ArticleNature medicine2024
Healthcare system resilience and adaptability to pandemic disruptions in the United States.
Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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
16 citing papers in PubMed.
- Assessing the resilience of a key health service: The response of acute surgical provision in England to the disruption of the COVID-19 pandemic.Journal of health services research & policy · 2026Article
- Direct and spillover hospitalisation patterns during climate hazards across regions of different health-system resilience levels in China: a nationwide retrospective analysis.The Lancet. Planetary health · 2026Observational
- A metric for quantifying adaptation to successive disruptions.Scientific reports · 2026Article
- Culture eats evidence for breakfast: how culture influences implementation of evidence-based practices.Implementation science communications · 2026Article
- Global, regional, and national burden of injury associated internal hemorrhage in the abdomen and pelvis from 1990-2021.Communications medicine · 2026Article
- Computational design of 3C-like protease substrate peptide for modular detection of protease activity of coronavirus.Engineering in life sciences · 2026Article
- The impact of COVID-19 social disruptions on general-, mental- and substance use healthcare services among people with and without HIV in the United States.BMC health services research · 2025Article
- Demand-capacity estimation using queueing theory: application to hospital resource planning in the 2023 Türkiye earthquake.Human resources for health · 2025Article
- Women's experiences giving birth outside of health facilities in Kenya during the COVID-19 pandemic: a qualitative study.BMJ open · 2025Article
- A small set of critical hyper-motifs governs heterogeneous flow-weighted network resilience.Nature communications · 2025Article
- Emergency preparedness and health system resilience assessment tool: development and initial validation.BMJ global health · 2025Article
- Infectivity and fatality of influenza in pre- and post-COVID-19 pandemic year.PLoS computational biology · 2025Article
- Causation Not Correlation: Simple Mediation Analysis of Amputation Costs.The Journal of surgical research · 2025Article
- Trends and cross-country inequalities in the global burden of inguinal, femoral, and abdominal hernia from 1990 to 2021, with projections from 2022 to 2035: a cross-sectional study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Deep learning resilience inference for complex networked systems.Nature communications · 2024Article
- Evaluating the Impact of Telehealth Prenatal Care at a Federally Qualified Health Center.Journal of midwifery & women's healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Understanding healthcare system resilience has become paramount, particularly in the wake of the COVID-19 pandemic, which imposed unprecedented burdens on healthcare services and severely impacted public health. Resilience is defined as the system's ability to absorb, recover from and adapt to disruptions; however, despite extensive studies on this subject, we still lack empirical evidence and mathematical tools to quantify its adaptability (the ability of the system to adjust to and learn from disruptions). By analyzing millions of patients' electronic medical records across US states, we find that the COVID-19 pandemic caused two successive waves of disruptions within the healthcare systems, enabling natural experiment analysis of the adaptive capacity of each system to adapt to past disruptions. We generalized the quantification framework and found that the US healthcare systems exhibit substantial adaptability (ρ = 0.58) but only a moderate level of resilience (r = 0.70). When considering system responses across racial groups, Black and Hispanic groups were more severely impacted by pandemic disruptions than white and Asian groups. Physician abundance was the key characteristic for determining healthcare system resilience. Our results offer vital guidance in designing resilient and sustainable healthcare systems to prepare for future waves of disruptions akin to COVID-19 pandemics.
Indexed as
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38956198What 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.