Evidence-Based Public Health, Centre for International Health Protection, Robert Koch Institute, Nordufer 20, 13353, Berlin, Germany.
Global Health. 2020 Nov 19;16(1):112. doi: 10.1186/s12992-020-00645-5.
The last months have left no-one in doubt that the COVID-19 pandemic is exerting enormous pressure on health systems around the world, bringing to light the sub-optimal resilience of even those classified as high-performing. This makes us re-think the extent to which we are using the appropriate metrics in evaluating health systems which, in the case of this pandemic, might have masked how unprepared some countries were. It also makes us reflect on the strength of our solidarity as a global community, as we observe that global health protection remains, as this pandemic shows, focused on protecting high income countries from public health threats originating in low and middle income countries. To change this course, and in times like this, all nations should come together under one umbrella to respond to the pandemic by sharing intellectual, human, and material resources. In order to work towards stronger and better prepared health systems, improved and resilience-relevant metrics are needed. Further, a new model of development assistance for health, one that is focused on stronger and more resilient health systems, should be the world's top priority.
过去的几个月无疑表明，COVID-19 大流行正在给世界各地的卫生系统带来巨大压力，即使是那些被归类为表现良好的系统，其弹性也明显不足。这使得我们重新思考在评估卫生系统时使用的适当指标的程度，在这种大流行的情况下，这些指标可能掩盖了一些国家的准备不足。这也使我们反思作为一个全球共同体的团结程度，因为我们观察到，全球卫生保护仍然集中在保护高收入国家免受源自中低收入国家的公共卫生威胁。为了改变这种局面，在这种时候，所有国家都应该团结在一个保护伞下，通过共享知识、人力和物质资源来应对这一大流行病。为了建立更强有力和准备更充分的卫生系统，需要改进和与弹性相关的指标。此外，一种新的卫生发展援助模式，即侧重于更强有力和更有弹性的卫生系统，应成为世界的首要任务。
