Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countries
Objectives Research on resilience to the COVID-19 pandemic has primarily focused on health system resilience. The purpose of this paper is to: (1) develop a broader understanding of societal resilience to shocks by evaluating resilience in three systems: health, economic and fundamental rights and f...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/7/e065445.full |
| _version_ | 1797745320426209280 |
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| author | Fabrizio Tediosi Didier Wernli Chantal M Morel Nicolas Levrat Mia Clausin Yuliya Kaspiarovich Alicia Rieckhoff |
| author_facet | Fabrizio Tediosi Didier Wernli Chantal M Morel Nicolas Levrat Mia Clausin Yuliya Kaspiarovich Alicia Rieckhoff |
| author_sort | Fabrizio Tediosi |
| collection | DOAJ |
| description | Objectives Research on resilience to the COVID-19 pandemic has primarily focused on health system resilience. The purpose of this paper is to: (1) develop a broader understanding of societal resilience to shocks by evaluating resilience in three systems: health, economic and fundamental rights and freedoms and (2) to further operationalise resilience in terms of robustness, resistance and recovery.Settings 22 European countries were selected based on the availability of data in the health, fundamental rights and freedoms, and economic systems during the first wave of the COVID-19 pandemic in early 2020.Design This study uses time series data to assess resilience in health, fundamental rights and freedoms, and economic systems. An overall resilience was estimated, as well as three of its components: robustness, resistance and recovery.Results Six countries exhibited an outlier excess mortality peak compared with the prepandemic period (2015–2019). All countries experienced economic repercussions and implemented diverse measures affecting individual rights and freedoms. Three main groups of countries were identified: (1) high health and high or moderate economic and/or fundamental rights and freedoms resilience, (2) moderate health and fundamental rights and freedoms resilience and (3) low resilience in all three systems.Conclusions The classification of countries into three groups provides valuable insights into the multifaceted nature of multisystemic resilience during the first wave of the COVID-19 pandemic. Our study highlights the importance of considering both health and economic factors when assessing resilience to shocks, as well as the necessity of safeguarding individual rights and freedoms during times of crisis. Such insights can inform policy decisions and aid in the development of targeted strategies to enhance resilience in the face of future challenges. |
| first_indexed | 2024-03-12T15:21:36Z |
| format | Article |
| id | doaj.art-376ba74400ac4dbeaa48e9cbbb91cf79 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T15:21:36Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-376ba74400ac4dbeaa48e9cbbb91cf792023-08-11T03:00:07ZengBMJ Publishing GroupBMJ Open2044-60552023-07-0113710.1136/bmjopen-2022-065445Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countriesFabrizio Tediosi0Didier Wernli1Chantal M Morel2Nicolas Levrat3Mia Clausin4Yuliya Kaspiarovich5Alicia Rieckhoff6Swiss Tropical and Public Health Institute, Basel, SwitzerlandGlobal Studies Institute, University of Geneva, Geneva, SwitzerlandGlobal Studies Institute, University of Geneva, Geneva, SwitzerlandGlobal Studies Institute, University of Geneva, Geneva, SwitzerlandGlobal Studies Institute, University of Geneva, Geneva, SwitzerlandGlobal Studies Institute, University of Geneva, Geneva, SwitzerlandGlobal Studies Institute, University of Geneva, Geneva, SwitzerlandObjectives Research on resilience to the COVID-19 pandemic has primarily focused on health system resilience. The purpose of this paper is to: (1) develop a broader understanding of societal resilience to shocks by evaluating resilience in three systems: health, economic and fundamental rights and freedoms and (2) to further operationalise resilience in terms of robustness, resistance and recovery.Settings 22 European countries were selected based on the availability of data in the health, fundamental rights and freedoms, and economic systems during the first wave of the COVID-19 pandemic in early 2020.Design This study uses time series data to assess resilience in health, fundamental rights and freedoms, and economic systems. An overall resilience was estimated, as well as three of its components: robustness, resistance and recovery.Results Six countries exhibited an outlier excess mortality peak compared with the prepandemic period (2015–2019). All countries experienced economic repercussions and implemented diverse measures affecting individual rights and freedoms. Three main groups of countries were identified: (1) high health and high or moderate economic and/or fundamental rights and freedoms resilience, (2) moderate health and fundamental rights and freedoms resilience and (3) low resilience in all three systems.Conclusions The classification of countries into three groups provides valuable insights into the multifaceted nature of multisystemic resilience during the first wave of the COVID-19 pandemic. Our study highlights the importance of considering both health and economic factors when assessing resilience to shocks, as well as the necessity of safeguarding individual rights and freedoms during times of crisis. Such insights can inform policy decisions and aid in the development of targeted strategies to enhance resilience in the face of future challenges.https://bmjopen.bmj.com/content/13/7/e065445.full |
| spellingShingle | Fabrizio Tediosi Didier Wernli Chantal M Morel Nicolas Levrat Mia Clausin Yuliya Kaspiarovich Alicia Rieckhoff Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countries BMJ Open |
| title | Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countries |
| title_full | Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countries |
| title_fullStr | Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countries |
| title_full_unstemmed | Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countries |
| title_short | Multisystemic resilience to shocks: a temporal analysis of health, fundamental rights and freedoms, and economic resilience during the first wave of the COVID-19 pandemic in 22 European countries |
| title_sort | multisystemic resilience to shocks a temporal analysis of health fundamental rights and freedoms and economic resilience during the first wave of the covid 19 pandemic in 22 european countries |
| url | https://bmjopen.bmj.com/content/13/7/e065445.full |
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