Health System Shock Frameworks Between Theory, Application, and Assessment; Comment on “The COVID-19 System Shock Framework: Capturing Health System Innovation During the COVID-19 Pandemic”

Document Type : Commentary

Authors

1 Center for Social & Health Innovation, MCI - The Entrepreneurial School, Innsbruck, Austria

2 School of Economics & Finance, Faculty of Business & Law, Queensland University of Technology, Brisbane, QLD, Australia

Abstract

The COVID-19 System Shock Framework (CSSF) tested the resilience of service providers throughout the coronavirus disease 2019 (COVID-19) pandemic in Australia. In this commentary, we tackle the topic of the CSSF applicability in less mature health systems and propose elements or dimensions that could be added to provide comprehensive response to future shocks. We acknowledge the fact that information systems, telehealth, and standard operation procedures constitute important pillars of system shock frameworks. However, there are doubts on the applicability of such pillars in middle- and low-income countries where the infrastructure is weaker compared to high-income countries and the digital divide is wider. Moreover, while it provided a paramount solution to deliver health services during the pandemic, the negative impact of telehealth should be addressed. In addition, we propose that CSSF should consider focusing on the continuity of the other medical conditions, which may have been affected due to the mitigation policies. Finally, we propose adding a dimension on the evaluation of CSSF to provide quantifiable and comparable assessment with other providers or systems.

Keywords


  1. Hodgins M, van Leeuwen D, Braithwaite J, et al. The COVID-19 system shock framework: capturing health system innovation during the COVID-19 pandemic. Int J Health Policy Manag. 2021. doi:34172/ijhpm.2021.130
  2. Hanefeld J, Mayhew S, Legido-Quigley H, et al. Towards an understanding of resilience: responding to health systems shocks. Health Policy Plan. 2018;33(3):355-367. doi:1093/heapol/czx183
  3. World Health Organization (WHO). Monitoring the Building Blocks of Health Systems: A Handbook of Indicators and Their Measurement Strategies. WHO; 2010. https://apps.who.int/iris/handle/10665/258734.
  4. Watts G. COVID-19 and the digital divide in the UK. Lancet Digit Health. 2020;2(8):e395-e396. doi:1016/s2589-7500(20)30169-2
  5. Butzner M, Cuffee Y. Telehealth interventions and outcomes across rural communities in the United States: narrative review. J Med Internet Res. 2021;23(8):e29575. doi:2196/29575
  6. Gualano MR, Corradi A, Voglino G, Bert F, Siliquini R. Beyond COVID-19: a cross-sectional study in Italy exploring the covid collateral impacts on healthcare services. Health Policy. 2021;125(7):869-876. doi:1016/j.healthpol.2021.03.005

Articles in Press, Corrected Proof
Available Online from 11 September 2022
  • Receive Date: 06 May 2022
  • Revise Date: 05 September 2022
  • Accept Date: 07 September 2022
  • First Publish Date: 11 September 2022