Resilience testing in action – piloting the health system resilience testing tool with a pandemic scenario in Finland
The main benefit of the resilience testing methodology is the ability to bring key actors together to exchange different perspectives on how a health system functions during a crisis. The discussions at the high-level dialogue revealed the need for a mechanism, such as a resilience testing tool, to elucidate the range of practical challenges and how to potentially address them. The discussions also captured themes that are not routinely identified in existing performance assessment mechanisms, such as ethical considerations, values, and political determinants of the health system response. The Finnish pilot study was used to update the structure and facilitation of the resilience testing tool. Further suggested improvements for resilience testing include greater clarification for participants on the scenario, an increased emphasis on recovery and learning, and a greater representation of stakeholders from the community.
Authors
- Marjaana Viita-aho (ORCID: https://orcid.org/0009-0003-8220-4946)
- Julia Zimmermann (ORCID: https://orcid.org/0009-0006-7530-9696)
- Markku Satokangas (ORCID: https://orcid.org/0000-0003-1085-8687)
- Jonathan Cylus (ORCID: https://orcid.org/0000-0001-8269-1578)
- Soila Karreinen (ORCID: https://orcid.org/0000-0002-3115-2408)
- Liina-Kaisa Tynkkynen
- Philip Haywood (ORCID: https://orcid.org/0000-0001-5031-8648)
- Marina Karanikolos (ORCID: https://orcid.org/0000-0002-3824-8226)
- Ilmo Keskimäki (ORCID: https://orcid.org/0000-0002-4614-7062)
Institutions
- University of Technology Sydney (AU)
- The University of Sydney (AU)
- University of Helsinki (FI)
- Tampere University (FI)
- Finnish Institute for Health and Welfare (FI)
- London School of Hygiene & Tropical Medicine (GB)
- London School of Economics and Political Science (GB)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2025-06-03
- DOI
- https://doi.org/10.1186/s12913-025-12864-w
- Primary Topic
- Disaster Response and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- European Commission
- European Observatory on Health Systems and Policies
- Strategic Research Council