Evidence map›Paper›PMID 41059815›Full record

ArticleCadernos de saude publica2025

Favorable strategies and barriers to the attainment of resilience in healthcare systems: scoping review.

Regina Glaucia Lucena Aguiar Ferreira, Hassã Pereira Lemos, Grayce Alencar Albuquerque, Andréa Sílvia Walter de Aguiar, Alice Maria Correia Pequeno, Neiva Francenely Cunha Vieira, Marcia C Castro, Anya Pimentel Gomes Fernandes Vieira-Meyer

Abstract readScoping Review
In one paragraph

Article in Cadernos de saude publica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Regina Glaucia Lucena Aguiar FerreiraUniversidade Federal do Ceará, Fortaleza, Brasil.ORCID 0000-0003-4225-7958
Hassã Pereira LemosSecretaria Municipal de Saúde de Fortaleza, Fortaleza, Brasil.ORCID 0000-0003-0162-5857
Grayce Alencar AlbuquerqueUniversidade Regional do Cariri, Juazeiro do Norte, Brasil.ORCID 0000-0002-8726-0619
Andréa Sílvia Walter de AguiarUniversidade Federal do Ceará, Fortaleza, Brasil.ORCID 0000-0002-4316-9020
Alice Maria Correia PequenoCentro Universitário da Grande Fortaleza, Fortaleza, Brasil.ORCID 0000-0002-4248-1610
Neiva Francenely Cunha VieiraUniversidade Federal do Ceará, Fortaleza, Brasil.ORCID 0000-0002-9622-2462
Marcia C CastroHarvard University, Boston, U.S.A.ORCID 0000-0003-4606-2795
Anya Pimentel Gomes Fernandes Vieira-MeyerFundação Oswaldo Cruz - Ceará, Eusébio, Brasil.ORCID 0000-0003-4237-8995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The resilience of a healthcare system regards the ability of health actors, institutions, and the population to maintain their essential functions in the face of adversity and reorganize based on the lessons learned. Resilient systems can achieve and maintain equity in the health and well-being of populations and respond to public health emergencies. The present scoping review involved a search of the PubMed, Virtual Health Library, Web of Science, and SciELO databases and employed the protocol of the Joanna Briggs Institute to answer the following research question: "What does the scientific evidence indicate as strategies and barriers to the attainment of a resilient healthcare system?". The results revealed that the most strongly indicated strategies were decentralization of the system, a committed, motivated workforce, good governance and leadership, multisectoral partnerships, community involvement, an adequate information system, and investments that favor the sustainability of the healthcare system. In contrast, ineffective management without leadership, inadequate monitoring, an ineffective workforce, a lack of global solidarity, and failure to learn from past experiences constitute barriers to resilience. Understanding strategies and barriers is fundamental to the creation of a resilient healthcare system capable of dealing with chronic and acute stressors.

Indexed as

Delivery of Health CareHumansLeadership

Identifiers

PMID41059815
PMCPMC12494389

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.