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We need to talk about 'bad' resilience

Saulnier, Dell D LU orcid and Topp, Stephanie M (2024) In BMJ Global Health 9(2). p.1-5
Abstract

In this analysis, we argue against seeing health system resilience as an inherently positive concept. The rise in the popularity of health system resilience has led to its increasingly normative framing. We question this widely accepted perspective by examining the underlying assumptions associated with this normative framing of 'good' resilience. Our focus is on the risks of accepting the assumption, which can lead us to ignore the social nature of health systems and overlook the consequences of change if resilience is seen as a positive, achievable objective. Finally, we suggest that seeing resilience as a normative concept can be detrimental to health system policy and research, and encourage a critical rethinking of these... (More)

In this analysis, we argue against seeing health system resilience as an inherently positive concept. The rise in the popularity of health system resilience has led to its increasingly normative framing. We question this widely accepted perspective by examining the underlying assumptions associated with this normative framing of 'good' resilience. Our focus is on the risks of accepting the assumption, which can lead us to ignore the social nature of health systems and overlook the consequences of change if resilience is seen as a positive, achievable objective. Finally, we suggest that seeing resilience as a normative concept can be detrimental to health system policy and research, and encourage a critical rethinking of these assumptions so that we can maintain resilience's usefulness for health systems.

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Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMJ Global Health
volume
9
issue
2
article number
e014041
pages
1 - 5
publisher
BMJ Publishing Group
external identifiers
  • scopus:85184823360
  • pmid:38320804
ISSN
2059-7908
DOI
10.1136/bmjgh-2023-014041
language
English
LU publication?
yes
additional info
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.
id
61df950b-aaa9-495a-b7d7-5f37e57be3ae
date added to LUP
2024-02-09 14:58:39
date last changed
2024-04-19 06:18:05
@article{61df950b-aaa9-495a-b7d7-5f37e57be3ae,
  abstract     = {{<p>In this analysis, we argue against seeing health system resilience as an inherently positive concept. The rise in the popularity of health system resilience has led to its increasingly normative framing. We question this widely accepted perspective by examining the underlying assumptions associated with this normative framing of 'good' resilience. Our focus is on the risks of accepting the assumption, which can lead us to ignore the social nature of health systems and overlook the consequences of change if resilience is seen as a positive, achievable objective. Finally, we suggest that seeing resilience as a normative concept can be detrimental to health system policy and research, and encourage a critical rethinking of these assumptions so that we can maintain resilience's usefulness for health systems.</p>}},
  author       = {{Saulnier, Dell D and Topp, Stephanie M}},
  issn         = {{2059-7908}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{2}},
  pages        = {{1--5}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ Global Health}},
  title        = {{We need to talk about 'bad' resilience}},
  url          = {{http://dx.doi.org/10.1136/bmjgh-2023-014041}},
  doi          = {{10.1136/bmjgh-2023-014041}},
  volume       = {{9}},
  year         = {{2024}},
}