Critiquing the concept of health systems resilience
Topp, Stephanie M. (2024) Critiquing the concept of health systems resilience. In: Thomas, Steve, and Fleming, Padraic, (eds.) Handbook of Health Systems Resilience. Edward Elgar Publishing Limited, Cheltenham, UK, pp. 61-71.
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Abstract
Concepts are abstract ideas used in everyday conversation and academic writing to help us make sense of the world by explaining and analysing problems, exploring contexts and issues, or helping to generate solutions or responses. Yet a foundational requirement for any concept to serve these ends is that it be adequately defined. Despite a rapidly expanding body of theoretical, summative and empirical literature focused on health systems resilience, the concept remains a slippery one, defined, theorized and ultimately operationalized in different ways. The following chapter revisits some of the key criticisms of the concept, highlighting their ongoing relevance, and providing suggestions for how both the framing and operationalization of health system resilience may better serve the project of strengthening the performance of health systems in the face of multiple and overlapping shocks.