Re-evaluating the Conceptual Framework of Health System Resilience: Insights From Economic Sanctions Comment on "Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic".

IF 5.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Haniye Sadat Sajadi, Reza Majdzadeh
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引用次数: 0

Abstract

Health system resilience in the context of economic sanctions (ES) is an underexplored area. We used data from recent studies on the impact of ES on the health systems to cross-reference and assess the applicability of the conceptual framework of health system resilience (CFHSR). Reviewing the interventions implemented under ES and aligning them with the CFHSR and COVID-19 responses, we found that the CFHSR domains encompass most strategies from the ES and COVID-19 studies. However, CFHSR does not cover several strategies related to equity and teamwork. Additionally, monitoring the consequences is missing from the experiences of COVID-19 and ES. The CFHSR appears to be reasonably effective in categorizing strategies for both COVID-19 and ES. Nonetheless, its domains can be further refined. Specifically, incorporating an intersectional equity lens could enhance this conceptual framework. The next step is to develop a practical guide to apply CFHSR to strengthen health system resilience.

对“在COVID-19期间重新评估我们对卫生系统复原力的认识:大流行头两年的教训”的评论。
经济制裁背景下的卫生系统复原力是一个未得到充分探索的领域。我们使用了最近关于ES对卫生系统影响的研究数据来交叉参考和评估卫生系统弹性概念框架(CFHSR)的适用性。回顾在ES下实施的干预措施,并将其与CFHSR和COVID-19应对措施进行比对,我们发现CFHSR域涵盖了ES和COVID-19研究中的大多数策略。然而,CFHSR并没有涵盖与公平和团队合作相关的几个策略。此外,在COVID-19和ES的经验中没有监测后果。CFHSR似乎对COVID-19和ES的分类策略都相当有效。尽管如此,它的领域还可以进一步细化。具体来说,结合交叉权益视角可以增强这一概念框架。下一步是制定一份实用指南,将CFHSR应用于加强卫生系统的复原力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Health Policy and Management
International Journal of Health Policy and Management Health Professions-Health Information Management
CiteScore
5.40
自引率
14.30%
发文量
142
审稿时长
9 weeks
期刊介绍: International Journal of Health Policy and Management (IJHPM) is a monthly open access, peer-reviewed journal which serves as an international and interdisciplinary setting for the dissemination of health policy and management research. It brings together individual specialties from different fields, notably health management/policy/economics, epidemiology, social/public policy, and philosophy into a dynamic academic mix.
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