Gilson Lucy
Health Policy and Systems Division, School of Public Health, University of Cape Town, Cape Town, South Africa.
Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Front Public Health. 2025 Aug 20;13:1653839. doi: 10.3389/fpubh.2025.1653839. eCollection 2025.
Health Policy and Systems Research (HPSR) plays a critical role in efforts to strengthen health systems in pursuit of the Sustainable Development Goals (SDGs). This manuscript, adapted from the 2024 Virchow Lecture, explores the nature of HPSR, presents a systems-thinking perspective on health systems, and outlines key principles and strategies toward health system strengthening. It emphasizes the human dimensions of health systems-relationships, trust, leadership, values and meaning-making-as foundational to their resilience and outcomes. This narrative is informed by decades of experience and research at the intersection of policy, practice, and academia, particularly in low- and middle-income countries. The paper concludes with a call to reimagine health systems as open, dynamic, and human-centered institutions that generate public value and promote equity.
卫生政策与系统研究（HPSR）在为实现可持续发展目标（SDGs）而加强卫生系统的努力中发挥着关键作用。本手稿改编自2024年维尔肖讲座，探讨了HPSR的本质，提出了关于卫生系统的系统思维视角，并概述了加强卫生系统的关键原则和战略。它强调卫生系统的人文层面——关系、信任、领导力、价值观和意义构建——是其恢复力和成果的基础。这一论述基于在政策、实践和学术界交叉领域数十年的经验和研究，尤其是在低收入和中等收入国家。本文最后呼吁将卫生系统重新构想为开放、动态且以人类为中心的机构，以创造公共价值并促进公平。
