[Adaptation of healthcare systems to disasters, crises and war : Resilient, robust and secure hospitals and dealing with medical standards].

Abstract

The resilience of healthcare systems is their ability to respond to disruptive crises by coping, maintaining key services and perseverance. After the crisis, it is a sign of resilience to evaluate the lessons identified and initiate improvement processes based on these lessons in order to emerge from the crisis with improved structures. An essential prerequisite for resilience is the robustness of hospitals and healthcare systems. This is decisively supported by the pillars of personnel, supplies and spatial/infrastructure. These are embedded in an overarching set of rules consisting of legal foundations, strategic principles and operational tools. It is crucial for the realization of resilience that the rules enable and do not hinder the action and the medical care. Reducing bureaucracy is of crucial importance here and can be put into practice in very concrete terms. A more resilient system that is capable of adequately responding to impending and already existing crises can only be achieved by noticeably reducing the complexity of the healthcare system.