Government Actions and Their Relation to Resilience in Healthcare; What We See Is Not Always What We Get; Comment on “Government Actions and Their Relation to Resilience in Healthcare During the COVID-19 Pandemic in New South Wales, Australia and Ontario, Canada”

Document Type : Commentary

Authors

1 Dutch Health & Youth Care Inspectorate, Utrecht, The Netherlands

2 Erasmus School of Health Policy & Management, Erasmus University, Rotterdam, The Netherlands

Abstract

This commentary reviews the publication by Smaggus et al published in the IJHPM in July 2021 on “Government Actions and Their Relation to Resilience in Healthcare During the COVID-19 Pandemic in New South Wales, Australia and Ontario, Canada” which analysed media releases to identify how governments contributed to resilience in healthcare (RiH). We suggest media releases might not be the best data to capture the mechanisms, activities and interactions through which government actions enhance or hinder RiH. RiH recognizes healthcare as a complex sociotechnical system, so studies into fostering capacity for RiH should be designed for complex sociotechnical systems. This means data should be derived from multiple sources to allow for diverse perspectives, and preferably include direct observations to capture the intricacies of backstage interactions.

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References

  1. Smaggus A, Long JC, Ellis LA, Clay-Williams R, Braithwaite J. Government actions and their relation to resilience in healthcare during the COVID-19 Pandemic in New South Wales, Australia and Ontario, Canada. Int J Health Policy Manag. 2021. doi:34172/ijhpm.2021.67
  2. NHS England, NHS Improvement. The NHS Patient Safety Strategy: Safer Culture, Safer Systems, Safer Patients. London: NHS England; 2019.
  3. Wiig S, Aase K, Billett S, et al. Defining the boundaries and operational concepts of resilience in the resilience in healthcare research program. BMC Health Serv Res. 2020;20(1):330. doi:1186/s12913-020-05224-3
  4. Leistikow I, Bal RA. Resilience and regulation, an odd couple? consequences of Safety-II on governmental regulation of healthcare quality. BMJ Qual Saf. 2020;29(10):1-2. doi:1136/bmjqs-2019-010610
  5. Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:1136/bmjqs-2018-009147
  6. Goffman E. The Presentation of Self in Everyday Life. 8th ed. London: Penguin; 1990.
  7. Bijker WE, Bal R, Hendriks R. The Paradox of Scientific Authority: The Role of Scientific Advice in Democracies. Boston: MIT Press; 2009.
  8. de Graaff B, Bal J, Bal R. Layering risk work amidst an emerging crisis: an ethnographic study on the governance of the COVID-19 pandemic in a university hospital in the Netherlands. Health Risk Soc. 2021;23(3-4):111-127. doi:1080/13698575.2021.1910210
  9. Wallenburg I, de Graaff B, Bal J, Felder M, Bal R. Dancing with a virus: finding new rhythms of organizing and caring in Dutch hospitals. In: Waring J, Denis JL, Reff Pedersen A, Tenbensel T, eds. Organising Care in a Time of COVID-19. Cham: Palgrave Macmillan; 2021. p.121-138. doi:1007/978-3-030-82696-3_6
  10. Pollitt C. Time, Policy, Management: Governing with the Past. Oxford: Oxford University Press; 2008.
International Journal of Health Policy and Management
Volume 11, Issue 9
September 2022
Pages 1942-1944

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History

  • Receive Date: 27 October 2021
  • Revise Date: 06 December 2021
  • Accept Date: 11 December 2021
  • First Publish Date: 13 December 2021

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