Evidence map›Paper›PMID 33946804›Full record

ArticleInternational journal of environmental research and public health2021

Resilience Testing of Health Systems: How Can It Be Done?

Heather L Rogers, Pedro Pita Barros, Jan De Maeseneer, Lasse Lehtonen, Christos Lionis, Martin McKee, Luigi Siciliani, Dorothea Stahl, Jelka Zaletel, Dionne Kringos

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Article
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  6. Article
  7. How Is Health System Resilience Being Assessed? A Scoping Review.International journal of health policy and management · 2024
    Article
  8. Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework.International journal of environmental research and public health · 2023
    Review
  9. Article
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  12. Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Heather L RogersBiocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain.ORCID 0000-0002-7562-4542
Pedro Pita BarrosNova School of Business and Economics, Universidade Nova de Lisboa, 2775-405 Lisbon, Portugal.
Jan De MaeseneerDepartment of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium.ORCID 0000-0002-7296-2909
Lasse LehtonenHelsinki University Hospital and University of Helsinki, 00029 Helsinki, Finland.
Christos LionisClinic of Social and Family Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0002-9324-2839
Martin McKeeDepartment of Health Services and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.ORCID 0000-0002-0121-9683
Luigi SicilianiDepartment of Economics and Related Studies, University of York, York YO10 5DD, UK.
Dorothea StahlKlinikum Bielefeld, Universitätsklinikum OWL der Universität Bielefeld, 33604 Bielefeld, Germany.
Jelka ZaletelNational Insitute of Public Health Slovenia and University Medical Center, 1000 Ljubljana, Slovenia.
Dionne KringosAmsterdam UMC, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 identify recommendations for health system strengthening. The proposed resilience test toolkit consists of "what if" adverse scenarios, a menu of health system performance elements and indicators based on an input-output-outcomes framework, a discussion guide for each adverse scenario, and a traffic light scorecard template. The five phases of implementation include Phase 0, a preparatory phase to adapt the toolkit materials; Phase 1: facilitated discussion groups with stakeholders regarding the adverse scenarios; Phase 2: supplemental data collection of relevant quantitative indicators; Phase 3: summarization of results; Phase 4: action planning and health system transformation. The toolkit and 5-phased approach can support countries to test resilience of health systems, and provides a concrete roadmap to its implementation.

Indexed as

Delivery of Health CareGovernment ProgramsCOVID-19health systemresilience testing

Identifiers

PMID33946804
PMCPMC8124463

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.