Health

Article 2 | Roadmap to resilience: A post pandemic vision of healthcare delivery

February 02, 2022

Australasia

Roadmap to resilience: A post pandemic vision of healthcare delivery

February 02, 2022

Australasia
Amrita Namasivayam

Contributor

Amrita holds a PhD in Health Sciences from the University of Canterbury, New Zealand. Her areas of expertise are global health, maternal and reproductive health, and public health in disasters. She is currently involved in work at the intersection of women’s empowerment and climate change, and works as an independent public health researcher and consultant.

Roadmap to resilience: A post pandemic vision of healthcare delivery is a three-part series that looks at the future of resiliency in Australia and New Zealand’s health systems.
While the covid-19 pandemic has shed light on the pre-existing vulnerabilities of health systems worldwide, it has also brought key areas of resilience-building into urgent and sharper focus. Issues such as supply chain shortages, staff burnout and challenges to meet the ongoing surge in healthcare demand were experienced globally, in addition to regional and country-level challenges that have been more unique and contextual. 
 
In Australia, for example, the resilience of rural health service delivery has been questioned. Professor Adam Elshaug, Director of the Centre for Health Policy, University of Melbourne, Australia, comments that the health system’s resilience “was always going to be tested, not only in the big cities, but in smaller regional areas. Many cities only have 15-25,000 people, with relatively small, regional hospitals, small emergency departments, and sometimes only two ICU beds. When we had surges in some of these regional areas, doctors and nurses there really sounded the alarm bells.” Professor Ian Town, Chief Science Advisor at the Ministry of Health, New Zealand, explains that in a similar vein, the resilience of the New Zealand health system was challenged by healthcare financing, working in silo and insufficient workforce planning. A Health and Disability Review of the New Zealand health system conducted just before the covid-19 pandemic highlighted some of these challenges as well, recommending a more integrated system which ‘deliberately plans ahead with a longer-term focus’.
 
Against the backdrop of the ongoing covid-19 pandemic, and following on from Article #1 and the various ways in which resilience in healthcare is defined, this second article explores different strategies and pathways for building more resilient health systems in the future, in the context of Australia and New Zealand.

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