Department of Population Medicine and Health Services Research, School of Public Health, Bielefeld University, Bielefeld, Germany.
Institute for Interdisciplinary Research on Conflict & Violence (IKG), Bielefeld University, Bielefeld, Germany.
Int J Health Policy Manag. 2022 Sep 1;11(9):1956-1959. doi: 10.34172/ijhpm.2022.7279. Epub 2022 Jun 1.
The coronavirus disease 2019 (COVID-19) pandemic has created opportunities to study resilience in multiple, interrelated societal systems while considering the institutional, community and individual level. We aim to discuss critical, yet underrepresented, issues in resilience discourses which are fundamental to advance theories, concepts and measurement of health system resilience. These relate to a better understanding of () how government's handle and to facilitate or impede change, including the role of negotiation and conflicts, () the intersections of health with multiple, co-occurring crises (), and () , ie, the interrelation between individual-level resilience, the collective resilience of groups and communities, and the resilience of a system as a whole (and ). Analyses of these aspects can help to "contextualize" our understanding of resilience in complex adaptive systems. However, conceptual clarity is needed whether resilience is considered an underlying feature, outcome, or intermediate determinant of a (health) system's performance.
新型冠状病毒肺炎（COVID-19）大流行提供了机会，可在考虑机构、社区和个人层面的情况下，从多个相互关联的社会系统研究韧性。我们旨在讨论韧性话语中一些关键但代表性不足的问题，这些问题对于推进健康系统韧性的理论、概念和测量至关重要。这些问题涉及对以下方面的更深入理解：（1）政府如何应对并促进或阻碍变革，包括谈判和冲突的作用；（2）健康与多个同时发生的危机之间的交叉点；（3）个体韧性、群体和社区的集体韧性以及整个系统的韧性之间的相互关系（及其复杂性）。对这些方面的分析有助于“情境化”我们对复杂适应系统中韧性的理解。然而，需要明确概念上的清晰度，即韧性是被视为（健康）系统性能的潜在特征、结果还是中间决定因素。
