Health resilience is crucial element to respond the COVID-19. This study aims to explore health resilience at an urban level, considering the complex interactions among physical, mental, and social health with system-based strategies during the pandem...
Health resilience is crucial element to respond the COVID-19. This study aims to explore health resilience at an urban level, considering the complex interactions among physical, mental, and social health with system-based strategies during the pandemic. Dynamic behaviors were analyzed using Vensim Pro v.10.3.2 to construct causal loop diagrams. The results indicated that there were four vicious cycles : 1) simultaneous decline in physical and mental health due to social distancing; 2) social isolation and mental health deterioration due to lockdowns; 3) an increased risk of infection driven by economic decline; and 4) health services affected by economic disparities and digital capability gaps. The results also revealed several strategies for enhancing urban health resilience, including reservation system for indoor health facilities, a flexible social security system, telework guidelinces, and cultivating digital health leaders. The findings suggest that policymakers should consider four vicious cycles and health resilience in responding to disasters such as COVID-19.