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Health system resilience in the context of forced migration: a qualitative framework analysis of Germany's crisis responses in 2015 and 2020

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  • Jahn, Rosa
  • Perplies, Clara
  • Rast, Eilin
  • Biddle, Louise
  • Gold, Andreas W.
  • Bozorgmehr, Kayvan

Abstract

Health system resilience, the ability of a health system to maintain its functions under stress, has received increasing attention in recent years. Shortcomings in health system resilience are often most visible in the most vulnerable settings, including the care for asylum seekers and refugees. We therefore examined how the German health system responded to challenges and uncertainties during the large-scale immigration to Europe in 2015 and the COVID-19 pandemic in 2020.

Suggested Citation

  • Jahn, Rosa & Perplies, Clara & Rast, Eilin & Biddle, Louise & Gold, Andreas W. & Bozorgmehr, Kayvan, 2025. "Health system resilience in the context of forced migration: a qualitative framework analysis of Germany's crisis responses in 2015 and 2020," Social Science & Medicine, Elsevier, vol. 381(C).
    • Handle: RePEc:eee:socmed:v:381:y:2025:i:c:s0277953625005040
    DOI: 10.1016/j.socscimed.2025.118174
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    References listed on IDEAS

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    1. Viola Burau & Michelle Falkenbach & Stefano Neri & Stephen Peckham & Iris Wallenburg & Ellen Kuhlmann, 2022. "Health system resilience and health workforce capacities: Comparing health system responses during the COVID‐19 pandemic in six European countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(4), pages 2032-2048, July.
    2. Turenne, Charlotte Pailliard & Gautier, Lara & Degroote, Stéphanie & Guillard, Etienne & Chabrol, Fanny & Ridde, Valéry, 2019. "Conceptual analysis of health systems resilience: A scoping review," Social Science & Medicine, Elsevier, vol. 232(C), pages 168-180.
    3. Alameddine, M. & Fouad, Fouad M. & Diaconu, K. & Jamal, Z. & Lough, G. & Witter, S. & Ager, A., 2019. "Resilience capacities of health systems: Accommodating the needs of Palestinian refugees from Syria," Social Science & Medicine, Elsevier, vol. 220(C), pages 22-30.
    4. Bozorgmehr, Kayvan & Samuilova, Mariya & Petrova-Benedict, Roumyana & Girardi, Enrico & Piselli, Pierluca & Kentikelenis, Alexander, 2019. "Infectious disease health services for refugees and asylum seekers during a time of crisis: A scoping study of six European Union countries," Health Policy, Elsevier, vol. 123(9), pages 882-887.
    5. Gottlieb, Nora & Schülle, Mirjam, 2021. "An overview of health policies for asylum-seekers in Germany," Health Policy, Elsevier, vol. 125(1), pages 115-121.
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