ReviewThe Lancet regional health. Europe2021
Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises.
Review in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Hospital system resilience in the face of armed conflicts; a cross sectional study from two regions in Lebanon.BMC health services research · 2026Observational
- Impact of the COVID-19 pandemic on university performance: a retrospective follow-up study of the University of Split, Croatia.Journal of global health · 2026Article
- Healthcare workers' attitudes regarding the assessment of dementia in the elderly.BMC health services research · 2025Article
- Perception of the ethical climate among hospital employees in a public healthcare system: a cross-sectional survey at the University Hospital of Split, Croatia.BMC medical ethics · 2025Article
- Multiscale information processing in the immune system.Frontiers in immunology · 2025Review
- Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey.Diseases (Basel, Switzerland) · 2024Article
- Scenario-based assessment of emergency management of urban infectious disease outbreaks.Frontiers in public health · 2024Article
- Breaking Barriers in Cranioplasty: 3D Printing in Low and Middle-Income Settings-Insights from Zenica, Bosnia and Herzegovina.Medicina (Kaunas, Lithuania) · 2023Observational
- Determinants of COVID-19 immunisation uptake in a country with high mortality and a low vaccination rate.Journal of infection and public health · 2023Article
- Health Service Implementation and Antifragile Characteristics in Rural Communities: A Dirt Research Approach.International journal of environmental research and public health · 2023Article
- The Attitudes and Practices Regarding COVID-19 among General Practitioners from Croatia and Bosnia and Herzegovina: A Cross-Sectional Study.Behavioral sciences (Basel, Switzerland) · 2023Article
- Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic.International journal of health policy and management · 2023Review
- Boosting ICU capacity during the COVID-19 pandemic in the western Balkan region, The Republic of Srpska experience.Journal of public health research · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute crises, such as a war or a pandemic, are the ultimate tests for health care systems' resilience (temporary response to stress with change and adaptation) and antifragility (permanent benefit from change in response to stress). In this Health Policy paper, we analyse and discuss how the healthcare systems of two European countries - Bosnia and Herzegovina and Croatia - adapted to war as a man-made disaster, and how they adapted to COVID-19 pandemic twenty-five years later. These countries experienced full scale wars in recent history, which significantly changed their political and healthcare systems. This experience prepared the countries for the response to the pandemic, which coincided with two earthquakes in Croatia. We argue that healthcare systems in Croatia and Bosnia and Herzegovina are not only resilient but antifragile, and that they benefited from stressors they were exposed to. The antifragility of the two systems were primarily based on human effort - the strength, adaptability and resilience of health care professionals. We will look at lessons from the wars that were applied to the pandemic and discuss newly recognized opportunities and improvements.
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