Resilience: Now What?; Comment on “Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic”
In this paper we draw upon the review article “Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons from the First Two Years of the Pandemic” by Saulnier et al. to propose some additional themes to be considered regarding ongoing conversations on health system resilience. Complementing the lessons learned brought forward in the article, we propose three thematic areas which may enrichen this conversation. These three themes are posed as questions: 1. Transformation - towards what? 2. Crises and shocks - what counts as such? and 3. Levels and scales – can tensions be reconciled? While our insights are strongly rooted in research results on health system resilience during COVID-19 in Finland, we seek to discuss their wider implications for health system resilience and beyond the context of a single country.
Saulnier DD, Duchenko A, Ottilie-Kovelman S, Tediosi F, Blanchet K. Re-evaluating our knowledge of health system resilience during COVID-19: lessons from the first two years of the pandemic. Int J Health Policy Manag. 2023;12:6659. doi:34172/ijhpm.2022.6659
Blanchet K, Nam SL, Ramalingam B, Pozo-Martin F. Governance and capacity to manage resilience of health systems: towards a new conceptual framework. Int J Health Policy Manag. 2017;6(8):431-435. doi:15171/ijhpm.2017.36
Karreinen S, Paananen H, Kihlström L, et al. Living through uncertainty: a qualitative study on leadership and resilience in primary healthcare during COVID-19. BMC Health Serv Res. 2023;23(1):233. doi:1186/s12913-023-09223-y
Karreinen S, Rautiainen P, Keskimäki I, Satokangas M, Viita-Aho M, Tynkkynen LK. Pandemic preparedness and response regulations in Finland: experiences and implications for post-COVID-19 reforms. Health Policy. 2023;132:104802. doi:1016/j.healthpol.2023.104802
Kihlström L, Huhtakangas M, Karreinen S, Viita-Aho M, Keskimäki I, Tynkkynen LK. "Local cooperation has been the cornerstone": facilitators and barriers to resilience in a decentralized health system during COVID-19 in Finland. J Health Organ Manag. 2023;37(1):35-52. doi:1108/jhom-02-2022-0069
Kihlström L, Siemes L, Huhtakangas M, Keskimäki I, Tynkkynen LK. Power and politics in a pandemic: Insights from Finnish health system leaders during COVID-19. Soc Sci Med. 2023;321:115783. doi:1016/j.socscimed.2023.115783
Fafard P, Cassola A, de Leeuw E. Integrating Science and Politics for Public Health. Palgrave Studies in Public Health Policy Research. Cham: Palgrave Macmillan; 2022. doi:1007/978-3-030-98985-9
Mouffe C. The Return of the Political. Verso Books; 2006.
Sorsa VP, Kivikoski K. COVID-19 and democracy: a scoping review. BMC Public Health. 2023;23(1):1668. doi:1186/s12889-023-16172-y
Saulnier DD, Topp SM. We need to talk about 'bad' resilience. BMJ Glob Health. 2024;9(2):e014041. doi:1136/bmjgh-2023-014041
Barrios RE. Resilience: a commentary from the vantage point of anthropology. Ann Anthropol Pract. 2016;40(1):28-38. doi:1111/napa.12085
Bankoff G, Hillhorst D. Introduction: mapping vulnerability. In: Bankoff G, Frerks G, D Hillhorst D, eds. Mapping Vulnerability: Disasters, Development, and People. London: Earthscan; 2004:1-9.
Haldane V, De Foo C, Abdalla SM, et al. Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries. Nat Med. 2021;27(6):964-980. doi:1038/s41591-021-01381-y
Kihlström, L., & Karreinen, S. (2024). Resilience: Now What?; Comment on “Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic”. International Journal of Health Policy and Management, 13(1), 1-3. doi: 10.34172/ijhpm.8563
MLA
Laura Kihlström; Soila Karreinen. "Resilience: Now What?; Comment on “Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic”", International Journal of Health Policy and Management, 13, 1, 2024, 1-3. doi: 10.34172/ijhpm.8563
HARVARD
Kihlström, L., Karreinen, S. (2024). 'Resilience: Now What?; Comment on “Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic”', International Journal of Health Policy and Management, 13(1), pp. 1-3. doi: 10.34172/ijhpm.8563
VANCOUVER
Kihlström, L., Karreinen, S. Resilience: Now What?; Comment on “Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic”. International Journal of Health Policy and Management, 2024; 13(1): 1-3. doi: 10.34172/ijhpm.8563