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Developing an Observatory Policy Brief on ResilienceSteve ThomasDirector and Associate ProfessorCentre for Health Policy and Management
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Trinity College Dublin, The University of Dublin
Preparedness Recession Severity
ResponseOutcome?
How I used to see things
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Trinity College Dublin, The University of Dublin
Shock Legacy
Even after the shock has gone away you live with the consequences
• Demotivated workforce
• Undersupply of non-acute Human Resources
• Increased use of hospital beds by the frail
• Political consensus and a new plan
History repeating itself?
• Ireland is prone to economic shocks?
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Trinity College Dublin, The University of Dublin
Learning: Shock Cycle and Resilience
Preparedness
Shock onset and alert
Shock impact and
management
Recovery, Legacy,
Learning
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Trinity College Dublin, The University of Dublin
Learning: Shock Types
Shocks Area of Primary Impact Secondary Impact
Economic Crash Resource Depletion (Supply side)
Less household purchasing power (Demand side)
Epidemic, Natural Disaster Need Expansion(Demand Side)
Human resources affected (Supply side)
Mass migration Need Expansion (DemandSide)
Additional HR or additional taxes/resources? (Supply side boost?)
What are the causal routes?
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Trinity College Dublin, The University of Dublin
Learning: Understanding and metrics
Resilience
GovernanceEfficiency
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Trinity College Dublin, The University of Dublin
Proposed Policy Brief Outline
Introduction – Why resilience?
What is resilience?
• Definitions, Resilience and the shock cycle, Vulnerability
What are resilient health systems? (Recognising)
Shocks
• Types (Demand vs Supply side), Severity, Shocks vs Strains
How to measure resilience?
• Rapid review of useful metrics
• Resilience vs Efficiency vs Governance (Spot the difference)
Documented Strategies for Improving Resilience
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Thank You