Karl Landsteiner Institute for Health Services Research, 3454 Sitzenberg-Reidling, Austria.
Social Insurance Fund for Public Service, Railway and Mining Industries, 1080 Vienna, Austria.
Int J Environ Res Public Health. 2022 Feb 25;19(5):2679. doi: 10.3390/ijerph19052679.
(1) Background: The push towards population health management and the need for new approaches in health services delivery focusing on the prevention and management of chronic diseases has helped in advocating for more person-centred care, and thus for integration of physical and mental health. Resilience plays a key role in supporting sustainable lifestyle changes and promoting health and wellbeing, but most assessment tools available today are too long for widespread use. The purpose of this paper is to describe the development of a new diagnostic tool to capture a person's resilience and resources. (2) Methods: This paper outlines the interrelatedness of different theories of salutogenesis, social determinants of health and health promotion with resilience and establishes resilience as a key enabler to promote health and wellbeing. (3) Results: A new, short questionnaire is proposed based on the triade of evidence-based medicine, which should be easy to use and give a good assessment of a person's resilience. (4) Conclusions: There are many reasons why the call for a short and easy-to-use assessment tool for resilience is warranted. In view of the international transition towards integrated, person-centred health systems, such a tool would find many usages. It would also support the strategies to tackle multi-morbidity, complex conditions and the social determinants of health in its focus on strengthening an individual's ability to cope with adverse events, and actively engage in health promotion and community involvement programmes. The next step is to test the tool in practice and validate it.
(1) 背景：人口健康管理的推动以及对以预防和管理慢性病为重点的新医疗服务提供方式的需求，有助于倡导更多以患者为中心的护理，从而实现身心健康的整合。韧性在支持可持续生活方式改变、促进健康和幸福感方面发挥着关键作用，但目前大多数可用的评估工具都太长，无法广泛使用。本文旨在描述一种新的诊断工具的开发，以捕捉个人的韧性和资源。(2) 方法：本文概述了不同的健康正发生理论、健康的社会决定因素和健康促进与韧性的相互关系，并将韧性确立为促进健康和幸福感的关键因素。(3) 结果：基于循证医学的三元组，提出了一种新的简短问卷，该问卷应该易于使用，并能很好地评估一个人的韧性。(4) 结论：有很多原因需要一个简短易用的韧性评估工具。鉴于国际上向整合的、以患者为中心的医疗系统的转变，这样的工具将有很多用途。它还将支持应对多病共存、复杂情况和健康的社会决定因素的策略，重点是增强个人应对不利事件的能力，并积极参与健康促进和社区参与计划。下一步是在实践中测试该工具并验证其有效性。
