Gisela van Kessel, Steve Milanese, Janine Dizon, Daniel H de Vries, Hayley MacGregor, Sharon Abramowitz, Luisa Enria, Doris Burtscher, Eng-Kiong Yeoh, Beena E Thomas, Rim Kwang, Joao Rangel de Almeida, Nina Gobat
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To guide policy and practice, conceptual clarity is needed on what community resilience involves and how it can be operationalised for community protection in ways that empower and strengthen local agency.</p><p><strong>Objectives: </strong>To identify the core components of community resilience to health emergencies using a scoping review methodology.</p><p><strong>Search methods: </strong>PubMed, EMCARE, Scopus, Web of Science, PTSDpubs, APO and ProQuest Dissertations were systematically searched to identify review studies published from 2014.</p><p><strong>Selection criteria: </strong>Studies were included if they reported a review of original research papers investigating community resilience in the context of a health emergency.</p><p><strong>Data collection and analysis: </strong>Data were extracted from included studies using a specially developed data extraction form. 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引用次数: 0
摘要
背景：人们认识到社区复原力在减轻突发卫生事件对社区的长期影响方面的重要性。为了指导政策和实践，需要在概念上明确社区复原力涉及什么，以及如何以赋权和加强地方机构的方式将其用于社区保护。目标：利用范围审查方法确定社区应对突发卫生事件能力的核心组成部分。检索方法：系统检索PubMed、EMCARE、Scopus、Web of Science、PTSDpubs、APO和ProQuest论文，确定2014年以来发表的综述研究。选择标准：如果研究报告了对突发卫生事件背景下调查社区复原力的原始研究论文的审查，则纳入研究。数据收集和分析：使用专门开发的数据提取表格从纳入的研究中提取数据。对定性数据进行综合分析，包括三个层次的分析。主要结果：纳入38篇证据综述。分析确定了社区恢复力的重复特征。六项研究报告了社区弹性所需的10项能力，包括：适应、转变、吸收、预测、准备、预防、自我组织、包容、联系和应对。25项研究报告了11种类型的资源：社会、经济、环境、治理、有形基础设施、机构、通信、人力资本、卫生、应急管理和社会经济。结论：已经确定了21个组成部分，可作为实施和衡量社区复原力的基础。在灾害管理的背景下，社区复原力是一个相当成熟的概念，反映了一个社区承受冲击和从冲击中恢复的内在能力。有必要将“资源”的观点纳入一个更广泛的有利环境。这里确定的同一组成分是否与由疾病或人类侵略行为引起的公共卫生紧急情况相关，以及向卫生紧急情况管理的关键端点阐明复原力逻辑，这些都有研究的余地。
Community resilience to health emergencies: a scoping review.
Background: There is recognition of the importance of community resilience in mitigating long-term effects of health emergencies on communities. To guide policy and practice, conceptual clarity is needed on what community resilience involves and how it can be operationalised for community protection in ways that empower and strengthen local agency.
Objectives: To identify the core components of community resilience to health emergencies using a scoping review methodology.
Search methods: PubMed, EMCARE, Scopus, Web of Science, PTSDpubs, APO and ProQuest Dissertations were systematically searched to identify review studies published from 2014.
Selection criteria: Studies were included if they reported a review of original research papers investigating community resilience in the context of a health emergency.
Data collection and analysis: Data were extracted from included studies using a specially developed data extraction form. Qualitative data were subjected to a meta-synthesis consisting of three levels of analysis.
Main results: 38 evidence reviews were included. Analysis identified recurring characteristics of community resilience. Six studies reported 10 abilities required for community resilience including: adapt, transform, absorb, anticipate, prepare, prevent, self-organise, include, connect and cope. 25 studies reported 11 types of resources: social, economic, environmental, governance, physical infrastructure, institutional, communication, human capital, health, emergency management and socioeconomic.
Conclusions: 21 components have been identified that can be used as a basis for operationalising and measuring community resilience. In contexts of disaster management, community resilience is a fairly mature concept that reflects a community's inherent capacity/abilities to withstand and recover from shocks. There is a need to incorporate a 'resource' perspective that speaks to a wider enabling environment. There is scope to investigate whether the same set of components identified here has relevance in public health emergencies emanating from disease or human acts of aggression and to articulate resilience logics to critical endpoints for health emergency management.
期刊介绍：
BMJ Global Health is an online Open Access journal from BMJ that focuses on publishing high-quality peer-reviewed content pertinent to individuals engaged in global health, including policy makers, funders, researchers, clinicians, and frontline healthcare workers. The journal encompasses all facets of global health, with a special emphasis on submissions addressing underfunded areas such as non-communicable diseases (NCDs). It welcomes research across all study phases and designs, from study protocols to phase I trials to meta-analyses, including small or specialized studies. The journal also encourages opinionated discussions on controversial topics.
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