Resilient Healthcare Systems

Thursday, 03.10.2013 | 14:30 - 17:30

Organised by International Forum Gastein and sponsored by an unrestricted educational grant from MSD

Resilience is the intrinsic ability of a system to adapt and respond to unexpected internal and external pressures and shocks. Like bamboo, it does not crack but swings back, seizing the opportunity for strengthening and carrying out needed reform.

Resilience rests on strong governance including accountability, transparency, participation and integrity and policy capacity.

Do our responses to the financial crisis and other health system pressures also strengthen health system resilience? Are these reforms improving the alignment of accountability relationships and do we gain more transparency? Are citizens, patients and stakeholders involved when appropriate? Can we trust that the reforms are rolled out in a predictable manner? Did we have enough policy capacity to avoid reform failures?

Session 1 will provide the story line for the forum by clarifying the concepts of resilience and governance. Top policy makers will share their views, and we will discuss recent country experiences with a view to EU policies and civil society organizations.

Session 2 focuses on the health systems starting with the potential efficiency gains from structural reforms and how these reforms are linked to enhanced transparency and accountability. We will discuss the WHO agenda on strengthening health systems and recent country experience.

Together with the audience, we will thrash out good practice lessons for building resilient health systems.

Round 1 | Strengthening health systems resilience: An Introduction

Building resilient health systems in times of crisis: a brief outline

Josep Figueras, European Observatory on Health Systems and Policies

What makes health systems resilient: a governance oriented framework

Scott Greer, University of Michigan

Health systems in times of crisis

Miklos Szocska, Minister of State for Health of the Ministry of Human Resources, Hungary

Panel discussion

Isabel de la Mata, Principal Adviser, DG Health and Consumers, European Commission

Monika Kosinska, Secretary General, European Public Health Alliance

Round 2 | Resilience through health system reform?

Introduction: Enhancing health systems performance. How large are the potential efficiency gains and what are the most promising areas for structural reform?

Peter C Smith, Imperial College, UK

Panel discussion

Hans Kluge, WHO Regional Office for Europe

Dessislava Dimitrova, former Deputy Minister of Health, Bulgaria

Harry Cayton, Professional Standards Authority, UK


Boris Azaïs, Director Public Policy, MSD

Helmut Brand, President, International Forum Gastein

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