在经合组织国家中,医疗保健系统和COVID-19死亡率:一个小组的量子回归分析
Jalil Safaei1, Andisheh Saliminezhad2
1School of Economics, University of Northern British Columbia, Prince George, BC, Canada.
概括
医疗保健系统的非商品化和公共卫生措施显著降低了COVID-19死亡率. 具有更具包容性的社会保护和更高的测试/疫苗接种率的国家在疫情期间死亡人数较少.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 2019年新冠肺炎 (COVID-19) 疫情对全球健康产生了深远的影响,各国感染率和死亡率存在显著差异.
- 已经研究了不同的政策反应,但医疗保健系统特征在缓解COVID-19死亡率方面的作用仍然是需要调查的领域.
研究的目的:
- 调查医疗保健系统特征,特别是医疗保健非商品化,与发达国家COVID-19死亡率之间的关联.
- 分析医疗保健系统特征超出政策响应对流行病结果的影响.
主要方法:
- 医疗保健系统根据其脱商品化程度进行了分类.
- 使用非添加性固定效应的定量回归,使用从2020年到2022年的每日数据.
- 分析涵盖了疫苗接种前 (2020) 和疫苗接种后 (2021-2022) 期间.
主要成果:
- 较高的测试率和严格的公共卫生措施显著与较低的COVID-19死亡率有关.
- 疫苗接种后期疫苗接种率的增加显示,死亡人数显著减少.
- 医疗保健非商品化程度高和中的国家与非商品化程度低的国家相比,死亡率较低.
结论:
- 更强大的公共卫生基础设施和包容性的社会保护措施在减轻严重的流行病健康影响方面比单独的制措施更有效.
- 医疗保健系统的结构,特别是脱产品化程度,在一个国家对大流行病的抵御能力方面发挥着至关重要的作用.
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