SynthesisHealth policy (Amsterdam, Netherlands)2022
Metrics and indicators used to assess health system resilience in response to shocks to health systems in high income countries-A systematic review.
Synthesis in Health policy (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Measuring hospital care resilience: a systematic literature review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Pooled it
- Pooled it
- Metrics and indicators used to assess health system resilience in response to shocks to health systems in high income countries-A systematic review.Health policy (Amsterdam, Netherlands) · 2022Pooled it
- Performance indicators for evaluating and optimising hospital services during COVID-19: a scoping review.BMJ open · 2026Article
- Building resilient primary health care in somalia: integrating noncommunicable disease and mental health interventions for universal health coverage amidst fragility-a health systems analysis and prospective economic review.BMC health services research · 2026Article
- Why health diplomacy should be understood as a deterrence instrument: evidence from Sweden's health system.Globalization and health · 2026Article
- Building a health system resilience framework: national, state, regional, and local perspectives.Lancet regional health. Americas · 2026Review
- From inherent capacities to resilient systems: a multi-dimensional framework for assessing health system resilience.BMC health services research · 2026Article
- The role of the nursing workforce in health system resilience during disasters: a scoping review of empirical studies.International journal of nursing studies advances · 2025Review
- Prioritization of hospital resilience indicators for disaster preparedness: a fuzzy Delphi-AHP approach in Iranian public hospitals.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
- Exploring health system resilience during the COVID-19 pandemic in Sweden: an interrupted time series analysis of service utilisation and sociodemographic differences.BMC health services research · 2025Article
- Health system response to health emergencies in low- and middle-income countries: a systematic review protocol.BMJ open · 2025Article
- Pandemic Performance Measures of Resilience for Healthcare and Education in the Netherlands.The International journal of health planning and management · 2025Article
- "I want to hear you talk with your heart": perspectives on receiving and providing mental wellness supports during the COVID-19 pandemic within a First Nation community in Canada.BMC public health · 2025Article
- [Healthcare institution resilience and the influencing factors during infectious disease outbreaks].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025Article
- Analysis for health system resilience against the economic crisis: a best-fit framework synthesis.Health research policy and systems · 2025Article
- Favorable strategies and barriers to the attainment of resilience in healthcare systems: scoping review.Cadernos de saude publica · 2025Article
- A framework for managing infectious diseases in rural areas in low- and middle-income countries in the face of climate change-East Africa as a case study.PLOS global public health · 2025Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health system resilience has never been more important than with the COVID-19 pandemic. There is need to identify feasible measures of resilience, potential strategies to build resilience and weaknesses of health systems experiencing shocks. The purpose of this systematic review is to examine how the resilience of health systems has been measured across various health system shocks. Following PRISMA guidelines, with double screening at each stage, the review identified 3175 studies of which 68 studies were finally included for analysis. Almost half (46%) were focused on COVID-19, followed by the economic crises, disasters and previous pandemics. Over 80% of studies included quantitative metrics. The most common WHO health system functions studied were resources and service delivery. In relation to the shock cycle, most studies reported metrics related to the management stage (79%) with the fewest addressing recovery and learning (22%). Common metrics related to staff headcount, staff wellbeing, bed number and type, impact on utilisation and quality, public and private health spending, access and coverage, and information systems. Limited progress has been made with developing standardised qualitative metrics particularly around governance. Quantitative metrics need to be analysed in relation to change and the impact of the shock. The review notes problems with measuring preparedness and the fact that few studies have really assessed the legacy or enduring impact of shocks.
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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.