Logo: to the web site of Uppsala University

uu.sePublications from Uppsala University
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Any lessons to learn?: Pathways and impasses towards health system resilience in post-pandemic times
Fulda Univ Appl Sci, Dept Hlth Sci, Fulda, Germany..
Erasmus Univ, Erasmus Sch Hlth Policy & Management, Rotterdam, Netherlands..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..ORCID iD: 0000-0002-3921-5522
Erasmus Univ, Erasmus Sch Hlth Policy & Management, Rotterdam, Netherlands..
2023 (English)In: Health Economics, Policy and Law, ISSN 1744-1331, E-ISSN 1744-134X, Vol. 18, no 1, p. 66-81Article in journal (Refereed) Published
Abstract [en]

The COVID-19 pandemic has been an ultimate challenge for health systems as a whole rather than just single sectors (e.g. hospital care). Particularly, interface management between health system sectors and cooperation among stakeholders turned out to be crucial for an adequate crisis response. Dealing with such interfaces, it is argued in the literature, demands from health care systems to become resilient. One way to analyse this is to focus on the ways in which bottlenecks in health systems are dealt with during the pandemic. This paper investigates six bottlenecks, including overburdened public health agencies, neglected nursing homes and insufficient testing capacities that have been encountered in the health systems of Germany, Sweden and the Netherlands during the pandemic. Based on empirical findings we identify and critically discuss preliminary lessons in terms of health system resilience, an increasingly popular theoretical concept that frames crises as an opportunity for health system renewal. We argue that in practice health system resilience is hindered by path dependencies of national health systems and, owed to the crisis, interim policies that lack ambition for broader reforms.

Place, publisher, year, edition, pages
CAMBRIDGE UNIV PRESS , 2023. Vol. 18, no 1, p. 66-81
Keywords [en]
COVID-19, Germany, health system, resilience, Sweden, the Netherlands
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-522925DOI: 10.1017/S1744133122000238ISI: 001139077400005PubMedID: 36121039OAI: oai:DiVA.org:uu-522925DiVA, id: diva2:1837265
Available from: 2024-02-13 Created: 2024-02-13 Last updated: 2024-02-13Bibliographically approved

Open Access in DiVA

fulltext(325 kB)30 downloads
File information
File name FULLTEXT01.pdfFile size 325 kBChecksum SHA-512
6e9620c6094b67926af66e43c082252d6f26afa729f6d5cb7069e63e679994c4675a060f5433034cf0189498e95ec7d2aab3cb70a777b76dc619ea4a87a9f30f
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records

Winblad, Ulrika

Search in DiVA

By author/editor
Winblad, Ulrika
By organisation
Health Services ResearchCaring Sciences
In the same journal
Health Economics, Policy and Law
Public Health, Global Health, Social Medicine and EpidemiologyHealth Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar
Total: 30 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 128 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf