Preparedness, awareness and ownership of young future healthcare professionals are associated with their willingness to contribute to health system resilience in a NATO collective defense scenario: a cross-sectional study among medical, nursing and paramedic students in Germany

Background

Russia's war against Ukraine has renewed discussion about a possible NATO Article 5 collective defense scenario in Europe. In such a situation, Germany would function as key logistical and medical hub, placing substantial strain on its healthcare system. Experience from the COVID-19 pandemic suggests that health system resilience not only depends on infrastructure but also on availability and commitment of health professionals. This study examined willingness of future health professionals in Germany to contribute beyond routine duties in such a crisis and assessed preparedness, ownership, and awareness as potential determinants.