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Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries.
Haldane, Victoria; De Foo, Chuan; Abdalla, Salma M; Jung, Anne-Sophie; Tan, Melisa; Wu, Shishi; Chua, Alvin; Verma, Monica; Shrestha, Pami; Singh, Sudhvir; Perez, Tristana; Tan, See Mieng; Bartos, Michael; Mabuchi, Shunsuke; Bonk, Mathias; McNab, Christine; Werner, George K; Panjabi, Raj; Nordström, Anders; Legido-Quigley, Helena.
  • Haldane V; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • De Foo C; Saw Swee Hock School of Public Health, Singapore, Singapore.
  • Abdalla SM; School of Public Health, Boston University, Boston, MA, USA.
  • Jung AS; The Independent Panel for Pandemic Preparedness and Response Secretariat, Geneva, Switzerland.
  • Tan M; London School of Hygiene and Tropical Medicine, London, UK.
  • Wu S; Saw Swee Hock School of Public Health, Singapore, Singapore.
  • Chua A; Saw Swee Hock School of Public Health, Singapore, Singapore.
  • Verma M; Saw Swee Hock School of Public Health, Singapore, Singapore.
  • Shrestha P; Saw Swee Hock School of Public Health, Singapore, Singapore.
  • Singh S; Saw Swee Hock School of Public Health, Singapore, Singapore.
  • Perez T; The Independent Panel for Pandemic Preparedness and Response Secretariat, Geneva, Switzerland.
  • Tan SM; Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
  • Bartos M; London School of Hygiene and Tropical Medicine, London, UK.
  • Mabuchi S; Saw Swee Hock School of Public Health, Singapore, Singapore.
  • Bonk M; The Independent Panel for Pandemic Preparedness and Response Secretariat, Geneva, Switzerland.
  • McNab C; School of Sociology, Australian National University, Canberra, New South Wales, Australia.
  • Werner GK; The Independent Panel for Pandemic Preparedness and Response Secretariat, Geneva, Switzerland.
  • Panjabi R; The Independent Panel for Pandemic Preparedness and Response Secretariat, Geneva, Switzerland.
  • Nordström A; Berlin Institute of Global Health, Berlin, Germany.
  • Legido-Quigley H; The Independent Panel for Pandemic Preparedness and Response Secretariat, Geneva, Switzerland.
Nat Med ; 27(6): 964-980, 2021 06.
Article in English | MEDLINE | ID: covidwho-1232071
ABSTRACT
Health systems resilience is key to learning lessons from country responses to crises such as coronavirus disease 2019 (COVID-19). In this perspective, we review COVID-19 responses in 28 countries using a new health systems resilience framework. Through a combination of literature review, national government submissions and interviews with experts, we conducted a comparative analysis of national responses. We report on domains addressing governance and financing, health workforce, medical products and technologies, public health functions, health service delivery and community engagement to prevent and mitigate the spread of COVID-19. We then synthesize four salient elements that underlie highly effective national responses and offer recommendations toward strengthening health systems resilience globally.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / Global Health / Pandemics / COVID-19 Type of study: Observational study / Prognostic study / Reviews Limits: Humans Language: English Journal: Nat Med Journal subject: Molecular Biology / Medicine Year: 2021 Document Type: Article Affiliation country: S41591-021-01381-y

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / Global Health / Pandemics / COVID-19 Type of study: Observational study / Prognostic study / Reviews Limits: Humans Language: English Journal: Nat Med Journal subject: Molecular Biology / Medicine Year: 2021 Document Type: Article Affiliation country: S41591-021-01381-y