ArticleFrontiers in public health2025
Health system resilience and pandemic response: a comparative analysis of China, Singapore, the U.S., and the U.K.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Pandemic Preparedness and Health System Resilience: Lessons from Jordan's COVID-19 Response.Journal of community health · 2026Review
- Rethinking preventive medicine education after COVID-19: bridging training gaps in public health practice.Frontiers in medicine · 2026Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Infectious disease outbreaks have imprinted unprecedentedly on global economies, societies, politics, and healthcare systems. The COVID-19 pandemic underscored critical challenges in global healthcare delivery, necessitating the translation of lessons into actionable strategies for strengthening health system resilience against future outbreaks. Methods: This paper divides resilience into two dimensions: resilience from scale and resilience from structure. The former pertains to the overall resilience of the "state-society" system, while the latter refers to resilience rooted in the system's internal structure. Expert consultation method is used to assess the potential and actual levels of two types of resilience. The case study and time slicing approach are used to analyze the anti-epidemic policies in four countries. Results: There are significant differences in the potential and actual levels of resilience from scale and resilience from structure in the event of infectious disease outbreaks in China, Singapore, the U.S., and the U.K., as a result of a combination of political and non-political factors. Based on the original perspective of two types of resilience, this study reveals that differences in anti-epidemic policies among these countries stem from variations in the resilience from scale and resilience from structure. Conclusion: This paper elucidates the divergent global responses to the same virus from the original perspective of two types of resilience. Furthermore, the study presents a practice-oriented framework that links health system scale and structure to anti-epidemic policies, thereby moving beyond existing indices like the Global Health Security Index. The findings deliver concrete lessons for improving managerial practices, enhancing preparedness, and informing future healthcare delivery innovations, directly contributing to translating pandemic experience into implementable best practices for strengthening health systems against infectious disease threats.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.