Pandemic preparedness and health system resilience in 14 European countries.

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Bulletin of the World Health Organization Pub Date : 2024-08-01 Epub Date: 2024-06-10 DOI:10.2471/BLT.23.290509
Kaitlyn Hall Radford, Marina Karanikolos, Jonathan Cylus
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Abstract

Objective: To assess national pandemic preparedness and response plans from a health system perspective to determine the extent to which implementation strategies that support health system performance have been included.

Methods: We systematically mapped pandemic preparedness and response implementation strategies that improve resilience to pandemics onto the Health System Performance Assessment Framework for Universal Health Coverage. Using this framework, we conducted a document analysis of 14 publicly available national influenza pandemic preparedness plans, submitted to the European Centre for Disease Prevention and Control, to assess how well health system functions are accounted for in each plan.

Findings: Implementation strategies found in national influenza pandemic preparedness plans do not systematically consider all health system functions. Instead, they mostly focus on specific aspects of governance. In contrast, little to no mention is made of implementation strategies that aim to strengthen health financing. There was also a lack of implementation strategies to strengthen the health workforce, ensure availability of medical equipment and infrastructure, govern the generation of resources and ensure delivery of public health services.

Conclusion: While national influenza pandemic preparedness plans often include provisions to support health system governance, implementation strategies that support other health system functions, namely, resource generation, service delivery, and in particular, financing, are given less attention. These oversights in key planning documents may undermine health system resilience when public health emergencies occur.

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14 个欧洲国家的大流行病防备和卫生系统复原力。
目标:从卫生系统的角度评估国家大流行病防备和应对计划,以确定在多大程度上纳入了支持卫生系统绩效的实施战略:从卫生系统的角度评估国家大流行病防备和应对计划,以确定在多大程度上纳入了支持卫生系统绩效的实施战略:方法:我们系统地将提高大流行病抵御能力的大流行病防备和应对实施战略映射到全民健康覆盖的卫生系统绩效评估框架中。利用这一框架,我们对提交给欧洲疾病预防与控制中心的 14 份公开的国家流感大流行准备计划进行了文件分析,以评估每份计划在多大程度上考虑了卫生系统的功能:研究结果:国家流感大流行准备计划中的实施战略并没有系统地考虑到卫生系统的所有功能。相反,它们大多侧重于治理的具体方面。相比之下,几乎没有提及旨在加强卫生筹资的实施战略。此外,还缺乏加强卫生工作人员队伍、确保医疗设备和基础设施的可用性、管理资源的产生以及确保提供公共卫生服务的实施战略:尽管国家流感大流行防备计划通常包括支持卫生系统治理的条款,但支持卫生系统其他功能的实施战略,即资源生成、服务提供,特别是筹资,却较少受到重视。关键规划文件中的这些疏忽可能会在公共卫生突发事件发生时削弱卫生系统的应变能力。
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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
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