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Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework

Author

Listed:
  • Camille Poroes

    (Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, 1010 Lausanne, Switzerland)

  • Laurence Seematter-Bagnoud

    (Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, 1010 Lausanne, Switzerland)

  • Kaspar Wyss

    (Swiss Tropical and Public Health Institute, 4123 Allschwil, Switzerland
    Faculty of Natural Science, University of Basel, 4001 Basel, Switzerland)

  • Isabelle Peytremann-Bridevaux

    (Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, 1010 Lausanne, Switzerland)

Abstract

With the COVID-19 pandemic, the notion of health system (HS) performance has been discussed, and the notion of resilience has become increasingly important. Lacking a recognised framework that measures the performance of HSs throughout a crisis, i.e., one that explicitly includes time as a key aspect, we examined the literature about conceptual frameworks for measuring the performance and the resilience of HSs. This review highlighted a significant diversity among 18 distinct HS performance frameworks and 13 distinct HS resilience frameworks. On this basis, we developed a model that integrates the WHO’s widely recognised six building block framework in a novel approach derived from the European Observatory on HSs and Policies. The resulting framework adapts the building blocks to the different stages of a crisis, thereby allowing for a comprehensive assessment of an entire health system’s performance throughout the crisis’s duration, while also considering the key aspect of resilience. For a more pragmatic use of this framework in the future, indicators will be developed as a next step.

Suggested Citation

  • Camille Poroes & Laurence Seematter-Bagnoud & Kaspar Wyss & Isabelle Peytremann-Bridevaux, 2023. "Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework," IJERPH, MDPI, vol. 20(17), pages 1-23, August.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:17:p:6666-:d:1227244
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    References listed on IDEAS

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