Masumeh Saeidi Health Providers 2820-9192 6 1 2026 06 01 Enhancing Health System Resilience: An Operational Imperative for Climate-Adaptive Healthcare 1 3 246217 10.22034/hp.2026.588532.1085 EN Ali Ramezankhani Professor, Health Promotion Research Center and Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 0000-0002-3109-1641 Mansoure Alipour-Anbarani Assistant Professor, Department of Health Education and Health Promotion, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran. 0000-0002-9563-7383 Journal Article 2026 06 25 <span>Climate change is increasingly recognized as a critical determinant of health system performance, disrupting healthcare delivery through extreme weather events, infrastructure instability, and evolving disease patterns. Despite growing awareness, the operational integration of climate resilience into routine health system governance remains limited. We propose the Climate-Adaptive Clinical Governance Model (CACGM), a concise four-domain framework encompassing climate intelligence integration, resilient infrastructure, workforce preparedness, and interdisciplinary governance. By embedding anticipatory adaptation within institutional planning and service delivery, CACGM supports a transition from reactive crisis response toward proactive, climate-resilient healthcare systems capable of sustaining quality care under environmental stress.</span> https://www.health-providers.ir/article_246217_c6594acdd942270fc8e12bf620198ef1.pdf