评估自愿寻求护理对COVID-19结果和卫生系统成本的影响
Sileshi Sintayehu Sharbayta1, Jaehun Jung2, Youngji Jo3
1Department of Public Health Sciences, School of Medicine, University of Connecticut Health Center, Farmington, CT, USA.
Scientific reports
|October 28, 2025
概括
在COVID-19 (冠状病毒疾病2019) 策略中引入自愿合规,减少了14%的感染,但增加了成本. 提高疫苗接种反应率被证明比单独测试更具成本效益,以减少疾病负担.
科学领域:
- 流行病学 流行病学
- 公共卫生政策 公共卫生政策
- 行为科学 行为科学
背景情况:
- 在流行COVID-19环境中减少执法措施需要自愿遵守.
- 风险感知和人口免疫力显著影响自愿合规行为.
- 行为适应模型对于在动态公共卫生场景中预测结果至关重要.
研究的目的:
- 为了比较强制性合规和COVID-19的强制性-自愿性合规策略之间的健康结果和成本.
- 通过敏感性分析确定累积发病率和总成本的关键驱动因素.
- 评估不同自愿合规响应策略的成本效益.
主要方法:
- 使用了一种对Omicron波数据 (韩国,2022年2月至5月) 进行校准的行为适应模型.
- 两种情景进行了比较:只有强制性合规与强制性合规和自愿性合规的组合.
- 模型包括恒定的强制性利率和由风险感知影响的动态自愿性利率.
主要成果:
- 与仅是强制性相比,自愿性合规减少了14%的发生率,并增加了35%的总成本.
- 信息传播策略显著影响了基于覆盖范围的发生率降低和成本增加.
- 提高疫苗接种响应效率比提高测试响应效率更具成本效益.
结论:
- 自愿遵守,特别是增强疫苗接种响应能力,可以提高COVID-19的控制成本效益.
- 降低检测成本和鼓励自愿接种疫苗是提高成本效益的潜在策略.
- 适应性建模和详细的行为数据对于可持续的公共卫生战略至关重要.
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