ReviewHealth research policy and systems2024
Concept analysis of health system resilience.
Review in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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
12 citing papers in PubMed.
- Public Perception of Health Care Before, During, and After COVID-19: Longitudinal Analysis of Online Reviews.Journal of medical Internet research · 2026Observational
- Advancing justice and sustainability through health system resilience under economic sanctions.Health policy and planning · 2026Article
- Powering care at the frontlines: healthcare providers' perspectives on solarised primary health centres in rural Karnataka, India, using the WHO HHFA framework.Frontiers in medical technology · 2026Article
- Frontline Healthcare Workers' Reflections on Operationalizing the COVID-19 Pandemic Response: A Qualitative Study.Journal of nursing management · 2026Article
- Editorial: Perspectives and opinions in health services, volume II.Frontiers in health services · 2026Article
- Assessing and measuring community health system resilience - an updated scoping review of approaches.BMC health services research · 2025Article
- Kerala's public healthcare services: Bihar's blueprint for post-COVID-19 resilience.Journal of family medicine and primary care · 2025Article
- Toward resilience for public health emergency response system during COVID-19: qualitative comparative analyses of 40 countries.Frontiers in public health · 2025Article
- Strategies to maintain health service provision during the COVID-19 pandemic in refugee settings in Jordan and Uganda.PLOS global public health · 2025Article
- Early GLP-1 Agonist Use and Cancer Risk in Type 2 Diabetes: A Real-World Data Cohort Study.Oncology research · 2025Article
- Flexible ngo-donor coordination in aid interventions to strengthen resilience: the case of Lebanon's primary healthcare system.BMJ global health · 2024Article
- Preparedness of Nursing Homes: A Typology and Analysis of Responses to the COVID-19 Crisis in a French Network.Healthcare (Basel, Switzerland) · 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
6 authors.
Funding
Abstract
backgroundThere are several definitions of resilience in health systems, many of which share some characteristics, but no agreed-upon framework is universally accepted. Here, we review the concept of resilience, identifying its definitions, attributes, antecedents and consequences, and present the findings of a concept analysis of health system resilience.
methodsWe follow Schwarz-Barcott and Kim's hybrid model, which consists of three phases: theoretical, fieldwork and final analysis. We identified the concept definitions, attributes, antecedents and consequences of health system resilience and constructed an evidence-informed framework on the basis of the findings of this review. We searched PubMed, PsycINFO, CINAHL Complete, EBSCOhost-Academic Search and Premier databases and downloaded identified titles and abstracts on Covidence. We screened 3357 titles and removed duplicate and ineligible records; two reviewers then screened each title, and disagreements were resolved by discussion with the third reviewer. From the 130 eligible manuscripts, we identified the definitions, attributes, antecedents and consequences using a pre-defined data extraction form.
resultsResilience antecedents are decentralization, available funds, investments and resources, staff environment and motivation, integration and networking and finally, diversification of staff. The attributes are the availability of resources and funds, adaptive capacity, transformative capacity, learning and advocacy and progressive leadership. The consequences of health system resilience are improved health system performance, a balanced governance structure, improved expenditure and financial management of health and maintenance of health services that support universal health coverage (UHC) throughout crises.
conclusionA resilient health system maintains quality healthcare through times of crisis. During the coronavirus disease 2019 (COVID-19) epidemic, several seemingly robust health systems were strained under the increased demand, and services were disrupted. As such, elements of resilience should be integrated into the functions of a health system to ensure standardized and consistent service quality and delivery. We offer a systematic, evidence-informed method for identifying the attributes of health system resilience, intending to eventually be used to develop a measuring tool to evaluate a country's health system resilience performance.
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What OpenQuestion holds
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.