Governance and Capacity to Manage Resilience of Health Systems: Towards a New Conceptual Framework

被引:213
作者
Blanchet, Karl [1 ]
Nam, Sara L. [2 ]
Ramalingam, Ben [3 ]
Pozo-Martin, Francisco [1 ]
机构
[1] London Sch Hyg & Trop Med, Dept Global Hlth & Dev, Fac Publ Hlth & Policy, London, England
[2] Opt Consultancy Serv Ltd, London, England
[3] Inst Dev Studies, Brighton, E Sussex, England
来源
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT | 2017年 / 6卷 / 08期
关键词
Resilience; Health Systems; Governance; Management; Complexity; SOCIAL-ECOLOGICAL SYSTEMS; EBOLA CRISIS; CARE; SUSTAINABILITY; PROTECTION; COMPLEXITY; SCALE;
D O I
10.15171/ijhpm.2017.36
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on governance of resilience based on systems thinking and complexity theories. In this paper, we see resilience of a health system as its capacity to absorb, adapt and transform when exposed to a shock such as a pandemic, natural disaster or armed conflict and still retain the same control over its structure and functions.
引用
收藏
页码:431 / 435
页数:5
相关论文
共 49 条
  • [1] Governance for sustainability: towards a 'thick' analysis of environmental decisionmaking
    Adger, WN
    Brown, K
    Fairbrass, J
    Jordan, A
    Paavola, J
    Rosendo, S
    Seyfang, G
    [J]. ENVIRONMENT AND PLANNING A-ECONOMY AND SPACE, 2003, 35 (06): : 1095 - 1110
  • [2] Allen T. F., 2017, HIERARCHY PERSPECTIV
  • [3] [Anonymous], 2005, ECOLOGY SOC
  • [4] [Anonymous], 2004, ECOL SOC
  • [5] [Anonymous], 2015, LANDSCAPE ECOLOGY TH
  • [6] [Anonymous], 2014, SUPPORTING RESILIENC
  • [7] [Anonymous], 2019, THEORIES POLICY PROC
  • [8] Berkes F., 2003, NAVIGATING NATURES D
  • [9] Advancing the application of systems thinking in health: analysing the contextual and social network factors influencing the use of sustainability indicators in a health system - a comparative study in Nepal and Somaliland
    Blanchet, Karl
    Palmer, Jennifer
    Palanchowke, Raju
    Boggs, Dorothy
    Jama, Ali
    Girois, Susan
    [J]. HEALTH RESEARCH POLICY AND SYSTEMS, 2014, 12
  • [10] The role of social networks in the governance of health systems: the case of eye care systems in Ghana
    Blanchet, Karl
    James, Philip
    [J]. HEALTH POLICY AND PLANNING, 2013, 28 (02) : 143 - 156