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Trust and transformation: an agenda for creating resilient and sustainable health systems

Hans Kluge, Natasha Azzopardi‐Muscat, Josep Figueras, Martin McKee

2023BMJ11 citationsDOIOpen Access PDF

Abstract

Health systems are facing unprecedented challenges as they emerge from the covid-19 pandemic.How they have responded has varied greatly.Just as with SARS in 2003, when some Asian health systems redesigned facilities to be better prepared for a future pandemic, 1 we have seen new ways of working, often taking advantage of new means of online engagement. 2 But some have also struggled, unable to rebuild workforces that were already depleted by underinvestment, but with the additional burden of burnout 3 and illness, including long covid. 4 This situation, in part, reflects and is exacerbating a crisis of trust. 5This is apparent in three important sets of relationships.

Topics & Concepts

Transformation (genetics)Resilience (materials science)Political scienceEnvironmental ethicsEnvironmental planningEnvironmental resource managementSociologyGeographyEnvironmental sciencePhilosophyBiologyPhysicsBiochemistryThermodynamicsGeneChronic Disease Management StrategiesHealthcare cost, quality, practicesHealth Systems, Economic Evaluations, Quality of Life
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