Evidence map›Paper›PMID 37579465›Full record

ReviewInternational journal of health policy and management2023

Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic.

Dell D Saulnier, Anna Duchenko, Sierra Ottilie-Kovelman, Fabrizio Tediosi, Karl Blanchet

Abstract readReview
In one paragraph

Review in International journal of health policy and management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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

27 citing papers in PubMed.

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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.

Dell D SaulnierDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0000-0001-7761-0737
Anna DuchenkoSwiss Tropical and Public Health Institute, Basel, Switzerland.
Sierra Ottilie-KovelmanSwiss Tropical and Public Health Institute, Basel, Switzerland.
Fabrizio TediosiSwiss Tropical and Public Health Institute, Basel, Switzerland.ORCID 0000-0001-8671-9400
Karl BlanchetGeneva Centre of Humanitarian Studies, Faculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID 0000-0003-0498-8020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth challenges like coronavirus disease 2019 (COVID-19) are becoming increasingly complex, transnational, and unpredictable. Studying health system responses to the COVID-19 pandemic is an opportunity to enhance our understanding of health system resilience and establish a clearer link between theoretical concepts and practical ideas on how to build resilience.

methodsThis narrative literature review aims to address four questions using a health system resilience framework: (

resultsThere is good understanding around information sharing, flexibility and good leadership, learning, maintaining essential services, and the need for legitimate, interdependent systems. Decision-making, localized trust, influences on interdependence, and transformation remain uncertain. Vertical interdependence, monitoring risks beyond the health system, and consequences of changes on the system were not discussed. Teamwork, actor legitimacy, values, inclusivity, trans-sectoral resilience, and the role of the private sector are identified as lessons from COVID-19 that should be further explored for health system resilience.

conclusionKnowledge of health system resilience has continued to cohere following the pandemic. The eventual consequences of system changes and the resilience of subsystems are underexplored. Through governance, the concept of health system resilience can be linked to wider issues raised by the pandemic, like inclusivity. Our findings show the utility of resilience theory for strengthening health systems for crises and the benefit of continuing to refine existing resilience theory.

Indexed as

COVID-19Databases, FactualGovernment ProgramsHumansKnowledgePandemicsCOVID-19GovernanceHealth System Resilience

Identifiers

PMID37579465
PMCPMC10125099

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.