Governance and Capacity to Manage Resilience of Health Systems: Towards a New Conceptual Framework
Governance and Capacity to Manage Resilience of Health Systems: Towards a New Conceptual Framework
复制标题
DOI：
10.15171/ijhpm.2017.36
复制
发表时间：
2017-08-01
影响因子：
3.5
通讯作者：
Pozo-Martin, Francisco
中科院分区：
文献类型：
--
作者：
Blanchet, Karl;Nam, Sara L.;Pozo-Martin, Francisco
自2014年西非埃博拉疫情爆发以来，“复原力”一词一直主导着卫生系统研究人员的讨论。人们普遍认为，国际社会必须帮助建立更具复原力的卫生系统。但我们真的知道韧性意味着什么吗？我们对韧性的看法是否一致？本文基于系统思想和复杂性理论，提出了一个新的韧性治理概念框架。在本文中，我们将卫生系统的复原力视为其在受到大流行病、自然灾害或武装冲突等冲击时吸收、适应和转变的能力，并仍然保持对其结构和功能的相同控制。
The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on governance of resilience based on systems thinking and complexity theories. In this paper, we see resilience of a health system as its capacity to absorb, adapt and transform when exposed to a shock such as a pandemic, natural disaster or armed conflict and still retain the same control over its structure and functions.