Resilience principles show promise for improving the quality of healthcare, but there is a need for further theoretical development to include all levels and scales of activity across the whole healthcare system. Many existing models based on engineering concepts do not adequately address the prominence of social, cultural and organisational factors in healthcare work. Promising theoretical developments include the four resilience potentials, the CARE model and the Moments of Resilience Model, but they are all under specified and in need of further elaboration. This paper presents the Integrated Resilience Attributes Framework in which these three theoretical perspectives are integrated to provide examples of anticipating, responding, monitoring and learning at different scales of time and space. The framework is intended to guide researchers in researching resilience, especially the linkages between resilience at different scales of time and space across the whole healthcare system.

中文翻译：

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定义医疗保健中的适应能力：研究弹性性能的新框架。

恢复力原则显示出改善医疗保健质量的希望，但是需要进一步的理论发展，以涵盖整个医疗保健系统中所有级别和规模的活动。许多基于工程概念的现有模型无法充分解决医疗保健工作中社会，文化和组织因素的突出问题。有希望的理论发展包括四个弹性潜力，CARE模型和弹性矩模型，但它们都处于特定状态，需要进一步阐述。本文提出了综合抗灾力属性框架，其中将这三个理论观点进行了整合，以提供在不同时空尺度上的预期，响应，监控和学习的示例。