Resilient and responsive healthcare services and systems: challenges and opportunities in a changing world.

Siri Wiig, Jane K O'Hara
Author Information
  1. Siri Wiig: SHARE-Centre for Resilience in healthcare, Faculty of Health Sciences, University of Stavanger, N-4036, Stavanger, Norway. siri.wiig@uis.no.
  2. Jane K O'Hara: School of Healthcare, University of Leeds, Leeds, UK.

Abstract

BACKGROUND: Resilient and responsive healthcare systems is on the agenda as ever before. COVID-19, specialization of services, resource demands, and technology development are all examples of aspects leading to adaptations among stakeholders at different system levels whilst also attempting to maintain high service quality and safety. This commentary sets the scene for a journal collection on Resilient and responsive health systems in a changing world. The commentary aims to outline main challenges and opportunities in resilient healthcare theory and practice globally, as a backdrop for contributions to the collection.
MAIN TEXT: Some of the main challenges in this field relate to a myriad of definitions and approaches to resilience in healthcare, and a lack of studies having multilevel perspectives. Also, the role of patients, families, and the public in resilient and responsive healthcare systems is under researched. By flipping the coin, this illustrates opportunities for research and practice and raise key issues that future resilience research should pay attention to. The potential of combining theoretical lenses from different resilience traditions, involvement of multiple stakeholders in co-creating research and practice improvement, and modelling and visualizing resilient performance are all opportunities to learn more about how healthcare succeeds under stress and normal operations.
CONCLUSION: A wide understanding of resilience and responsiveness is needed to support planning and preparation for future disasters and for handling the routine small-scale adaptation. This collection welcomes systematic reviews, quantitative, qualitative, and mixed-methods research on the topic of resilience and responsiveness in all areas of the health system.

Keywords

References

  1. J R Soc Med. 2019 Sep;112(9):365-369 [PMID: 31115260]
  2. Appl Ergon. 2020 Sep;87:103111 [PMID: 32310111]
  3. BMC Health Serv Res. 2021 Jul 31;21(1):759 [PMID: 34332581]
  4. J Patient Saf. 2020 Sep;16(3):e205-e210 [PMID: 30211785]
  5. Int J Qual Health Care. 2015 Oct;27(5):418-20 [PMID: 26294709]
  6. J Patient Saf. 2021 Mar 1;17(2):122-130 [PMID: 33480644]
  7. Soc Sci Med. 2019 Jul;232:168-180 [PMID: 31100697]
  8. J Patient Saf. 2019 Oct 22;: [PMID: 31651540]
  9. BMJ Open. 2021 Aug 9;11(8):e045183 [PMID: 34373294]
  10. BMC Health Serv Res. 2020 Apr 19;20(1):330 [PMID: 32306981]
  11. BMJ Open. 2020 Dec 4;10(12):e039158 [PMID: 33277279]
  12. BMJ Open. 2020 Dec 3;10(12):e042847 [PMID: 33273051]
  13. BMC Health Serv Res. 2020 Aug 18;20(1):762 [PMID: 32811492]
  14. BMC Health Serv Res. 2020 Apr 17;20(1):324 [PMID: 32303209]
  15. Int J Health Policy Manag. 2018 Feb 06;7(6):491-503 [PMID: 29935126]
  16. Environ Syst Decis. 2020 Jun 4;:1-35 [PMID: 32837821]
  17. BMJ Qual Saf. 2020 Oct;29(10):1-2 [PMID: 32229626]
  18. Health Serv Res. 2016 Oct;51(5):1701-5 [PMID: 27658366]
  19. BMJ Qual Saf. 2018 Sep;27(9):673-682 [PMID: 29545325]
  20. BMJ Open. 2020 Oct 26;10(10):e038779 [PMID: 33109657]
  21. Qual Saf Health Care. 2010 Feb;19(1):42-7 [PMID: 20172882]

MeSH Term

COVID-19
Delivery of Health Care
Health Facilities
Health Services
Humans
SARS-CoV-2

Word Cloud

Created with Highcharts 10.0.0healthcareresilienceResilientresponsivesystemsopportunitiesresearchcollectionchallengesresilientpracticeservicesstakeholdersdifferentsystemsafetycommentaryhealthchangingworldmainfutureresponsivenessBACKGROUND:agendaeverCOVID-19specializationresourcedemandstechnologydevelopmentexamplesaspectsleadingadaptationsamonglevelswhilstalsoattemptingmaintainhighservicequalitysetsscenejournalaimsoutlinetheorygloballybackdropcontributionsMAINTEXT:fieldrelatemyriaddefinitionsapproacheslackstudiesmultilevelperspectivesAlsorolepatientsfamiliespublicresearchedflippingcoinillustratesraisekeyissuespayattentionpotentialcombiningtheoreticallensestraditionsinvolvementmultipleco-creatingimprovementmodellingvisualizingperformancelearnsucceedsstressnormaloperationsCONCLUSION:wideunderstandingneededsupportplanningpreparationdisastershandlingroutinesmall-scaleadaptationwelcomessystematicreviewsquantitativequalitativemixed-methodstopicareassystems:AdaptivecapacityHealthLearningPatientQuality

Similar Articles

Cited By