2020
DOI: 10.1136/bmjopen-2020-039158
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Multilevel influences on resilient healthcare in six countries: an international comparative study protocol

Abstract: IntroductionResilient healthcare (RHC) is an emerging area of theory and applied research to understand how healthcare organisations cope with the dynamic, variable and demanding environments in which they operate, based on insights from complexity and systems theory. Understanding adaptive capacity has been a focus of RHC studies. Previous studies clearly show why adaptations are necessary and document the successful adaptive actions taken by clinicians. To our knowledge, however, no studies have thus far com… Show more

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Cited by 28 publications
(38 citation statements)
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“…"When the winds of change blow, some people build walls and others build windmills" Chinese proverb [1] Resilience in healthcare can be defined as "the capacity to adapt to challenges and changes at different system levels, to maintain high quality care" [2] p.6) Resilient healthcare is a research tradition exploring how healthcare systems and stakeholders adapt and cope with a large range of variations to enable high quality care. Understanding adaptive capacity has been a key concern in resilient healthcare studies [3]. Adaptive capacity is the ability to adapt to external and internal demands by reframing, aligning, coping and innovating [4].…”
Section: Introductionmentioning
confidence: 99%
“…"When the winds of change blow, some people build walls and others build windmills" Chinese proverb [1] Resilience in healthcare can be defined as "the capacity to adapt to challenges and changes at different system levels, to maintain high quality care" [2] p.6) Resilient healthcare is a research tradition exploring how healthcare systems and stakeholders adapt and cope with a large range of variations to enable high quality care. Understanding adaptive capacity has been a key concern in resilient healthcare studies [3]. Adaptive capacity is the ability to adapt to external and internal demands by reframing, aligning, coping and innovating [4].…”
Section: Introductionmentioning
confidence: 99%
“… Resilience in health systems should not be seen as an apolitical outcome, synonymous with a strong health system or improved population health. The resilient healthcare systems should be assessed by considering how macro-level and meso-level structures support adaptive capacity at the micro-level [ 90 , 91 , 92 ]. Leadership development must be an established and integrated component of organizations.…”
Section: Resultsmentioning
confidence: 99%
“…psychology, engineering, ecology) and sectors (health, social science, economics), which collectively may provide new insight into the societal challenges we are facing today. In this collection we encourage a broad empirical orientation on resilience from the smallest team units in service provision [ 14 ] to the health systems and actions taken at policy level and on the international scene [ 2 ]. We argue that a broad perspective on resilience and responsive healthcare systems, facilitates deeper insights into how systems and actors operate and depend on each other to maintain high quality care.…”
Section: Main Textmentioning
confidence: 99%