Health system resilience: Lebanon and the Syrian refugee crisis
Health system resilience: Lebanon and the Syrian refugee crisis
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DOI：
10.7189/jogh.06.020704
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发表时间：
2016-12-01
影响因子：
7.2
通讯作者：
Zalloua, Pierre A.
中科院分区：
文献类型：
--
作者：
Ammar, Walid;Kdouh, Ola;Zalloua, Pierre A.
背景2011年至2013年，由于叙利亚难民的涌入，黎巴嫩人口增加了30%。虽然如此大规模的突然增加对卫生系统构成冲击，威胁到服务提供的连续性，并破坏治理的稳定，它也提供了一个独特的机会来研究卫生系统在持续危机中的恢复力。方法我们将恢复力概念化为卫生系统吸收内部或外部冲击的能力（例如，预防或控制疾病爆发和维持正常运作的卫生机构），同时保持成就。我们探讨了黎巴嫩卫生系统的弹性，包括与利益相关者的网络，卫生系统的多样化，足够的基础设施和卫生人力资源，全面的传染病应对和整合的难民在卫生系统内的因素。结果在研究的情况下，黎巴嫩，我们使用输入-过程-输出-结果的方法来评估黎巴嫩卫生系统的弹性。这种方法为我们提供了一个整体的卫生系统的观点，因为它不仅捕捉到持续和改善的成果，但也投入和过程导致them.Conclusion我们的研究表明，黎巴嫩的卫生系统是弹性的，因为它的机构在危机期间维持他们的表现，甚至改善。
Background Between 2011 and 2013, the Lebanese population increased by 30% due to the influx of Syrian refugees. While a sudden increase of such magnitude represents a shock to the health system, threatening the continuity of service delivery and destabilizing governance, it also offers a unique opportunity to study resilience of a health system amidst ongoing crisis.Methods We conceptualized resilience as the capacity of a health system to absorb internal or external shocks (for example prevent or contain disease outbreaks and maintain functional health institutions) while sustaining achievements. We explored factors contributing to the resilience of the Lebanese health system, including networking with stakeholders, diversification of the health system, adequate infrastructure and health human resources, a comprehensive communicable disease response and the integration of the refugees within the health system.Results In studying the case of Lebanon we used input-process-output-outcome approach to assess the resilience of the Lebanese health system. This approach provided us with a holistic view of the health system, as it captured not only the sustained and improved outcomes, but also the inputs and processes leading to them.Conclusion Our study indicates that the Lebanese health system was resilient as its institutions sustained their performance during the crisis and even improved.