Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework

Camille Poroes (), Laurence Seematter-Bagnoud, Kaspar Wyss and Isabelle Peytremann-Bridevaux
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Camille Poroes: Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, 1010 Lausanne, Switzerland
Laurence Seematter-Bagnoud: Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, 1010 Lausanne, Switzerland
Kaspar Wyss: Swiss Tropical and Public Health Institute, 4123 Allschwil, Switzerland
Isabelle Peytremann-Bridevaux: Centre for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, 1010 Lausanne, Switzerland

IJERPH, 2023, vol. 20, issue 17, 1-23

Abstract: 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.

Keywords: health systems; performance; resilience; crisis; frameworks (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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