The 40 health systems, COVID-19 (40HS, C-19) study
Background: The health, social and economic consequences of the severe acute respiratory syndrome coronavirus (SARS-CoV-2, henceforth COVID-19) pandemic have loomed large as every national government made decisions about how to respond. The 40 Health Systems, COVID-19 (40HS, C-19) study aimed to inv...
Published in: | International Journal for Quality in Health Care |
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Online Access: | https://researchers.mq.edu.au/en/publications/4c49c0ef-ac1b-4983-a6c1-090fcf4c4669 https://doi.org/10.1093/intqhc/mzaa113 https://research-management.mq.edu.au/ws/files/183221842/Accepted_Author_version_open_access_.pdf http://purl.org/au-research/grants/nhmrc/9100002 http://purl.org/au-research/grants/nhmrc/1135048 http://purl.org/au-research/grants/nhmrc/1134459 http://www.scopus.com/inward/record.url?scp=85102214558&partnerID=8YFLogxK |
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ftmacquarieunicr:oai:https://researchers.mq.edu.au:publications/4c49c0ef-ac1b-4983-a6c1-090fcf4c4669 2024-10-13T14:08:33+00:00 The 40 health systems, COVID-19 (40HS, C-19) study Braithwaite, Jeffrey Tran, Yvonne Ellis, Louise A. Westbrook, Johanna 2021 application/pdf https://researchers.mq.edu.au/en/publications/4c49c0ef-ac1b-4983-a6c1-090fcf4c4669 https://doi.org/10.1093/intqhc/mzaa113 https://research-management.mq.edu.au/ws/files/183221842/Accepted_Author_version_open_access_.pdf http://purl.org/au-research/grants/nhmrc/9100002 http://purl.org/au-research/grants/nhmrc/1135048 http://purl.org/au-research/grants/nhmrc/1134459 http://www.scopus.com/inward/record.url?scp=85102214558&partnerID=8YFLogxK eng eng info:eu-repo/semantics/openAccess Braithwaite , J , Tran , Y , Ellis , L A & Westbrook , J 2021 , ' The 40 health systems, COVID-19 (40HS, C-19) study ' , International Journal for Quality in Health Care , vol. 33 , no. 1 , mzaa113 . https://doi.org/10.1093/intqhc/mzaa113 capacity to respond COVID-19 global health health systems public health consequences stringency of response article 2021 ftmacquarieunicr https://doi.org/10.1093/intqhc/mzaa113 2024-10-03T00:23:12Z Background: The health, social and economic consequences of the severe acute respiratory syndrome coronavirus (SARS-CoV-2, henceforth COVID-19) pandemic have loomed large as every national government made decisions about how to respond. The 40 Health Systems, COVID-19 (40HS, C-19) study aimed to investigate relationships between governments' capacity to respond (CTR), their response stringency, scope of COVID-19 testing and COVID-19 outcomes. Methods: Data over March and April 2020 were extracted for 40 national health systems on prepandemic government CTR (Global Competitiveness Index), stringency measures (Oxford COVID-19 Government Response Tracker Stringency Index), approach to COVID-19 testing and COVID-19 cases and deaths (Our-World-in-Data). Multidimensional scaling (MDS) and cluster analysis were applied to examine latent dimensions and visualize country similarities and dissimilarities. Outcomes were tested using multivariate and one-way analyses of variances and Kruskal-Wallis H tests. Results: The MDS model found three dimensions explaining 91% of the variance and cluster analysis identified five national groupings. There was no association between national governments' prepandemic CTR and the adoption of early stringent public health measures or approach to COVID-19 testing. Two national clusters applied early stringency measures and reported significantly lower cumulative deaths. The best performing national cluster (comprising Australia, South Korea, Iceland and Taiwan) adopted relatively early stringency measures but broader testing earlier than others, which was associated with a change in disease trajectory and the lowest COVID-19 death rates. Two clusters (one with high CTR and one low) both adopted late stringency measures and narrow testing and performed least well in COVID-19 outcomes. Conclusion: Early stringency measures and intrinsic national capacities to deal with a pandemic are insufficient. Extended stringency measures, important in the short term, are not economically sustainable. ... Article in Journal/Newspaper Iceland Macquarie University Research Portal International Journal for Quality in Health Care 33 1 |
