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Defining and analyzing health system resilience in rural jurisdictions

Author

Listed:
  • Mason Barnard

    (Princeton University)

  • Sienna Mark

    (University of Michigan School of Public Health)

  • Scott L. Greer

    (University of Michigan School of Public Health)

  • Benjamin D. Trump

    (University of Michigan School of Public Health)

  • Igor Linkov

    (Carnegie Mellon University)

  • Holly Jarman

    (University of Michigan School of Public Health)

Abstract

Rural areas face well known and distinctive health care challenges that can limit their resilience in the face of health emergencies such as the COVID-19 pandemic. These include problems of sparsity and consequent limited health care provisioning; poverty, inequalities, and distinctive economic structures that limit access to health care; and underlying population health risks and inequalities that can increase vulnerability. Nonetheless, not all rural areas face the same problems, and non-rural areas can have challenges. To be useful in influencing policy, a tool to identify more and less resilient areas is necessary. This Commentary reviews key forms of risk and constructs a county-level index of resilience for the United States which helps to identify countries with limited resilience. Further, it argues that health care resilience should be conceptualized in terms of broader regions than counties since health care facilities’ referral regions are larger than individual counties; resilience needs to be understood at that level. The index, read at the level of counties and referral regions, can contribute to identification of immediate problems as well as targets for longer term investment and policy response.

Suggested Citation

  • Mason Barnard & Sienna Mark & Scott L. Greer & Benjamin D. Trump & Igor Linkov & Holly Jarman, 2022. "Defining and analyzing health system resilience in rural jurisdictions," Environment Systems and Decisions, Springer, vol. 42(3), pages 362-371, September.
    • Handle: RePEc:spr:envsyd:v:42:y:2022:i:3:d:10.1007_s10669-022-09876-w
    DOI: 10.1007/s10669-022-09876-w
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    References listed on IDEAS

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    1. Igor Linkov & Benjamin Trump & Joshua Trump & Gianluca Pescaroli & Aleksandrina Mavrodieva & Abhilash Panda, 2022. "Stress-test the resilience of critical infrastructure," Nature, Nature, vol. 603(7902), pages 578-578, March.
    2. Andrew S. Jin & Benjamin D. Trump & Maureen Golan & William Hynes & Martin Young & Igor Linkov, 2021. "Building resilience will require compromise on efficiency," Nature Energy, Nature, vol. 6(11), pages 997-999, November.
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    Cited by:

    1. Christopher L. Cummings & Emily M. Wells & Benjamin D. Trump, 2024. "Engineering and public health: converging disciplines for resilient solutions," Environment Systems and Decisions, Springer, vol. 44(2), pages 189-198, June.
    2. Benjamin D. Trump & Igor Linkov, 2022. "Resilience and lessons learned from COVID-19 emergency response," Environment Systems and Decisions, Springer, vol. 42(3), pages 325-327, September.

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