Evidence map›Paper›PMID 41827528›Full record

ArticleHealthcare (Basel, Switzerland)2026

Transformative Resilience in European Health Governance After COVID-19: A Policy Analysis.

Krzysztof Goniewicz, Amir Khorram-Manesh

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

2 authors.

Krzysztof GoniewiczDepartment of Security Studies, Polish Air Force University, 08-521 Dęblin, Poland.ORCID 0000-0003-4368-6850
Amir Khorram-ManeshDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 405 30 Gothenburg, Sweden.ORCID 0000-0002-2734-5733

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic exposed structural weaknesses in European public health systems while simultaneously accelerating institutional and digital reforms at the European Union (EU) level. This study examines how the EU has evolved from reactive crisis management toward a governance paradigm conceptualized as transformative resilience, understood as the institutional capacity to anticipate, adapt, and structurally reconfigure health governance in response to systemic shocks.

methodsThis study employs a structured qualitative policy analysis based on a purposive corpus of key EU legislative and strategic documents (2020-2025), complemented by a contextual review of selected EU-level indicators. The analysis focuses on reforms associated with the European Health Union, including the establishment of the Health Emergency Preparedness and Response Authority (HERA), the development of the European Health Data Space (EHDS), and the adoption of the Artificial Intelligence Act.

resultsThe findings indicate progressive consolidation of supranational coordination mechanisms, deeper integration of digital infrastructure into health governance, and strategic incorporation of health security into the EU's broader security architecture. Rather than assessing policy effectiveness, the analysis documents a structural and regulatory shift toward anticipatory and embedded preparedness. Persistent challenges remain, including uneven implementation capacity across member states, disparities in digital maturity, and tensions between innovation and data protection.

conclusionsThe EU's post-pandemic trajectory reflects a distinctive governance model in which health security, digital sovereignty, and democratic safeguards are framed as mutually reinforcing dimensions of resilience within an increasingly complex risk environment.

Indexed as

artificial intelligencedigital sovereigntyEU governanceEuropean Health Data SpaceEuropean Health Unionhealth securitypublic health policystrategic preparednesstransformative resilience

Identifiers

PMID41827528
PMCPMC12984126

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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.