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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2655</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2026-34-s1-353-357</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>THE MAIN FACTORS OF HEALTH SYSTEM RESILIENCE IN DIFFERENT CRISIS SITUATIONS</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Amlaev</surname><given-names>K. R.</given-names></name><email></email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Khripunova</surname><given-names>A. A.</given-names></name><email></email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Khripunova</surname><given-names>I. G.</given-names></name><email></email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Stepanyan</surname><given-names>T. O.</given-names></name><email></email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">Bukhara State Medical Institute named after Abu Ali ibn Sino, 200118, Bukhara, Republic of Uzbekistan</aff><aff id="aff-2">Stavropol State Medical University, 355017, Stavropol, Russia</aff><pub-date date-type="epub" iso-8601-date="2026-06-27" publication-format="electronic"><day>27</day><month>06</month><year>2026</year></pub-date><volume>34</volume><fpage>353</fpage><lpage>357</lpage><history><pub-date date-type="received" iso-8601-date="2026-06-29"><day>29</day><month>06</month><year>2026</year></pub-date></history><permissions><copyright-statement>Copyright © 1970,</copyright-statement><copyright-year>1970</copyright-year></permissions><abstract>This article considers the main approaches to assessing the sustainability of the health care system in the development of emergencies of different nature. Based on the analysis and synthesis of data from foreign publications, the most significant factors affecting the efficiency of functioning of national health care systems, as well as the characteristics of their resilience to crisis phenomena are systematised. Experts consider flexible resource management, training of qualified and motivated medical personnel, the possibility of redistribution of powers within the system, both horizontally and vertically, as well as intersectoral cooperation in overcoming crisis situations as the most obvious solutions to improve the viability of the health care system.</abstract><kwd-group xml:lang="en"><kwd>health system resilience</kwd><kwd>crisis situation</kwd><kwd>resource management</kwd><kwd>health infrastructure</kwd><kwd>human resources policy</kwd><kwd>intersectoral collaboration</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>устойчивость системы здравоохранения</kwd><kwd>кризисная ситуация</kwd><kwd>управление ресурсами</kwd><kwd>инфраструктура здравоохранения</kwd><kwd>кадровая политика</kwd><kwd>межсекторальное сотрудничество</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Biddle L., Wahedi K., Bozorgmehr K. 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