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Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China

At the beginning of 2020, the global outbreak of the novel coronavirus COVID-19 posed a huge challenge to the governance capabilities of public health in various countries. In this paper, the SEIR model is used to fit the number of confirmed cases in each province in China, and the reduction rate of...

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Detalles Bibliográficos
Autores principales: Fang, Yingfeng, Zhang, Fen, Zhou, Chenyu, Chen, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071522/
https://www.ncbi.nlm.nih.gov/pubmed/33921152
http://dx.doi.org/10.3390/ijerph18084210
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author Fang, Yingfeng
Zhang, Fen
Zhou, Chenyu
Chen, Ming
author_facet Fang, Yingfeng
Zhang, Fen
Zhou, Chenyu
Chen, Ming
author_sort Fang, Yingfeng
collection PubMed
description At the beginning of 2020, the global outbreak of the novel coronavirus COVID-19 posed a huge challenge to the governance capabilities of public health in various countries. In this paper, the SEIR model is used to fit the number of confirmed cases in each province in China, and the reduction rate of the basic reproduction number is used to measure the actual score of the control effect of COVID-19. The potential capacity of prevention and control of epidemics, in theory, is constructed, and we use the difference between theoretical ability and actual score to measure the ability of governance of public health. We found that there were significant differences between actual effect and theoretical ability in various regions, and governance capabilities were an important reason leading to this difference, which was not consistent with the level of economic development. The balance of multiple objectives, the guiding ideology of emphasizing medical treatment over prevention, the fragmentation of the public health system, and the insufficiency of prevention and control ability in primary public health systems seriously affected the government’s ability to respond to public health emergencies.
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spelling pubmed-80715222021-04-26 Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China Fang, Yingfeng Zhang, Fen Zhou, Chenyu Chen, Ming Int J Environ Res Public Health Article At the beginning of 2020, the global outbreak of the novel coronavirus COVID-19 posed a huge challenge to the governance capabilities of public health in various countries. In this paper, the SEIR model is used to fit the number of confirmed cases in each province in China, and the reduction rate of the basic reproduction number is used to measure the actual score of the control effect of COVID-19. The potential capacity of prevention and control of epidemics, in theory, is constructed, and we use the difference between theoretical ability and actual score to measure the ability of governance of public health. We found that there were significant differences between actual effect and theoretical ability in various regions, and governance capabilities were an important reason leading to this difference, which was not consistent with the level of economic development. The balance of multiple objectives, the guiding ideology of emphasizing medical treatment over prevention, the fragmentation of the public health system, and the insufficiency of prevention and control ability in primary public health systems seriously affected the government’s ability to respond to public health emergencies. MDPI 2021-04-15 /pmc/articles/PMC8071522/ /pubmed/33921152 http://dx.doi.org/10.3390/ijerph18084210 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fang, Yingfeng
Zhang, Fen
Zhou, Chenyu
Chen, Ming
Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China
title Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China
title_full Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China
title_fullStr Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China
title_full_unstemmed Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China
title_short Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China
title_sort governance capability of the public health system: a comparative analysis of the control of covid-19 in the different provinces of china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071522/
https://www.ncbi.nlm.nih.gov/pubmed/33921152
http://dx.doi.org/10.3390/ijerph18084210
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