Research conducted by the PHSSR is grounded in a robust methodology developed by the London School of Economics and shaped by practitioners and policymakers working in PHSSR countries.
A sustainable health system is able to maintain its performance during and after crises. Resilience is therefore a vital component of health system sustainability.
Recognising that the concepts of sustainability and resilience must reflect the diversity and complexity of health systems and that they are context-dependent, the Framework intends to serve as a guide to qualitative analysis, rather than a tool for quantitative measurement or direct comparison.
The Framework consists of five core domains and two additional domains. The five core domains were included in the Framework in the pilot phase and relate to the key components of the health system itself
The two additional domains in phase 2 relate to the health system’s interaction with its context, in terms of population health, which has significant implications for health system sustainability and resilience, and the health system’s environmental impact, which is a key element of sustainability:
Work on the development of a quantitative index is now underway.
For more information on the development of the PHSSR framework, please read the Interim Report of the Pilot Phase.