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成功的结果为谁和为何?评“澳大利亚新南威尔士州和加拿大安大略省在 COVID-19 大流行期间政府行动及其与医疗保健弹性的关系”一文。

Successful Outcomes for Whom and for What? Comment on "Government Actions and Their Relation to Resilience in Healthcare During the COVID-19 Pandemic in New South Wales, Australia and Ontario, Canada".

机构信息

Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.

出版信息

Int J Health Policy Manag. 2022 Sep 1;11(9):1953-1955. doi: 10.34172/ijhpm.2022.6944. Epub 2022 Apr 25.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is the case of a complex global crisis that requires resilient performance across all levels of healthcare systems worldwide. The analysis of government actions during the COVID-19 pandemic in Australia and Canada by Smaggus et al raises the possibility for a much needed and essential debate on the notion of outcomes in the resilience in healthcare literature. Government actions have downstream effects on stakeholders' capacity for resilience throughout the healthcare system. Yet, outcomes are fluent, multi-faceted and dependant on time, space, and stakeholder perspectives. It is appropriate and timely for the resilience in healthcare field to better grasp the nuances of successful outcomes in complex adaptive systems.

摘要

2019 年冠状病毒病(COVID-19)大流行是一个复杂的全球危机案例,需要全球各级医疗保健系统具有弹性表现。Smaggus 等人对澳大利亚和加拿大政府在 COVID-19 大流行期间的行动进行的分析提出了一个非常需要和必要的辩论,即医疗保健文献中关于弹性的结果概念。政府的行动对整个医疗保健系统中利益相关者的弹性能力产生了下游影响。然而,结果是流畅的、多方面的,并且取决于时间、空间和利益相关者的观点。对于医疗保健弹性领域来说,更好地理解复杂适应系统中成功结果的细微差别是恰当和及时的。

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