Analysis for health system resilience against the economic crisis: a best-fit framework synthesis

Table 5 Governance policies to counteract the economic crisis and their relationship to health system resilience components

Theme	Policies	Country	Resilience phases					Resilience attributes
Theme	Policies	Country	Anticipation	Preparation	Response	Recovery	Growth	Awareness	Surge capacity	Flexibility	Resistance	Access to resources	Collaboration and coordination
Decision regarding centralization or decentralization	Recentralization of governance	Brazil [95]		*			*		*		*		*
	Centralization of control and management and removal of redundant structures	Argentina [39], Spain [58] and England [53]		*			*				*		*
	Restructuring ministries or other government institutions to reduce overhead and executive costs	England [77]		*			*				*	*
	Decentralization of managerial responsibilities	England [53]		*			*
	Integration of purchaser and provider	England [53]		*			*				*		*
Decision regarding PPP or privatization	Promoting privatization	Brazil [93] and Spain [24]		*			*		*	*	*	*
	Stopping the use of market mechanisms and neoliberal policies	England [50] and Argentina [39]		*			*				*
	Allowing foreign institutions to enter into joint ventures with Cuban government entities	Cuba [89]		*			*		*	*		*	*
	Promotion of private service utilization by the population through subsidization	Brazil [93]		*			*		*	*		*

Theme	Policies	Country	Resilience tools										Resilience strategies
Theme	Policies	Country	Risk analysis	Change in input/output level	Change in quality level	Legislation	Change in behaviour	Planning	Monitoring	Institutionalization	Learning	Information and communication systems	Absorptive	Adaptive	Transformative
Decision regarding centralization or decentralization	Recentralization of governance	Brazil [95]								*	*				*
	Centralization of control and management and removal of redundant structure	Argentina [39], Spain [58] and England [53]		*						*				*
	Restructuring ministries or other government institutions to reduce overhead and executive costs	England [77]		*										*
	Decentralization of managerial responsibilities	England [53]												*
	Integration of purchaser and provider	England [53]				*			*				*
Decision regarding PPP or privatization	Promoting privatization	Brazil [93] and Spain [24]		*						*			*
	Stopping the use of market mechanisms and neoliberal policies	England [50] and Argentina [39]					*			*				*
	Allowing foreign institutions to enter into joint ventures with Cuban government entities	Cuba [89]				*								*
	Promotion of private service utilization by the population through subsidization	Brazil [93]					*						*

ISSN: 1478-4505