Evidence map›Paper›PMID 35151309›Full record

SynthesisBMC public health2022

Toward a theory-led meta-framework for implementing health system resilience analysis studies: a systematic review and critical interpretive synthesis.

Zeynab Foroughi, Parvin Ebrahimi, Aidin Aryankhesal, Mohammadreza Maleki, Shahram Yazdani

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
  2. Metaphors of Health System Resilience as Tools for Preparedness Imagination.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
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  16. The trade-off between health system resiliency and efficiency: evidence from COVID-19 in European regions.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
    Article
  17. How Is Health System Resilience Being Assessed? A Scoping Review.International journal of health policy and management · 2024
    Article
  18. Article
  19. Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework.International journal of environmental research and public health · 2023
    Review
  20. Article
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

5 authors.

Zeynab ForoughiSchool of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Parvin EbrahimiSchool of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. ebrahimi.p@iums.ac.ir.
Aidin AryankhesalSchool of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Mohammadreza MalekiSchool of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Shahram YazdaniVirtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe variety of frameworks and models to describe resilience in the health system has led researchers and policymakers to confusion and the inability to its operationalization. Therefore, the purpose of this study was to create a meta-framework using the Critical Interpretive Synthesis method.

methodFor this purpose, studies that provide theories, models, or frameworks for organizational or health system resilience in humanitarian or organizational crises were systematically reviewed. The search strategy was conducted in PubMed, Web of Science, Embase, and Scopus databases. MMAT quality appraisal tool was applied. Data were analysed using MAXQDA 10 and the Meta-ethnography method.

resultsAfter screening based on eligibility criteria, 43 studies were reviewed. Data analysis led to the identification of five main themes which constitute different framework dimensions. Health system resilience phases, attributes, tools, and strategies besides health system building blocks and goals are various dimensions that provide a systematic framework for health system resilience analysis. DISCUSSION: This study provides a systemic, comprehensive framework for health system resilience analysis. This meta-framework makes it possible to detect the completeness of resilience phases. It examines the system's resilience by its achievements in intermediate objectives (resilience system attributes) and health system goals. Finally, it provides policy solutions to achieve health system resilience using tools in the form of absorptive, adaptive, and transformative strategies.

Indexed as

Government ProgramsHumansCritical interpretive synthesisHealth systemMeta-frameworkResilience

Identifiers

PMID35151309
PMCPMC8840319

What OpenQuestion holds

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LicenceCC BY
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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.