Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries

Victoria Haldane; Chuan De Foo; Salma M. Abdalla; Anne Sophie Jung; Melisa Tan; Shishi Wu; Alvin Chua; Monica Verma; Pami Shrestha; Sudhvir Singh; Tristana Perez; See Mieng Tan; Michael Bartos; Shunsuke Mabuchi; Mathias Bonk; Christine McNab; George K. Werner; Raj Panjabi; Anders Nordström; Helena Legido-Quigley

doi:10.1038/s41591-021-01381-y

Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries

Victoria Haldane, Chuan De Foo, Salma M. Abdalla, Anne Sophie Jung, Melisa Tan, Shishi Wu, Alvin Chua, Monica Verma, Pami Shrestha, Sudhvir Singh, Tristana Perez, See Mieng Tan, Michael Bartos, Shunsuke Mabuchi, Mathias Bonk, Christine McNab, George K. Werner, Raj Panjabi, Anders Nordström, Helena Legido-Quigley^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

713 Citations (Scopus)

Abstract

Health systems resilience is key to learning lessons from country responses to crises such as coronavirus disease 2019 (COVID-19). In this perspective, we review COVID-19 responses in 28 countries using a new health systems resilience framework. Through a combination of literature review, national government submissions and interviews with experts, we conducted a comparative analysis of national responses. We report on domains addressing governance and financing, health workforce, medical products and technologies, public health functions, health service delivery and community engagement to prevent and mitigate the spread of COVID-19. We then synthesize four salient elements that underlie highly effective national responses and offer recommendations toward strengthening health systems resilience globally.

Original language	English
Pages (from-to)	964-980
Number of pages	17
Journal	Nature Medicine
Volume	27
Issue number	6
DOIs	https://doi.org/10.1038/s41591-021-01381-y
Publication status	Published - Jun 2021

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Haldane, V., De Foo, C., Abdalla, S. M., Jung, A. S., Tan, M., Wu, S., Chua, A., Verma, M., Shrestha, P., Singh, S., Perez, T., Tan, S. M., Bartos, M., Mabuchi, S., Bonk, M., McNab, C., Werner, G. K., Panjabi, R., Nordström, A., & Legido-Quigley, H. (2021). Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries. Nature Medicine, 27(6), 964-980. https://doi.org/10.1038/s41591-021-01381-y

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title = "Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries",

abstract = "Health systems resilience is key to learning lessons from country responses to crises such as coronavirus disease 2019 (COVID-19). In this perspective, we review COVID-19 responses in 28 countries using a new health systems resilience framework. Through a combination of literature review, national government submissions and interviews with experts, we conducted a comparative analysis of national responses. We report on domains addressing governance and financing, health workforce, medical products and technologies, public health functions, health service delivery and community engagement to prevent and mitigate the spread of COVID-19. We then synthesize four salient elements that underlie highly effective national responses and offer recommendations toward strengthening health systems resilience globally.",

author = "Victoria Haldane and {De Foo}, Chuan and Abdalla, {Salma M.} and Jung, {Anne Sophie} and Melisa Tan and Shishi Wu and Alvin Chua and Monica Verma and Pami Shrestha and Sudhvir Singh and Tristana Perez and Tan, {See Mieng} and Michael Bartos and Shunsuke Mabuchi and Mathias Bonk and Christine McNab and Werner, {George K.} and Raj Panjabi and Anders Nordstr{\"o}m and Helena Legido-Quigley",

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year = "2021",

month = jun,

doi = "10.1038/s41591-021-01381-y",

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Haldane, V, De Foo, C, Abdalla, SM, Jung, AS, Tan, M, Wu, S, Chua, A, Verma, M, Shrestha, P, Singh, S, Perez, T, Tan, SM, Bartos, M, Mabuchi, S, Bonk, M, McNab, C, Werner, GK, Panjabi, R, Nordström, A & Legido-Quigley, H 2021, 'Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries', Nature Medicine, vol. 27, no. 6, pp. 964-980. https://doi.org/10.1038/s41591-021-01381-y

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T1 - Health systems resilience in managing the COVID-19 pandemic

T2 - lessons from 28 countries

AU - Haldane, Victoria

AU - De Foo, Chuan

AU - Abdalla, Salma M.

AU - Jung, Anne Sophie

AU - Tan, Melisa

AU - Wu, Shishi

AU - Chua, Alvin

AU - Verma, Monica

AU - Shrestha, Pami

AU - Singh, Sudhvir

AU - Perez, Tristana

AU - Tan, See Mieng

AU - Bartos, Michael

AU - Mabuchi, Shunsuke

AU - Bonk, Mathias

AU - McNab, Christine

AU - Werner, George K.

AU - Panjabi, Raj

AU - Nordström, Anders

AU - Legido-Quigley, Helena

PY - 2021/6

Y1 - 2021/6

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AB - Health systems resilience is key to learning lessons from country responses to crises such as coronavirus disease 2019 (COVID-19). In this perspective, we review COVID-19 responses in 28 countries using a new health systems resilience framework. Through a combination of literature review, national government submissions and interviews with experts, we conducted a comparative analysis of national responses. We report on domains addressing governance and financing, health workforce, medical products and technologies, public health functions, health service delivery and community engagement to prevent and mitigate the spread of COVID-19. We then synthesize four salient elements that underlie highly effective national responses and offer recommendations toward strengthening health systems resilience globally.

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U2 - 10.1038/s41591-021-01381-y

DO - 10.1038/s41591-021-01381-y

M3 - Review article

SN - 1078-8956

VL - 27

SP - 964

EP - 980

JO - Nature Medicine

JF - Nature Medicine

IS - 6

ER -

Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries

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