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28 août 2023
- doi: 10.3390/ijerph20176666
- issn: 1660-4601
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info:eu-repo/semantics/altIdentifier/doi/10.3390/ijerph20176666
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info:eu-repo/semantics/altIdentifier/pmid/37681806
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info:eu-repo/semantics/altIdentifier/eissn/1660-4601
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_CFED26BA8F2A7
info:eu-repo/semantics/openAccess , CC BY 4.0 , https://creativecommons.org/licenses/by/4.0/
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C. Poroes et al., « Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework. », Serveur académique Lausannois, ID : 10.3390/ijerph20176666
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Résumé
With the COVID-19 pandemic, the notion of health system (HS) performance has been discussed, and the notion of resilience has become increasingly important. Lacking a recognised framework that measures the performance of HSs throughout a crisis, i.e., one that explicitly includes time as a key aspect, we examined the literature about conceptual frameworks for measuring the performance and the resilience of HSs. This review highlighted a significant diversity among 18 distinct HS performance frameworks and 13 distinct HS resilience frameworks. On this basis, we developed a model that integrates the WHO's widely recognised six building block framework in a novel approach derived from the European Observatory on HSs and Policies. The resulting framework adapts the building blocks to the different stages of a crisis, thereby allowing for a comprehensive assessment of an entire health system's performance throughout the crisis's duration, while also considering the key aspect of resilience. For a more pragmatic use of this framework in the future, indicators will be developed as a next step.