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Ready for the Next Crisis? Investing in Health System Resilience

image of Ready for the Next Crisis? Investing in Health System Resilience

The COVID-19 pandemic had massive consequences for societies and health systems across the OECD and beyond. Health systems were not resilient enough. Resilient health systems plan and are ready for shocks, such as pandemics, economic crises or the effects of climate change. They are able to minimise the negative consequences of crises, recover as quickly as possible, and adapt to become better performing and more prepared. Smart, targeted investments in health system resilience are needed to improve health and ensure the next shock is less disruptive and costly. This report reviews the lessons of the COVID-19 pandemic and applies them to build policy recommendations to ensure the global community is ready for the next crisis. The reviews and recommendations cover health system issues – including workforce, digitalisation, continuity of care and mental health – and other topics, including long-term care, supply chains and international co-operation.

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Supporting health workforce recovery and resilience

The COVID‑19 pandemic has exacerbated pre‑existing health workforce issues in OECD countries, including shortages of doctors and nurses, insufficient investment in education and training, and retention challenges. These shortages have increased workloads and pressures. Many health workers have emerged from the pandemic exhausted and intending to leave their positions. This chapter reviews the health workforce capacity of OECD countries going into the pandemic and strategies used to mobilise additional health workers (surge capacity) to respond to peaks in demand during the absorb stage of the pandemic. It also reviews new strategies implemented by countries to increase health workforce capacity and flexibility in the recovery stage of the pandemic, to avoid future shortages and increase preparedness for future shocks. Addressing health workforce shortages calls for greater investment in education and training, increased staff recruitment to reduce the workload and pressure on existing staff, and increased retention rates by improving working conditions and pay rates for categories of workers that have traditionally been undervalued. At least half of all new investments needed to make health systems more resilient should be directed towards workforce training, recruitment, and retention.

English

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