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You are here The Centre for Health Policy and Management > Research > Current Projects > RESTORE (Resilience to Reform) > Other Research Outputs

March 2022

The RESTORE team have summarised, into a two-page policy brief, the findings from an extensive systematic review due to be published soon titled: Metrics and Indicators Used to Assess Health System Resilience in Response to Shocks to Health Systems in High Income Countries - A Systematic Review. This policy brief draws together the main findings of the review, which categorises how health system resilience has been assessed and reported over the past two decades. The reported metrics are classified according to the WHO Health System Functions of Governance, Resources, Finance and Service Delivery and the four-stage shock cycle framework: 1. Preparedness, 2. Onset and Alert, 3. Impact and Management and 4. Learning and Legacy. Click below for the full policy brief.


November 2021

The RESTORE research team hosted the 1st annual workshop on November 16th, 2021: Measuring and Building Health System Resilience. Following a welcoming address from Mairead O’Driscoll, Chief Executive the Health Research Board, Prof Steve Thomas outlined evolving thinking about health system resilience over the last decade alongside current challenges. Dr Pádraic Fleming, of the RESTORE project team, presented findings of two reviews of international evidence: one examining the measurement of resilience across different shocks and the other a realist review tracing the legacy of the economic crisis on the response to COVID 19. In addition, Prof Thomas highlighted early indicators of resilience metrics within the Irish context, identifying both strengths and weaknesses of the response to COVID 19. These presentations were supplemented by a presentation from Dr. Sara Burke, showcasing a recent Lancet publication - a policy analysis of how Slaintecare development has been enhanced by the response to COVID-19.

Two keynotes were presented by Anna Sagan, from the European Observatory of Health Systems and Policies, outlining lessons learned across Europe during the COVID-19 pandemic and how health systems can ‘build back better’. The second keynote came from Dr. Liina-Kaisia Tynkkynen of Tampere University Finland, identifying key themes from managers of their experience of crisis preparedness and governance of COVID-19 in four regions in Finland.

Finally, Prof Thomas and the keynote speakers were joined by Muiris O’Connor, Assistant Secretary General from the Department of Health, reflecting on the presentations of the day alongside the future direction of the reform agenda in Ireland and how momentum from the COVID-19 response can be harnessed to implement reform in an intentional way at pace.

“I liked the kind of wry observation that's it's worth focusing on legacy because you leave one anyway. And I think I've always said for years around Slaintecare, a greater intentionality around where we're going and what we're doing is really vital in in health and social care and in reform.” – Muiris O’Connor, Department of Health

Recordings of the full webinar, alongside PDFs of the presentations can be viewed at the following links:

Welcome and Introduction to RESTORE

Introduction to RESTORE (PDF 1.85MB)

Session 1

Systematic Review of Measures of Resilience (PDF 547kB)

Resilience Indicators for Ireland (PDF 909kB)

Lessons for building back better in Europe (1.52MB)

Session 2

Realist Review of legacy issues (PDF 798kB)

Policy development in response to COVID-19 (PDF 1.95MB)

Crises preparedness and governance of COVID-19 in Finland (PDF 2.63MB)

Panel Discussion