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Understanding the Resilience of Health Systems

Abstract

Globally, displacement is now at the highest level ever recorded with 68.5 million people being forcibly displaced due to violence, political instability or poor economic conditions. Migration towards neighbouring countries or more distant high-income settings in Europe is creating new challenges for national health systems. This chapter explores health systems resilience, i.e. the capacity of health systems to adapt and transform themselves in response to challenges. We offer reflections and a new conceptual framework on resilience based on systems thinking and complexity theories. This chapter also offers examples of migration-related challenges and resilience responses in health systems and policies in order to illustrate the utility and relevance of the developed conceptual framework for European and neighbouring health systems faced by population flows and conflict. Finally, we make recommendations for a new research agenda.

Keywords

  • Health system resilience
  • Resilience capacities
  • Conceptual framework
  • Resilience index
  • Migration
  • Health systems research

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Fig. 6.1
Fig. 6.2
Fig. 6.3

Abbreviations

HSA:

Health System Assessment

UHC:

Universal Health Coverage

MIPEX:

Migration Integration Policy Index

UNISDR:

United Nations System for Disaster Risk Reduction

EU:

European Union

UNRWA:

United Nations Relief and Works Agency for Palestine Refugees in the Near East

MHPSS:

Mental health and psychosocial support

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Blanchet, K., Diaconu, K., Witter, S. (2020). Understanding the Resilience of Health Systems. In: Bozorgmehr, K., Roberts, B., Razum, O., Biddle, L. (eds) Health Policy and Systems Responses to Forced Migration. Springer, Cham. https://doi.org/10.1007/978-3-030-33812-1_6

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