Identification of Health System Resilience Indicators from a Knowledge Management Perspective

Abstract

Introduction: Health system resilience is essential for maintaining critical services during crises. Knowledge management plays a pivotal role in enhancing this resilience. This study aims to identify indicators of health system resilience from a knowledge management perspective.

Methods: This the study was conducted using a meta-synthesis qualitative method and a systematic search of domestic and foreign databases. From 168 studies found in the years 1390 to 1404 and 2010 to 2025, 60 studies were selected and by analyzing their content, the final indicators were identified and extracted. The Kappa coefficient was used to validate the results.

Results: By analyzing the studies, 402 initial codes were classified into 66 subcategories and 13 main categories after conceptual comparison and integration of similar items, including: knowledge governance and leadership, knowledge management and creation, organizational learning and institutional memory, knowledge and resilient human resources, information and technology infrastructure, knowledge management in crisis, knowledge economic financing and resilience, supply chain and resource management, inter-sectoral and network interactions, knowledge innovation and transformation, resilience monitoring, evaluation and measurement, knowledge and resilient organizational culture, and knowledge resilience of health services.

Conclusion: Health system resilience is the outcome of the coordinated interaction of multiple factors. The sustainability and quality of health services can only be ensured when knowledge is institutionalized across all levels of the health system and utilized as a strategic asset in decision-making processes.

Keywords: Resilience, Health System, Knowledge Management, Indicator