goals that lead to a smooth National Development, so that welfare can be realized that can be achieved with productivity obtained by striving for health services in order to, The question tha

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Sahu, Satyaban. "Health System Resilience in a PHC Setting in India—A study of Assam and MP." Public Health Open Access 8, no. 1 (2024): 1–7. http://dx.doi.org/10.23880/phoa-16000271.

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Context: To bolster the ambitious Program of Government of India (GOI), to build a strong and resilient healthcare system plans to establish 1,50,000 Health and Wellness Centres (HWCs) across the country by 2024, the GOI gave a clear to its partners to explore options. Aim: Therefore, LEHS | WISH, initiated a baseline study to assess the service availability and service readiness (SARA) status of 18 Sub-centres (SCs) and Primary Health Centres (PHCs) to be upgraded as HWCs to deliver the twelve package of services as envisaged in HWC guidelines to strengthen the primary healthcare system. Sett

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Rogers, Heather L., Pedro Pita Barros, Jan De Maeseneer, et al. "Resilience Testing of Health Systems: How Can It Be Done?" International Journal of Environmental Research and Public Health 18, no. 9 (2021): 4742. http://dx.doi.org/10.3390/ijerph18094742.

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The resilience of health systems has received considerable attention as of late, yet little is known about what a resilience test might look like. We develop a resilience test concept and methodology. We describe key components of a toolkit and a 5-phased approach to implementation of resilience testing that can be adapted to individual health systems. We develop a methodology for a test that is balanced in terms of standardization and system-specific characteristics/needs. We specify how to work with diverse stakeholders from the health ecosystem via participatory processes to assess and iden

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Holland-Winkler, A. Maleah, Blake K. Hamil, Daniel R. Greene, and Austin A. Kohler. "Strategies to Improve Physiological and Psychological Components of Resiliency in Firefighters." Physiologia 3, no. 4 (2023): 611–26. http://dx.doi.org/10.3390/physiologia3040045.

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Firefighters are exposed to dangerous and often traumatic events due to the nature of their occupational demands. This repeated exposure to trauma combined with stressful work demands increases their risk for negative physiological and psychological health outcomes. The high prevalence of adverse health outcomes highlights the need for interventions to improve resiliency in firefighters. Resiliency is the ability to reduce the effect of crisis, rebound from adversity, and recover to pre-stimulus homeostasis. When traumatic exposures are unavoidable, as is the case with firefighters, it is impo

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Odhiambo, Jackline, Caroline Jeffery, Richard Lako, Baburam Devkota, and Joseph J. Valadez. "Measuring health system resilience in a highly fragile nation during protracted conflict: South Sudan 2011–15." Health Policy and Planning 35, no. 3 (2019): 313–22. http://dx.doi.org/10.1093/heapol/czz160.

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Abstract Health systems resilience (HSR) is defined as the ability of a health system to continue providing normal services in response to a crisis, making it a critical concept for analysis of health systems in fragile and conflict-affected settings (FCAS). However, no consensus for this definition exists and even less about how to measure HSR. We examine three current HSR definitions (maintaining function, improving function and achieving health system targets) using real-time data from South Sudan to develop a data-driven understanding of resilience. We used 14 maternal, newborn and child h

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Forcellini, Davide. "A Resilience-Based (RB) Methodology to Assess Resilience of Health System Infrastructures to Epidemic Crisis." Applied Sciences 12, no. 6 (2022): 3032. http://dx.doi.org/10.3390/app12063032.

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The assessment of resilience of health infrastructures during an epidemic crisis is a fundamental issue in civil engineering, as shown by the recent COVID-19 crisis. During epidemic crises, health services and infrastructures need to maintain a level of functionality and avoid failures. In addition, it is important to evaluate post-hazard procedures, such as emergency and recovery actions. In this regard, the paper applied resilience as a parameter to assess investments, countermeasures and mitigations. The Resilience-Based (RB) methodology herein proposed was then applied to quantify the resi

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Grimm, Pauline Yongeun, Sonja Merten, and Kaspar Wyss. "Evidence of health system resilience in Myanmar during Cyclone Nargis: a qualitative analysis." BMJ Open 11, no. 9 (2021): e050700. http://dx.doi.org/10.1136/bmjopen-2021-050700.

