评估大流行初期的政策措施:COVID-19 大流行头四个月和十二个月的经验证据

IF 1.8 Q3 HEALTH POLICY & SERVICES International Journal of Health Governance Pub Date : 2024-07-08 DOI:10.1108/ijhg-05-2023-0053
Emile du Plessis
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引用次数: 0

摘要

目的 COVID-19 大流行病的迅速蔓延颠覆了全球社会,数十亿人被迫封锁。由于各国都在考虑制定和撤销封锁措施,并考虑大流行疲劳症对政策措施的影响,此外,为了更好地管理未来的大流行病,本研究探讨了政策措施在限制感染传播和死亡人数方面的有效性。研究结果研究结果表明,在 COVID-19 大流行的前四个月中,一些政府政策有效地降低了隐性死亡率、感染病例和死亡人数。降低死亡率的严格措施包括限制超过 100 人参加的公共集会,以及发达国家和岛屿的国际旅行限制。关闭公共交通可进一步降低死亡率,而公共宣传活动也可使感染病例受益。在跨越 12 个月的稳健性测试中观察到了相似的结果。原创性/价值在减少感染传播、降低死亡人数和死亡率方面,一些非药物政策比其他政策更有效,有助于决策者更有效地管理未来的流行病。
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Appraisal of policy measures at the beginning of a pandemic: Empirical evidence from the first four months and 12 months of the COVID-19 pandemic
PurposeThe rapid spread of the COVID-19 pandemic upended societies across the world, with billions forced into lockdowns. As countries contemplated instating and rolling back lockdown measures, and considered the impact of pandemic fatigue on policy measures, and furthermore to prepare for the improved management of future pandemics, this study examines the effectiveness of policy measures in limiting the spread of infections and fatalities.Design/methodology/approachThe methodological approach in the study centres on a fixed effects panel regression analysis and employs the COVID-19 Government Response Stringency Index, which comprises eight containment measures and three health campaigns, with progressive degrees of stringency, in order to investigate the efficacy of government policies.FindingsFindings suggest that some government policies were effective at reducing implicit mortality rates, infection cases and fatalities during the first four months of the COVID-19 pandemic. Solid stringency measures to reduce mortality rates include public gathering restrictions on more than 100 attendees, and international travel limits for developed countries and islands. Fatalities can further be reduced through the closing of public transport, whereas infection cases also experience benefits from public information campaigns. Comparable results are observed in a robustness test across 12 months.Originality/valueSome non-pharmaceutical policies are shown to be more effective than others at reducing the spread of infections, fatalities and mortality rates, and support policymakers to manage future pandemics more effectively.
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来源期刊
International Journal of Health Governance
International Journal of Health Governance HEALTH POLICY & SERVICES-
CiteScore
3.30
自引率
15.40%
发文量
28
期刊介绍: International Journal of Health Governance (IJHG) is oriented to serve those at the policy and governance levels within government, healthcare systems or healthcare organizations. It bridges the academic, public and private sectors, presenting case studies, research papers, reviews and viewpoints to provide an understanding of health governance that is both practical and actionable for practitioners, managers and policy makers. Policy and governance to promote, maintain or restore health extends beyond the clinical care aspect alone.
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