| 1. |
- Saulnier, Dell, et al.
(författare)
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Health Systems Resilience
- 2023
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Ingår i: Global Health Essentials. - 9783031338502 - 9783031338519 ; , s. 355-358
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Bokkapitel (refereegranskat)abstract
- Health systems need to continue functioning and providing essential health services, even when they experience challenges that threaten their ability to do so. Resilience describes the ability for health systems to manage change when they are shocked, so that essential functions are maintained. The capacity to change ranges from absorbing the shock using existing resources to fundamentally reorganizing the system. Resilience is needed proactively to prepare and plan for shocks, during a shock to respond to the event, and to learn from a shock after it ends. Strengthening the whole system can help to build resilience, such as strengthening the ways that actors and groups in the system interact. Understanding the processes that support change in a system will help usunderstand how to build resilience.
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| 2. |
- Forsgren, Lena, et al.
(författare)
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Health systems resilience in practice : a scoping review to identify strategies for building resilience
- 2022
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 22, s. 1-9
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Forskningsöversikt (refereegranskat)abstract
- BACKGROUND: Research on health systems resilience has focused primarily on the theoretical development of the concept and its dimensions. There is an identified knowledge gap in the research on how to build resilience in health systems in practice and 'what works' in different contexts. The aim of this study is to identify practical strategies for building resilient health systems from the empirical research on health systems resilience.METHODS: A scoping review included empirical research on health systems resilience from peer-reviewed literature. The search in the electronic databases PubMed, Web of Science, Global Health was conducted during January to March 2021 for articles published in English between 2013 to February 2021. A total of 1771 articles were screened, and data was extracted from 22 articles. The articles included empirical, applied research on strategies for resilience, that observed or measured resilience during shocks or chronic stress through collection of primary data or analysis of secondary data, or if they were a review study of empirical research. A narrative summary was done by identifying action-oriented strategies, comparing them, and presenting them by main thematic areas.RESULTS: The results demonstrate examples of strategies used or recommended within nine identified thematic areas; use of community resources, governance and financing, leadership, surveillance, human resources, communication and collaboration, preparedness, organizational capacity and learning and finally health system strengthening.CONCLUSIONS: The findings emphasize the importance of improved governance and financing, empowered middle-level leadership, improved surveillance systems and strengthened human resources. A re-emphasized focus on health systems strengthening with better mainstreaming of health security and international health regulations are demonstrated in the results as a crucial strategy for building resilience. A lack of strategies for recovery and lessons learnt from crises are identified as gaps for resilience in future.
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| 3. |
- Numerato, Dino, et al.
(författare)
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Mortality and Length of Stay of Very Low Birth Weight and Very Preterm Infants: A EuroHOPE Study
- 2015
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Ingår i: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 10:6
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this paper was to compare health outcomes and hospital care use of very low birth weight (VLBW), and very preterm (VLGA) infants in seven European countries. Analysis was performed on linkable patient-level registry data from seven European countries between 2006 and 2008 (Finland, Hungary, Italy (the Province of Rome), the Netherlands, Norway, Scotland, and Sweden). Mortality and length of stay (LoS) were adjusted for differences in gestational age (GA), sex, intrauterine growth, Apgar score at five minutes, parity and multiple births. The analysis included 16,087 infants. Both the 30-day and one-year adjusted mortality rates were lowest in the Nordic countries (Finland, Sweden and Norway) and Scotland and highest in Hungary and the Netherlands. For survivors, the adjusted average LoS during the first year of life ranged from 56 days in the Netherlands and Scotland to 81 days in Hungary. There were large differences between European countries in mortality rates and LoS in VLBW and VLGA infants. Substantial data linkage problems were observed in most countries due to inadequate identification procedures at birth, which limit data validity and should be addressed by policy makers across Europe.
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| 4. |
- Abbafati, Cristiana, et al.
(författare)
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- 2020
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Tidskriftsartikel (refereegranskat)
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