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Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises

Acute crises, such as a war or a pandemic, are the ultimate tests for health care systems’ resilience (temporary response to stress with change and adaptation) and antifragility (permanent benefit from change in response to stress). In this Health Policy paper, we analyse and discuss how the healthc...

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Autores principales: Tokalić, Ružica, Viđak, Marin, Kaknjo, Mersiha Mahmić, Marušić, Ana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513139/
https://www.ncbi.nlm.nih.gov/pubmed/34693390
http://dx.doi.org/10.1016/j.lanepe.2021.100216
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author Tokalić, Ružica
Viđak, Marin
Kaknjo, Mersiha Mahmić
Marušić, Ana
author_facet Tokalić, Ružica
Viđak, Marin
Kaknjo, Mersiha Mahmić
Marušić, Ana
author_sort Tokalić, Ružica
collection PubMed
description Acute crises, such as a war or a pandemic, are the ultimate tests for health care systems’ resilience (temporary response to stress with change and adaptation) and antifragility (permanent benefit from change in response to stress). In this Health Policy paper, we analyse and discuss how the healthcare systems of two European countries – Bosnia and Herzegovina and Croatia – adapted to war as a man-made disaster, and how they adapted to COVID-19 pandemic twenty-five years later. These countries experienced full scale wars in recent history, which significantly changed their political and healthcare systems. This experience prepared the countries for the response to the pandemic, which coincided with two earthquakes in Croatia. We argue that healthcare systems in Croatia and Bosnia and Herzegovina are not only resilient but antifragile, and that they benefited from stressors they were exposed to. The antifragility of the two systems were primarily based on human effort – the strength, adaptability and resilience of health care professionals. We will look at lessons from the wars that were applied to the pandemic and discuss newly recognized opportunities and improvements.
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spelling pubmed-85131392021-10-21 Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises Tokalić, Ružica Viđak, Marin Kaknjo, Mersiha Mahmić Marušić, Ana Lancet Reg Health Eur Series Review Acute crises, such as a war or a pandemic, are the ultimate tests for health care systems’ resilience (temporary response to stress with change and adaptation) and antifragility (permanent benefit from change in response to stress). In this Health Policy paper, we analyse and discuss how the healthcare systems of two European countries – Bosnia and Herzegovina and Croatia – adapted to war as a man-made disaster, and how they adapted to COVID-19 pandemic twenty-five years later. These countries experienced full scale wars in recent history, which significantly changed their political and healthcare systems. This experience prepared the countries for the response to the pandemic, which coincided with two earthquakes in Croatia. We argue that healthcare systems in Croatia and Bosnia and Herzegovina are not only resilient but antifragile, and that they benefited from stressors they were exposed to. The antifragility of the two systems were primarily based on human effort – the strength, adaptability and resilience of health care professionals. We will look at lessons from the wars that were applied to the pandemic and discuss newly recognized opportunities and improvements. Elsevier 2021-10-07 /pmc/articles/PMC8513139/ /pubmed/34693390 http://dx.doi.org/10.1016/j.lanepe.2021.100216 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Series Review
Tokalić, Ružica
Viđak, Marin
Kaknjo, Mersiha Mahmić
Marušić, Ana
Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises
title Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises
title_full Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises
title_fullStr Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises
title_full_unstemmed Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises
title_short Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises
title_sort antifragility of healthcare systems in croatia and bosnia and herzegovina: learning from man-made and natural crises
topic Series Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513139/
https://www.ncbi.nlm.nih.gov/pubmed/34693390
http://dx.doi.org/10.1016/j.lanepe.2021.100216
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