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

被引:237
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
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
[41]   Sustainability [J].
Scoones, Ian .
DEVELOPMENT IN PRACTICE, 2007, 17 (4-5) :589-596
[42]   A framework for assessing health system resilience in an economic crisis: Ireland as a test case [J].
Thomas, Steve ;
Keegan, Conor ;
Barry, Sarah ;
Layte, Richard ;
Jowett, Matt ;
Normand, Charles .
BMC HEALTH SERVICES RESEARCH, 2013, 13
[43]   Clarifying the concepts in knowledge transfer: a literature review [J].
Thompson, GN ;
Estabrooks, CA ;
Degner, LF .
JOURNAL OF ADVANCED NURSING, 2006, 53 (06) :691-701
[44]  
UNFPA, 2015, RAP ASS EB IMP REPR
[45]  
Walker B, 2002, CONSERV ECOL, V6
[46]  
Westley F., 2006, Getting to maybe: How the world is changed
[47]   Global change in local places: How scale matters [J].
Wilbanks, TJ ;
Kates, RW .
CLIMATIC CHANGE, 1999, 43 (03) :601-628
[48]   BRIEFING: EBOLA - MYTHS, REALITIES, AND STRUCTURAL VIOLENCE [J].
Wilkinson, Annie ;
Leach, Melissa .
AFRICAN AFFAIRS, 2015, 114 (454) :136-148
[49]   Using scorecards to achieve facility improvements for maternal and newborn health [J].
Yilla, Mohamed ;
Nam, Sara L. ;
Adeyemo, Austine ;
Kargbo, Samuel A. .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2014, 127 (01) :108-112