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capacity to respond COVID-19 global health health systems public health consequences stringency of response |
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capacity to respond COVID-19 global health health systems public health consequences stringency of response Braithwaite, Jeffrey Tran, Yvonne Ellis, Louise A. Westbrook, Johanna The 40 health systems, COVID-19 (40HS, C-19) study |
topic_facet |
capacity to respond COVID-19 global health health systems public health consequences stringency of response |
description |
Background: The health, social and economic consequences of the severe acute respiratory syndrome coronavirus (SARS-CoV-2, henceforth COVID-19) pandemic have loomed large as every national government made decisions about how to respond. The 40 Health Systems, COVID-19 (40HS, C-19) study aimed to investigate relationships between governments' capacity to respond (CTR), their response stringency, scope of COVID-19 testing and COVID-19 outcomes. Methods: Data over March and April 2020 were extracted for 40 national health systems on prepandemic government CTR (Global Competitiveness Index), stringency measures (Oxford COVID-19 Government Response Tracker Stringency Index), approach to COVID-19 testing and COVID-19 cases and deaths (Our-World-in-Data). Multidimensional scaling (MDS) and cluster analysis were applied to examine latent dimensions and visualize country similarities and dissimilarities. Outcomes were tested using multivariate and one-way analyses of variances and Kruskal-Wallis H tests. Results: The MDS model found three dimensions explaining 91% of the variance and cluster analysis identified five national groupings. There was no association between national governments' prepandemic CTR and the adoption of early stringent public health measures or approach to COVID-19 testing. Two national clusters applied early stringency measures and reported significantly lower cumulative deaths. The best performing national cluster (comprising Australia, South Korea, Iceland and Taiwan) adopted relatively early stringency measures but broader testing earlier than others, which was associated with a change in disease trajectory and the lowest COVID-19 death rates. Two clusters (one with high CTR and one low) both adopted late stringency measures and narrow testing and performed least well in COVID-19 outcomes. Conclusion: Early stringency measures and intrinsic national capacities to deal with a pandemic are insufficient. Extended stringency measures, important in the short term, are not economically sustainable. ... |
format |
Article in Journal/Newspaper |
author |
Braithwaite, Jeffrey Tran, Yvonne Ellis, Louise A. Westbrook, Johanna |
author_facet |
Braithwaite, Jeffrey Tran, Yvonne Ellis, Louise A. Westbrook, Johanna |
author_sort |
Braithwaite, Jeffrey |
title |
The 40 health systems, COVID-19 (40HS, C-19) study |
title_short |
The 40 health systems, COVID-19 (40HS, C-19) study |
title_full |
The 40 health systems, COVID-19 (40HS, C-19) study |
title_fullStr |
The 40 health systems, COVID-19 (40HS, C-19) study |
title_full_unstemmed |
The 40 health systems, COVID-19 (40HS, C-19) study |
title_sort |
40 health systems, covid-19 (40hs, c-19) study |
publishDate |
2021 |
url |
https://researchers.mq.edu.au/en/publications/4c49c0ef-ac1b-4983-a6c1-090fcf4c4669 https://doi.org/10.1093/intqhc/mzaa113 https://research-management.mq.edu.au/ws/files/183221842/Accepted_Author_version_open_access_.pdf http://purl.org/au-research/grants/nhmrc/9100002 http://purl.org/au-research/grants/nhmrc/1135048 http://purl.org/au-research/grants/nhmrc/1134459 http://www.scopus.com/inward/record.url?scp=85102214558&partnerID=8YFLogxK |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Braithwaite , J , Tran , Y , Ellis , L A & Westbrook , J 2021 , ' The 40 health systems, COVID-19 (40HS, C-19) study ' , International Journal for Quality in Health Care , vol. 33 , no. 1 , mzaa113 . https://doi.org/10.1093/intqhc/mzaa113 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1093/intqhc/mzaa113 |
container_title |
International Journal for Quality in Health Care |
container_volume |
33 |
container_issue |
1 |
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1812815225233080320 |