ReviewBMJ global health2021
A health systems resilience research agenda: moving from concept to practice.
Review in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
53 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Resilient surgical instrument reprocessing during healthcare disasters and outbreaks: a systematic review of barriers, preparedness gaps and policy strategies.Antimicrobial resistance and infection control · 2026Pooled it
- Strategic health policy and health system resilience in protracted crisis settings: policymaker perspectives from Yemen.Global health action · 2026Article
- When formal governance persists but resilience does not: health system governance and resilience in Yemen across a decade of conflict and crisis (2014-2025).BMC health services research · 2026Article
- An account of health systems resilience to emergencies in Africa: a scoping review.Globalization and health · 2026Article
- Justice at the interface: advancing community and health system resilience through intersectionality theory.Health policy and planning · 2026Article
- Mapping factors associated with health system resilience against large-scale infectious disease outbreaks: a qualitative study in China.BMC public health · 2026Article
- Building a health system resilience framework: national, state, regional, and local perspectives.Lancet regional health. Americas · 2026Review
- Resilience as recovery: stakeholder perspectives on Uganda's health system response to infectious disease shocks.Frontiers in health services · 2026Article
- One health-sustainability intersections: an umbrella systematic review with a new integrated definition of sustainability and a meta-conceptual framework.One health outlook · 2025Review
- Assessing and measuring community health system resilience - an updated scoping review of approaches.BMC health services research · 2025Article
- Resilient health systems appraisal model. whole-of-system approach to health system resilience in fragile contexts: a best-fit framework synthesis.Conflict and health · 2025Article
- Measuring what matters: key indicators for performance and resilience in fragile, low-income contexts. A scoping review.Health research policy and systems · 2025Article
- Navigating turbulence: analyzing the resilience of Lebanon's healthcare system in a multi-crisis scenario.Health research policy and systems · 2025Article
- Pandemic Performance Measures of Resilience for Healthcare and Education in the Netherlands.The International journal of health planning and management · 2025Article
- Emergency preparedness and health system resilience assessment tool: development and initial validation.BMJ global health · 2025Article
- Health systems governance, shocks and resilience: a scoping review of key concepts and theories.BMJ global health · 2025Article
- Measuring Health System Resilience During the COVID-19 Pandemic Using Dynamic Indicators of Resilience Based on Sick-Leave Data.Health science reports · 2025Article
- Analysis for health system resilience against the economic crisis: a best-fit framework synthesis.Health research policy and systems · 2025Article
- Health system resilience during the COVID-19 pandemic: A comparative analysis of disruptions in care from 32 countries.Health services research · 2024Article
- Healthcare system resilience and adaptability to pandemic disruptions in the United States.Nature medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors.
Funding
Abstract
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 theory and the existing frameworks have not been widely used, which as diluted the research applications for health system resilience. A global group of health system researchers were convened in March 2021 to discuss and identify priorities for health system resilience research and implementation based on lessons from COVID-19 and other health emergencies. Five research priority areas were identified: (1) measuring and managing systems dynamic performance, (2) the linkages between societal resilience and health system resilience, (3) the effect of governance on the capacity for resilience, (4) creating legitimacy and (5) the influence of the private sector on health system resilience. A key to filling these research gaps will be longitudinal and comparative case studies that use cocreation and coproduction approaches that go beyond researchers to include policy-makers, practitioners and the public.
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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.