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ObjectiveThe aim of this study is to improve the understanding of the characteristics of health system resilience in Myanmar’s response to Cyclone Nargis and to explore ways to improve resilience at the system level.Design and settingThis is an explanatory qualitative study exploring the institutional capacity of resilience in Myanmar’s health system. Analysis proceeded using a data-driven thematic analysis closely following the framework method. This process enabled comparisons and contrasts of key emergent themes between the participants, which later generated key results describing the foun

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Varyvoda, Yevheniia, and Douglas Taren. "Considering Ecosystem Services in Food System Resilience." International Journal of Environmental Research and Public Health 19, no. 6 (2022): 3652. http://dx.doi.org/10.3390/ijerph19063652.

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The prevalence and severity of natural hazards pose a serious risk to food systems, undermining their function to provide food security and improved nutrition. The impact of such events is extensive, and the level of damage and recovery significantly depend on ecosystem services, including their own resilience capacity. This paper provides evidence that the role, value, and utilization of local ecosystem services are essential for food system resilience and for food security in parts of the world where high vulnerability and lack of coping capacity exist to combat climate change. Patterns of e

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Yasobant, Sandul, Deepak Saxena, Pankaj Bhardwaj, and Zahiruddin Syed Quazi. "One Health System Strengthening in India: Co-creating One Health Workforce to Combat Future Pandemics." Indian Journal of Community Medicine 48, no. 6 (2023): 814–16. http://dx.doi.org/10.4103/ijcm.ijcm_100_23.

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Abstract One Health has been coming of age through the G7 and G20 leadership and explicitly referred to in increasing ministerial declarations. Those leaderships, however, have been slow in knitting the One Health approach into the larger systems approach. by understanding the complexity of resilience and health system resilience is one of the key features of pandemic preparedness. Among others, health system strengthening is another key factor that urgently requires much attention in the theme of pandemic preparedness. Here, how the health system strengthening requires more imperative attenti

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Pannunzio, Valeria, Alexander Komashie, Sebastian Walsh, et al. "Exploring indicators of system-of-systems resilience: outcomes of a health systems design workshop at an international conference." Proceedings of the Design Society 4 (May 2024): 2675–84. http://dx.doi.org/10.1017/pds.2024.270.

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AbstractThis contribution departs from an existing model, the Design Framework for Systems-of-Systems Resilience, to explore systems resilience issues across the health, environmental, and economic domains. The reported research activities include 1) a rapid review to collect a set of systems indicators and 2) a design workshop employing causal loop diagramming to map expected causal influences between indicators. Through this exercise, we examine key themes in this research domain and outline directions for further enquiry, while involving members of the design research community in an open d

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Martin, Sarah R., Elizabeth A. Fiske, and Susan Hayes Lane. "Resilience Education for Health-Care Professionals." Creative Nursing 26, no. 4 (2020): 225–31. http://dx.doi.org/10.1891/crnr-d-19-00077.

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BackgroundBurnout among health-care professionals is a growing problem having a sizeable impact on patient safety and health care as a whole. High levels of resilience in health-care professionals have been associated with safer care environments, improved health outcomes, higher quality care, and improved caregiver well-being and mental health. Resilience education can improve personal and professional resilience.ObjectiveThe goal of this project was to evaluate a resilience education program to improve measures of burnout and resilience in health-care professionals.DesignA quantitative cross

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Miyazaki, Akari, Tomoko Sankai, and Tomoko Omiya. "Experience and Resilience of Japanese Public Health Nurses during the COVID-19 Pandemic and Their Impact on Burnout." Healthcare 11, no. 8 (2023): 1114. http://dx.doi.org/10.3390/healthcare11081114.

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Japanese public health nurses (PHNs) at public health centers (PHCs) have played critical roles in infection prevention and control during the COVID-19 pandemic. This study aimed to examine the actual pandemic-related experiences of PHNs and the relation between their experiences, individual resilience, two components of organizational resilience (system and human resilience), and burnout. An analysis of the responses of 351 PHNs revealed that mid-level PHNs scored higher in experience and lower in organizational resilience compared with those in other positions. More than 80% of respondents e

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