Department of Anaesthesiology and Perioperative Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Int J Health Policy Manag. 2022 Sep 1;11(9):1960-1963. doi: 10.34172/ijhpm.2022.7364. Epub 2022 Jul 3.
Resilient healthcare (RHC) emphasises the importance of adaptive capacity to respond to unanticipated crises such as the global coronavirus disease 2019 (COVID-19) pandemic but there are few examples of RHC research focusing on the decisions taken by macro level policy makers. The Smaggus et al paper analyses the actions of two governments in Canada and Australia as described in media releases from a resilience perspective. The paper clearly articulates the need for conceptual clarity when analysing system resilience, and integrates three theoretical perspectives to understand the types of government responses and how they were related to resilience. The paper makes a valuable contribution to the developing RHC evidence base, but challenges remain in identifying conceptual frameworks, researching macro level resilience, including identifying and accessing reliable macro level data sources, analysing interactions between macro, meso and micro system levels, and understanding how resilience manifests at different temporal and spatial scales.
弹性医疗保健（RHC）强调了适应能力的重要性，以应对诸如全球 2019 年冠状病毒病（COVID-19）大流行等突发事件，但很少有研究从宏观政策制定者的决策角度关注 RHC 的例子。Smaggus 等人的论文从弹性的角度分析了加拿大和澳大利亚两国政府在媒体发布中的行动。该论文明确阐明了在分析系统弹性时需要明确概念，并整合了三个理论观点，以了解政府应对措施的类型以及它们与弹性的关系。该论文为不断发展的 RHC 证据基础做出了有价值的贡献，但在确定概念框架、研究宏观弹性方面仍存在挑战，包括确定和获取可靠的宏观数据来源、分析宏观、中观和微观系统层面之间的相互作用，以及了解弹性在不同时间和空间尺度上的表现。
