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ToolsForoughi, Zeynab, Ebrahimi, Parvin, Yazdani, Shahram, Aryankhesal, Aidin, Heydari, Majid and Maleki, Mohammadreza (2025) Analysis for health system resilience against the economic crisis: A best-fit framework synthesis. Health Research Policy and Systems, 23. ISSN 1478-4505
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Abstract
Introduction: Countries, especially developing countries, are prone to economic crises, which are the consequences of various crises, including pandemics, climate crises, armed conflicts and migration. Therefore, policy-makers need a guiding framework for policy-making against the economic crisis that contributes to health system resilience. This study aimed to provide a holistic framework that guides health system policies before or during an economic crisis. Method: The study utilized the best-fit framework synthesis to enhance and adapt the Resilience Analysis Meta-Framework (RAMF) in the context of an economic crisis. The study analysed and compared the experiences of three high-income countries and three low-middle-income countries with the greatest diversity in terms of their context, shocks that caused the economic crises and their responses to them. The framework was expanded and adjusted on the basis of the adopted policies in the context of the economic crisis. Results: The adapted RAMF provides a holistic framework which shows the priority and relationships of various policy alternatives in each health system building block. This framework can be used as a guide to analyse any policy solution against the economic crisis by considering its necessary antecedent policies and consequence policies in other health system building blocks. Conclusions: Awareness in a health system via adapting appropriate cost control policies and governance structure can contribute to evidence-based cost control in all health system building blocks and need-based financing, drug and medical equipment procurement, human resource planning and service provision.
| Item Type: | Article |
|---|---|
| Additional Information: | Availability of data and materials: No datasets were generated or analysed during the current study. |
| Uncontrolled Keywords: | economic crises,health system,resilience,health policy,sdg 3 - good health and well-being,sdg 16 - peace, justice and strong institutions ,/dk/atira/pure/subjectarea/asjc/2700/2719 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 14 May 2025 15:30 |
| Last Modified: | 19 May 2025 00:17 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/99268 |
| DOI: | 10.1186/s12961-025-01285-0 |
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