ArticleJournal of global health2016
Health system resilience: Lebanon and the Syrian refugee crisis.
Article in Journal of global health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 1 of them a synthesis that pooled it.
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Who cites it
99 citing papers in PubMed, 1 synthesis or guideline pooled it, 198 citations in OpenAlex.
- Building a resilient health system for universal health coverage and health security: a systematic review.Global health research and policy · 2024Pooled it
- Local solutions, local governance: the municipal health committee initiative in Majdal Anjar, Lebanon.Health policy and planning · 2026Article
- Predictors of Resilience Among Patients Living With Heart Failure Amid Escalating Sociopolitical Challenges: A Cross-Sectional Approach.Nursing open · 2026Observational
- Improving Primary Healthcare: Applying Grapevine (Healthcare (Basel, Switzerland) · 2026Article
- How Can Project ECHO Be Implemented in Lebanon to Increase Cancer Patient Access to Care in Rural Areas?Cancer medicine · 2026Article
- Hospital system resilience in the face of armed conflicts; a cross sectional study from two regions in Lebanon.BMC health services research · 2026Observational
- Healthcare under fire: a retrospective analysis of a national ngo response during the 2024 conflict in Lebanon.Archives of public health = Archives belges de sante publique · 2026Article
- Bridging crisis recovery and long-term transformation of the health system in Lebanon: evidence from key informant interviews and global lessons.BMC health services research · 2026Article
- "Beyond the Crisis: Forging a Climate-Resilient Health System for Bangladesh".Health science reports · 2026Article
- Building a health system resilience framework: national, state, regional, and local perspectives.Lancet regional health. Americas · 2026Review
- Economic burden of cancer care in Lebanon's privately insured population: a seven-year retrospective cohort analysis (2018-2024).Frontiers in oncology · 2026Article
- A quantitative characterization of antibiotic resistance and its influencing factors in hospital wastewaters across Lebanon.Scientific reports · 2025Article
- Exploring nurse staffing and policy implications in times of crisis: the case of North Lebanon.BMC nursing · 2025Article
- Strengthening primary health care resilience through community innovation: a qualitative case study from Quito's response to COVID-19.International journal for equity in health · 2025Article
- Navigating turbulence: analyzing the resilience of Lebanon's healthcare system in a multi-crisis scenario.Health research policy and systems · 2025Article
- Navigating person-centred care in Lebanon: a study on the perspectives of primary healthcare centre directors and experts.BMC health services research · 2025Article
- Exploring factors that shaped Syrian refugees integration into Lebanon's national health system using Kingdon's Multiple Streams Framework.Conflict and health · 2025Article
- Health equity and system resilience during crises - ensuring healthcare for refugees based on lessons from Iran's response to the 2021 Afghan migration.International journal for equity in health · 2025Article
- Favorable strategies and barriers to the attainment of resilience in healthcare systems: scoping review.Cadernos de saude publica · 2025Article
- Flexible ngo-donor coordination in aid interventions to strengthen resilience: the case of Lebanon's primary healthcare system.BMJ global health · 2024Article
39 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBetween 2011 and 2013, the Lebanese population increased by 30% due to the influx of Syrian refugees. While a sudden increase of such magnitude represents a shock to the health system, threatening the continuity of service delivery and destabilizing governance, it also offers a unique opportunity to study resilience of a health system amidst ongoing crisis.
methodsWe conceptualized resilience as the capacity of a health system to absorb internal or external shocks (for example prevent or contain disease outbreaks and maintain functional health institutions) while sustaining achievements. We explored factors contributing to the resilience of the Lebanese health system, including networking with stakeholders, diversification of the health system, adequate infrastructure and health human resources, a comprehensive communicable disease response and the integration of the refugees within the health system.
resultsIn studying the case of Lebanon we used input-process-output-outcome approach to assess the resilience of the Lebanese health system. This approach provided us with a holistic view of the health system, as it captured not only the sustained and improved outcomes, but also the inputs and processes leading to them.
conclusionOur study indicates that the Lebanese health system was resilient as its institutions sustained their performance during the crisis and even improved.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.