Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries

Health systems resilience is key to learning lessons from country responses to crises such as coronavirus disease 2019 (COVID-19). In this perspective, we review COVID-19 responses in 28 countries using a new health systems resilience framework. Through a combination of literature review, national g...

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Vydané v:Nature medicine Ročník 27; číslo 6; s. 964 - 980
Hlavní autori: Haldane, Victoria, De Foo, Chuan, Abdalla, Salma M., Jung, Anne-Sophie, Tan, Melisa, Wu, Shishi, Chua, Alvin, Verma, Monica, Shrestha, Pami, Singh, Sudhvir, Perez, Tristana, Tan, See Mieng, Bartos, Michael, Mabuchi, Shunsuke, Bonk, Mathias, McNab, Christine, Werner, George K., Panjabi, Raj, Nordström, Anders, Legido-Quigley, Helena
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: New York Nature Publishing Group US 01.06.2021
Nature Publishing Group
Predmet:
692/699/255
692/700/478
Biomedical and Life Sciences
Biomedicine
Cancer Research
Community involvement
Community participation
Comparative analysis
Control
Coronaviruses
COVID-19
Epidemics
Europe
Evaluation
Health services
Infectious Diseases
Literature reviews
Medical equipment
Metabolic Diseases
Molecular Medicine
Neurosciences
North America
Pacific Rim
Pandemics
Public health
Public health administration
Resilience
Review Article
Strengthening
System effectiveness
Viral diseases
North America
Pacific Rim
Europe
ISSN:1078-8956, 1546-170X, 1546-170X
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Shrnutí:Health systems resilience is key to learning lessons from country responses to crises such as coronavirus disease 2019 (COVID-19). In this perspective, we review COVID-19 responses in 28 countries using a new health systems resilience framework. Through a combination of literature review, national government submissions and interviews with experts, we conducted a comparative analysis of national responses. We report on domains addressing governance and financing, health workforce, medical products and technologies, public health functions, health service delivery and community engagement to prevent and mitigate the spread of COVID-19. We then synthesize four salient elements that underlie highly effective national responses and offer recommendations toward strengthening health systems resilience globally. A review of COVID-19 responses in 28 selected countries identifies elements of highly effective public health responses and offers recommendations toward strengthening health systems resilience.
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ISSN:1078-8956
1546-170X
1546-170X
DOI:10.1038/s41591-021-01381-y