Societal resilience – Clarifying the concept and upscaling the scope

Haavik, Torgeir K.

doi:10.1016/j.ssci.2020.104964

Cited by 27 publications

(10 citation statements)

References 18 publications

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“…This makes way for deliberation about how design, and implementation of healthcare regulation best links with adaptive capacity across system levels in order to result in relevant and efficient change and improvement. The latter relates to assumed conflicts between governmental expectations and managerial and supervisory implications [ 19 , 28 , 46 , 56 , 57 ]. The forthcoming discussion is divided into two parts, with links to all three themes.…”

Section: Discussionmentioning

confidence: 99%

“…The interpretive work in the synthesis across the embedded units (macro, meso, micro) focused on possible conflicts in the association between the system of a formal regulatory framework and the way it unfolds into practical contexts of hospital management and external inspection. It is generally demonstrated by cases of governmental requirements designed regardless of complicated reality, often referred to as a gap between work as imagined (“blunt end”) and work as done (“sharp end”) [ 19 , 28 , 46 , 56 , 57 ]. Comparing and synthesizing data across three different system levels, resulted in the refinement of three overall themes.…”

Section: Methodsmentioning

confidence: 99%

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Linking resilience and regulation across system levels in healthcare – a multilevel study

Øyri

Wiig

2022

BMC Health Serv Res

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Background The Quality Improvement Regulation was introduced to the Norwegian healthcare system in 2017 as a new national regulatory framework to support local quality and safety efforts in hospitals. A research-based response to this, was to develop a study with the overall research question: How does a new healthcare regulation implemented across three system levels contribute to adaptive capacity in hospital management of quality and safety? Based on development and implementation of the Quality Improvement Regulation, this study aims to synthesize findings across macro, meso, and micro-levels in the Norwegian healthcare system. Methods The multilevel embedded case study collected data by documents and interviews. A synthesizing approach to findings across subunits was applied in legal dogmatic and qualitative content analysis. Setting: three governmental macro-level bodies, three meso-level County Governors and three micro-level hospitals. Participants: seven macro-level regulators, 12 meso-level chief county medical officers/inspectors and 20 micro-level hospital managers/quality advisers. Results Based on a multilevel investigation, three themes were discovered. All system levels considered the Quality Improvement Regulation to facilitate adaptive capacity and recognized contextual flexibility as an important regulatory feature. Participants agreed on uncertainty and variation to hamper the ability to plan and anticipate risk. However, findings identified conflicting views amongst inspectors and hospital managers about their collaboration, with different perceptions of the impact of external inspection. The study found no changes in management- or clinical practices, nor substantial change in the external inspection approach due to the new regulatory framework. Conclusions The Quality Improvement Regulation facilitates adaptive capacity, contradicting the assumption that regulation and resilience are “hopeless opposites”. However, governmental expectations to implementation and external inspection were not fully linked with changes in hospital management. Thus, the study identified a missing link in the current regime. We suggest that macro, meso and micro-levels should be considered collaborative partners in obtaining system-wide adaptive capacity, to ensure efficient risk regulation in quality improvement and patient safety processes. Further studies on regulatory processes could explore how hospital management and implementation are influenced by regulators’, inspectors’, and managers’ professional backgrounds, positions, and daily trade-offs to adapt to changes and maintain high quality care.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Linking resilience and regulation across system levels in healthcare – a multilevel study

Øyri

Wiig

2022

BMC Health Serv Res

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“…For instance, hospitals need to be considered not only based on the monetary value of the buildings and equipment within them but also on the non-monetary value of health and emergency service provision. Beyond the physical assets, critical services also need to be considered as they immediately affect the population in terms of access to drinking water, sanitation, health and education services (Haavik, 2020). to assess the level of exposure of these institutions to identify potential risks of interruption of their services to communities induced by a hazard event, which could have severe impacts on people's well-being.…”

