Defining and analyzing health system resilience in rural jurisdictions

Mason Barnard, Sienna Mark, Scott L. Greer, Benjamin D. Trump, Igor Linkov and Holly Jarman ()
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Mason Barnard: Princeton University
Sienna Mark: University of Michigan School of Public Health
Scott L. Greer: University of Michigan School of Public Health
Benjamin D. Trump: University of Michigan School of Public Health
Igor Linkov: Carnegie Mellon University
Holly Jarman: University of Michigan School of Public Health

Environment Systems and Decisions, 2022, vol. 42, issue 3, 362-371

Abstract: Abstract Rural areas face well known and distinctive health care challenges that can limit their resilience in the face of health emergencies such as the COVID-19 pandemic. These include problems of sparsity and consequent limited health care provisioning; poverty, inequalities, and distinctive economic structures that limit access to health care; and underlying population health risks and inequalities that can increase vulnerability. Nonetheless, not all rural areas face the same problems, and non-rural areas can have challenges. To be useful in influencing policy, a tool to identify more and less resilient areas is necessary. This Commentary reviews key forms of risk and constructs a county-level index of resilience for the United States which helps to identify countries with limited resilience. Further, it argues that health care resilience should be conceptualized in terms of broader regions than counties since health care facilities’ referral regions are larger than individual counties; resilience needs to be understood at that level. The index, read at the level of counties and referral regions, can contribute to identification of immediate problems as well as targets for longer term investment and policy response.

Keywords: Health systems; Rural; Resilience (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1007/s10669-022-09876-w

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