Governance and Capacity to Manage Resilience of Health Systems

00:05:44
https://www.youtube.com/watch?v=xoIDIjQ57lQ

概要

TLDRThe audio summary from the International Journal of Health Policy and Management delves into the concept of resilience in health systems. It emphasizes the need for defining resilience, recognizing risk situations, and determining which system properties are best adapted to handle various scenarios. A new conceptual framework adapted from ecological systems is presented, including four key dimensions - knowledge, adaptability, interdependence, and community trust. Knowledge is crucial for anticipating shocks like pandemics, while adaptability involves flexible decision-making. Interdependence recognizes that health systems are part of larger political and economic contexts, and community trust ensures socially accepted changes.

収穫

  • 🧠 Knowledge is key in anticipating health system shocks.
  • 🔄 Adaptability involves flexible resources for unexpected events.
  • 🤝 Interdependence involves cross-sector and multi-scale engagement.
  • 📊 A functional disease surveillance system is critical.
  • 🛠 Flexibility is needed over rigid funding to tackle uncertainties.
  • 🌍 Health systems are part of broader political and economic structures.
  • 👥 Community trust and ownership are vital for effective system changes.

タイムライン

  • 00:00:00 - 00:05:44

    The audio summary from the International Journal of Health Policy and Management discusses the concept of resilience in health systems. It emphasizes the importance of understanding and defining resilience, recognizing risk situations, and adapting system properties to specific circumstances. The focus is on managing and governing health system resilience capacities through a new conceptual framework adapted from ecological models. This framework identifies four key dimensions: knowledge, adaptability, flexibility, and interdependence. For instance, adaptability is crucial for the system's response to stresses and shocks, influenced by actions from individuals and networks. Flexibility pertains to accessing adaptable resources to handle unexpected events, as discovered in a McKinsey study in Nigeria. Interdependence highlights the engagement with various actors across different systems and scales. Finally, introducing changes within health systems should foster community trust and ensure social and contextual acceptance.

マインドマップ

Mind Map

よくある質問

  • What is resilience in health systems?

    Resilience in health systems refers to the ability to adapt to stresses and shocks through individual and collective actions.

  • Why is knowledge important in building a resilient health system?

    Knowledge is essential as it helps anticipate events, informs managers about pandemics, and assesses the system's strengths and weaknesses.

  • What is adaptability in health systems?

    Adaptability is the capacity of health system actors to respond to changes and stresses, requiring flexible resources and decision-making.

  • Why is interdependence important in health systems?

    Interdependence involves engaging with actors from different sectors and scales, considering health systems within larger political, economic, and social structures.

  • What does community trust and ownership mean in the context of health systems?

    Community trust and ownership ensure that changes are socially and contextually accepted, making them sustainable and effective.

  • What does a functional disease surveillance system do?

    It alerts health service managers to the occurrence and spread of diseases, aiding in timely response to epidemics.

  • How can health systems prepare for unexpected shocks?

    Having access to flexible, adaptable resources rather than rigid, inflexible funding helps health systems respond to unforeseen challenges.

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  • 00:00:00
    [Music]
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    International Journal of Health Policy
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    and management quality and speed are
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    over culture and the keys to our success
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    welcome to the audio summary section of
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    the International Journal of health
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    policy and management
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    there is great consensus on the
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    importance of building resilience
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    there's no doubt about it but how do we
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    define resilience of health systems why
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    do we mean by resilience how do we
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    recognize situations of risk how do we
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    know what properties of the system are
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    better adapted to certain circumstances
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    sharks who make decisions on the
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    directions of their health systems and
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    based on what these are the critical
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    questions on the management and
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    governance of residence on how to manage
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    the capacities of health systems the
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    quite you click in place a new
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    conceptual framework new for health
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    systems and public health but not you
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    for ecology it's very much an adaptation
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    from a conceptual framework Lavelle has
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    used in ecosystems and we have
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    identified four dimensions knowledge
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    anticipating the shocks and events such
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    as epidemic requires a functional
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    disease surveillance system for example
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    to inform health services managers on
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    the occurrence of pandemics and the
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    stress state of transmission of the
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    disease
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    that's one it is very important but the
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    nature of the knowledge that needs to be
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    collected and processed and analyzed to
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    ensure and measure visions next needs to
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    extend beyond the sphere of health
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    system we need to look at the current
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    level of results is available we need
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    look we need to look at what are the
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    current weaknesses of the others of the
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    health system to make sure that we we
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    compensate and we we adapt in terms of
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    uncertainties when we talk about
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    resilience we we very much look at the
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    adaptability of the health system and
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    adaptability is defined as a capacity of
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    the actors in a system to respond to
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    stresses and shocks and it's mainly a
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    function of the actions and decisions
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    taken by individuals networks and groups
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    it could be individual actions it could
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    be collective actions and decisions I
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    give an example from a study by McKinsey
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    at our they showed that the capacity of
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    the health system in northern Nigeria to
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    adapt to a lot break required not only a
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    capacity to cover all the six building
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    blocks of the health system as defined
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    by individual but also required access
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    to flexible adaptable resources to
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    respond to unexpected shocks such as an
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    another black color up a break for
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    example as opposed to rigid ed or
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    typically inflexible government funding
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    flexibility is necessary to respond to
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    uncertainty interdependence what do we
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    mean by that
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    it's a capacity to engage with actors
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    from the table and cross-scale dynamic
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    it's important to recognize that health
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    systems are embedded within other
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    complex structures political system
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    economic sphere legal system social and
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    ecological and ecological systems and
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    across scales as well we need to look at
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    the local system regional sub-national
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    national and global another important
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    component of radiant health system is
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    the necessity of committee trust and
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    ownership it is important that a change
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    we bring or we introduce into the health
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    system is recognized as being socially
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    and contextually adapted accepted by
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    institutions and norms
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    thank you
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    [Music]
タグ
  • Resilience
  • Health Systems
  • Adaptability
  • Knowledge
  • Interdependence
  • Community Trust
  • Ecological Framework
  • Pandemics
  • Flexibility
  • System Properties