TY - JOUR T1 - A health systems resilience research agenda: moving from concept to practice JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2021-006779 VL - 6 IS - 8 SP - e006779 AU - Dell D Saulnier AU - Karl Blanchet AU - Carmelita Canila AU - Daniel Cobos Muñoz AU - Livia Dal Zennaro AU - Don de Savigny AU - Kara N Durski AU - Fernando Garcia AU - Pauline Yongeun Grimm AU - Aku Kwamie AU - Daniel Maceira AU - Robert Marten AU - Isabelle Peytremann-Bridevaux AU - Camille Poroes AU - Valery Ridde AU - Laurence Seematter AU - Barbara Stern AU - Patricia Suarez AU - Gina Teddy AU - Didier Wernli AU - Kaspar Wyss AU - Fabrizio Tediosi Y1 - 2021/08/01 UR - http://gh.bmj.com/content/6/8/e006779.abstract N2 - Health system resilience, known as the ability for health systems to absorb, adapt or transform to maintain essential functions when stressed or shocked, has quickly gained popularity following shocks like COVID-19. The concept is relatively new in health policy and systems research and the existing research remains mostly theoretical. Research to date has viewed resilience as an outcome that can be measured through performance outcomes, as an ability of complex adaptive systems that is derived from dynamic behaviour and interactions, or as both. However, there is little congruence on the theory and the existing frameworks have not been widely used, which as diluted the research applications for health system resilience. A global group of health system researchers were convened in March 2021 to discuss and identify priorities for health system resilience research and implementation based on lessons from COVID-19 and other health emergencies. Five research priority areas were identified: (1) measuring and managing systems dynamic performance, (2) the linkages between societal resilience and health system resilience, (3) the effect of governance on the capacity for resilience, (4) creating legitimacy and (5) the influence of the private sector on health system resilience. A key to filling these research gaps will be longitudinal and comparative case studies that use cocreation and coproduction approaches that go beyond researchers to include policy-makers, practitioners and the public.Data sharing is not applicable as no data was generated or analysed for this manuscript. ER -