Section: Cadrat-asp Case Study Specificationmentioning

confidence: 99%

Climate and disaster risk analytics tool for adaptive social protection

Sett¹,

Waldschmidt²,

Rojas-Ferreira³

et al. 2022

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Adaptive Social Protection (ASP) as discussed in this report is an approach to enhance the well-being of communities at risk. As an integrated approach, ASP builds on the interface of Disaster Risk Management (DRM), Climate Change Adaptation (CCA) and Social Protection (SP) to address interconnected risks by building resilience, thereby overcoming the shortcomings of traditionally sectoral approaches. The design of meaningful ASP measures needs to be informed by specific information on risk, risk drivers and impacts on communities at risk. In contrast, a limited understanding of risk and its drivers can potentially lead to maladaptation practices. Therefore, multidimensional risk assessments are vital for the successful implementation of ASP. Although many sectoral tools to assess risks exist, available integrated risk assessment methods across sectors are still inadequate in the context of ASP, presenting an important research and implementation gap. ASP is now gaining international momentum, making the timely development of a comprehensive risk analytics tool even more important, including in Indonesia, where nationwide implementation of ASP is currently under way. OBJECTIVE: To address this gap, this study explores the feasibility of a climate and disaster risk analytics tool for ASP (CADRAT-ASP), combining sectoral risk assessment in the context of ASP with a more comprehensive risk analytics approach. Risk analytics improve the understanding of risks by locating and quantifying the potential impacts of disasters. For example, the Economics of Climate Adaptation (ECA) framework quantifies probable current and expected future impacts of extreme events and determines the monetary cost and benefits of specific risk management and adaptation measures. Using the ECA framework, this report examines the viability and practicality of applying a quantitative risk analytics approach for non-financial and non-tangible assets that were identified as central to ASP. This quantitative approach helps to identify cost-effective interventions to support risk-informed decision making for ASP. Therefore, we used Nusa Tenggara, Indonesia, as a case study, to identify potential entry points and examples for the further development and application of such an approach. METHODS & RESULTS: The report presents an analysis of central risks and related impacts on communities in the context of ASP. In addition, central social protection dimensions (SPD) necessary for the successful implementation of ASP and respective data needs from a theoretical perspective are identified. The application of the quantitative ECA framework is tested for tropical storms in the context of ASP, providing an operational perspective on technical feasibility. Finally, recommendations on further research for the potential application of a suitable ASP risk analytics tool in Indonesia are proposed. Results show that the ECA framework and its quantitative modelling platform CLIMADA successfully quantified the impact of tropical storms on four SPDs. These SPDs (income, access to health, access to education and mobility) were selected based on the results from the Hazard, Exposure and Vulnerability Assessment (HEVA) conducted to support the development of an ASP roadmap for the Republic of Indonesia (UNU-EHS 2022, forthcoming). The SPDs were modelled using remote sensing, gridded data and available global indices. The results illustrate the value of the outcome to inform decision making and a better allocation of resources to deliver ASP to the case study area. RECOMMENDATIONS: This report highlights strong potential for the application of the ECA framework in the ASP context. The impact of extreme weather events on four social protection dimensions, ranging from access to health care and income to education and mobility, were successfully quantified. In addition, further developments of CADRAT-ASP can be envisaged to improve modelling results and uptake of this tool in ASP implementation. Recommendations are provided for four central themes: mainstreaming the CADRAT approach into ASP, data and information needs for the application of CADRAT-ASP, methodological advancements of the ECA framework to support ASP and use of CADRAT-ASP for improved resilience-building. Specific recommendations are given, including the integration of additional hazards, such as flood, drought or heatwaves, for a more comprehensive outlook on potential risks. This would provide a broader overview and allow for multi-hazard risk planning. In addition, high-resolution local data and stakeholder involvement can increase both ownership and the relevance of SPDs. Further recommendations include the development of a database and the inclusion of climate and socioeconomic scenarios in analyses.

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“…The human and societal resiliency concept is closely related to the capacity to withstand pressure and ability to change dire situations into positivity. The concept of human and societal resilience does not only include political, sustainable societal development but is suggesting a more encompassing discourse, expanding it from the more established discourses of societal safety and military security (Chandler, 2019;Haavik, 2020), to include and cover wide ranging concerns from culture, national identity, economy to socio-ecological-political resilience (Høyland, 2018). There is no escape to this as the globalized and liberalized world have turned the nations and international communities to be close…”

Section: Seo 3: Human and Societal Resiliencymentioning

confidence: 99%

New Meaning And Measurements For Malaysian Socio-Economic Objectives

Yusof¹

2022

The European Proceedings of Multidisciplinary Sciences

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Sustainable Development, Sustainable Forest Management, Sustainable Economic Development, Socio-Economic Development, Socio-Economic Objectives and Sustainable Development Goals are all interrelated concepts in addressing society's sustainability issues in economy, social, and environment domains. Socio-Economic Objectives (SEOs) cover a wide area, ranging from sustainable economic developments, human development, society and environment. It is aimed at bringing healthier economy and financial stability for more holistic societal benefits in terms of longevity, health, security, stability, happiness whilst protecting the environment and Planet Earth. They are usually measured against Gross Domestic Product (GDP), life expectancy, literacy, employment, environmental index and so on. The same concept is relatively new for Malaysia. It first appeared in Malaysian Research and Development Classification System (MRDCS) document. Despite its importance, the term lacks meaningful definition, understanding and linkages with current policies. It is unclear and quite confusing as to how Malaysia measures them because the indicators for SEOs as found in MRDCS [A1] are describing them in terms of inputs instead of outputs and outcomes. The newly propose definitions are thus more align with those found abroad. They are results of benchmark and mapping against foreign documents and Malaysia's current major policies exercises. They are now output and outcomes based, links and moves in the same direction as national policies to fit Malaysian needs and requirements. The experts' inputs make them more relatable and suitable. This qualitative research uses secondary and primary data.

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Societal resilience – Clarifying the concept and upscaling the scope

Cited by 27 publications

References 18 publications

Linking resilience and regulation across system levels in healthcare – a multilevel study

Linking resilience and regulation across system levels in healthcare – a multilevel study

Climate and disaster risk analytics tool for adaptive social protection

New Meaning And Measurements For Malaysian Socio-Economic Objectives

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