For a resilient performance

For a resilient performanceDebates on the operationalization and the interpretation of resilience as a fundamental concept for enhancing the performance of health systems have evolved as complex crises such as pandemics, climate disasters, wars, migrations, etc., as well as chronic problems, continue to arise.A consistent conceptual framework for resilience is needed to conceive, evaluate, understand and, above all, bolster the capacity of health systems to absorb shocks and, at the same time, sustain universal, equitable and quality access to health care, uninterruptedly and in a timely manner [1][2][3] .In Public Health, resilience encompasses both the intrinsic complexity of the right to health and the persistent challenges face by public and universal systems in order to guarantee this right.The articles selected for inclusion in this thematic issue address the idea of resilience as an essential attribute for promoting positive transformations in the context of the Unified Health System (SUS).Although a resilient SUS must be able to adapt to the adversities typical of an unequal country, it must go beyond.Resilience is not resignation.Whereas resignation means accepting adversity as inevitable, resilience involves learning from experience and acting guided by empirical evidence, such that the knowledge generated is used to overcome historical vulnerabilities permanently 4 .In this respect, it is essential to acknowledge that the resilience of the SUS cannot be treated as a static concept, but rather as a dynamic appreciation of complex local realities and socio-economic and political transformation.Some of the articles in this issue address the strategic role of technological tools in integrating data, optimizing management and broadening the response capacity of health services, thereby making them more resilient.The implementation of these innovations must be accompanied by ongoing investment in the training and development of healthcare professionals, ensuring that technology is a permanent instrument for overcoming inequities in access.The resilience and weaknesses of the SUS are analyzed from the standpoint of governance and financing, since the sustainability of the system depends on ensuring adequate resources and the formulation of public policies that ensure the continuity of the advances achieved.Furthermore, the resilience of health systems cannot be dissociated from the social determinants of health and equity in access to services.The analysis of regional disparities in the distribution of professionals, infrastructure and equipment highlights the need for policies that promote a more equitable dimensioning of the SUS, which must be capable of incorporating intersectoral approaches, taking the influence of these factors into account.To ensure a resilient SUS, it is not only imperative to strengthen its capacity for adaptation, innovation and governance, but also to foster permanent transformations that help to overcome historical obstacles to the principles of universality, comprehensiveness and equity

Computer Science · Diverse Musicological Studies · Regional resilience and development · Resilience and Mental Health