National Governance of Public Health Responses in a Pandemic?

Dobbs, Mary

doi:10.1017/err.2020.39

Cited by 14 publications

(12 citation statements)

References 9 publications

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“…Nevertheless, the novelty of the pathogen and its epidemiology has been a major factor resulting in uncertainties and delays ineffective management strategies. 4 However, considerable heterogeneity in the degree of responsiveness and timing entailed varied public health outcomes across and within regions despite the implementation of overlapping response and management strategies. 5 The current pandemic response not only dismantled healthcare systems but its impacts on population health are far-reaching ranging from hindrances in essential health services like routine immunization, treatment and management of other acute and chronic conditions, maternal and child health services, mental health services, and collapsing of healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

Problems faced by patients and health service utilization experiences of gastrointestinal patients during lockdown due to COVID-19 pandemic

Kalwar

Kamani

2022

Pak J Med Sci

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Objectives: The COVID-19 pandemic undermined the health service delivery and utilization of essential health care services globally. The current study therefore aimed to explore the health-seeking behaviors and challenges faced by patients for the management of gastrointestinal diseases. Methods: A cross-sectional study was conducted at the outpatient department of Gastroenterology, Liaquat National Hospital, Karachi from March 2020 to July 2020 during the COVID-19 lockdown phase to explore patient experiences. Data was collected using a survey questionnaire. All patients of either gender were included after informed consent. Statistical analysis of the data was conducted using SPSS 21.0. Results: A total of 184 patients were included who visited the hospital to seek medical services during the COVID-19 lockdown phase. The mean age of the population was 42.7 years (±16.13). Of these, n=94 (51.1%) were males All patients had gastrointestinal issues with different comorbid conditions. One forty-seven n=147 (79.9%) presented with active complaints whereas, n=37 (20.1%) patients visited the hospital for their follow-up checkup. Out of 184 patients, n=33 (17.9%) patients reported of having fear of visiting hospital due to COVID-19 outbreak. A statistically significant difference p<0.001 was noted between the history of comorbidities and patient delaying a visit to the healthcare due to the fear of COVID-19. Additionally, 61 (73.5%) patients with co-morbidity faced difficulty in finding public transport (p=0.01). Nevertheless, n=171 (93.0%) patients expressed satisfaction with the services provided by the hospital during the lockdown phase. Conclusion: Patients with gastrointestinal conditions were largely affected by lockdown largely due to fear of contacting COVID-19 disease and inaccessibility to the public transportation. Widely available telemedicine service might overcome these shortcomings and ensure continuity of quality care. doi: https://doi.org/10.12669/pjms.38.3.4799 How to cite this:Kalwar HA, Kamani L. Problems faced by patients and health service utilization experiences of gastrointestinal patients during lockdown due to COVID-19 pandemic. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4799 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Introductionmentioning

confidence: 99%

Problems faced by patients and health service utilization experiences of gastrointestinal patients during lockdown due to COVID-19 pandemic

Kalwar

Kamani

2022

Pak J Med Sci

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“…COVID-19 has proven to be a highly contagious disease with serious medical complications and, to date, continues its worldwide pandemic spread, 11 similar to the previous influenza and SARS events. To validate the feasibility of New Taipei City’s COVID-19 lockdown plan, the city government thus decided to hold a tabletop exercise.…”

Section: Introductionmentioning

confidence: 93%

“…4 Participation may be open to public health workers, government officials, private organizations, senior professionals with decision-making power, and senior leaders. 4,8,10 COVID-19 has proven to be a highly contagious disease with serious medical complications and, to date, continues its worldwide pandemic spread, 11 similar to the previous influenza and SARS events. To validate the feasibility of New Taipei City's COVID-19 lockdown plan, the city government thus decided to hold a tabletop exercise.…”

Section: Introductionmentioning

confidence: 97%

A COVID-19 Lockdown Tabletop Exercise in New Taipei City, Taiwan

Lin

Cheng

2021

Disaster med. public health prep.

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Objectives: This exercise aimed to validate New Taipei City’s strategic plan for a city lockdown in response to COVID-19. The main goal of all solutions was the principle of “reducing citizen activity and strengthening government control”. Methods: We created a suitable exercise, and creating 15 hypothetical situations for three stages. All participating units designed and proposed policy plans and execution protocols according to each situation. Results: In the course of the exercise, many existing policies and execution protocols were validated to address. Situations occurring in Stage 1, when the epidemic was spreading to the point of lockdown preparations, approaches to curb the continued spread of the epidemic in Stage 2, and returning to work after the epidemic is controlled and lockdown is lifted in Stage 3. Twenty response units participated in the exercise. Although favourable outcomes were obtained, the evaluators provided comments suggesting further improvements. Conclusions: Our exercise demonstrated a successful example to help policy making and revision in a large city over 4 million population during COVID-19 pandemic. It also enhanced participants’ subject knowledge and familiarity with the implementation of a city lockdown. For locations intending to go into lockdown, similar tabletop exercises are an effective verification option.

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“…On the other hand, the supervening difficulties caused by a pandemic make it necessary to reflect on the appropriateness of whether public health governance and decision-making should be elevated to the global level. Subsidiarity provides a means in this regard to consider whether these public powers should be reallocated, even temporarily, although public health and economics are fundamental values within each State [ 15 ]. Subsidiarity is understood as the appropriate geographical distribution of power, arguing that powers should rest at the lowest possible level, unless it is more effective to allocate them at a higher level.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Efficiency in the governance of the Covid-19 pandemic: political and territorial factors

2021

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Background The pandemic generated by Covid-19 has changed the way of life of citizens around the world in a short time, affecting all areas of society directly or indirectly, which is facing a global health crisis with different national responses implemented by governments. Several months into the pandemic, the first after-effects of Covid-19 are beginning to be felt by citizens, who are questioning the management carried out so far. In order to improve the performance of governmental decisions to reduce the impact of the pandemic during the coming months, we calculated the levels of efficiency in the management of health resources. In addition, we identify some country characteristics that may condition efficient management. Results We obtained significant differences according to the geographical location of the country, with European and American countries being less efficient than Asian and African countries. Likewise, we can affirm that greater freedom of expression, a higher median age and an unstable economy and labor market reduce efficiency. However, female leadership of the government and greater compliance with the rule of law offer more efficient management, as do countries that derive more revenues from tourism. Conclusions These results provide an opportunity for political leaders to reflect on their management during these months of the pandemic in order to identify mistakes and improve the implementation of effective measures. It has been shown that using more resources does not mean managing better; therefore, policymakers need to pay special attention to the use of resources, taking into account the budgetary constraints of the public sector.

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National Governance of Public Health Responses in a Pandemic?

Cited by 14 publications

References 9 publications

Problems faced by patients and health service utilization experiences of gastrointestinal patients during lockdown due to COVID-19 pandemic

Problems faced by patients and health service utilization experiences of gastrointestinal patients during lockdown due to COVID-19 pandemic

A COVID-19 Lockdown Tabletop Exercise in New Taipei City, Taiwan

Efficiency in the governance of the Covid-19 pandemic: political and territorial factors

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