دورية أكاديمية
Associations between the stringency of COVID-19 containment policies and health service disruptions in 10 countries.
العنوان: | Associations between the stringency of COVID-19 containment policies and health service disruptions in 10 countries. |
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المؤلفون: | Reddy T; Biostatistics Research Unit, South African Medical Research Council, Durban, South Africa.; School of Mathematics, Statistics and Computer Science, University of KwaZulu Natal, Durban, South Africa., Kapoor NR; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA., Kubota S; World Health Organization, Vientiane, Lao People's Democratic Republic, Vientiane, Laos., Doubova SV; Epidemiology and Health Services Research Unit CMN Siglo XXI, Mexican Institute of Social Security, Mexico City, Mexico., Asai D; World Health Organization, Vientiane, Lao People's Democratic Republic, Vientiane, Laos., Mariam DH; School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Ayele W; School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Mebratie AD; School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Thermidor R; Studies and Planning Unit, Ministry of Public Health and Population, Port-Au-Prince, Haiti., Sapag JC; Public Health Department, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile., Bedregal P; Public Health Department, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile., Passi-Solar Á; Public Health Department, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile., Gordon-Strachan G; Caribbean Institute for Health Research, University of West Indies, Kingston, Jamaica., Dulal M; Office of the Member of Federal Parliament Gagan Kumar Thapa, Kathmandu, Nepal., Gadeka DD; School of Public Health, University of Ghana, Accra, Ghana., Mehata S; Ministry of Health, Koshi Province, Biratnagar, Nepal., Margozzini P; Public Health Department, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile., Leerapan B; Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Rittiphairoj T; Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Kaewkamjornchai P; Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Nega A; School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Awoonor-Williams JK; School of Public Health, University of Ghana, Accra, Ghana., Kruk ME; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA., Arsenault C; Department of Global Health, The George Washington University Milken Institute School of Public Health, Washington, USA. catherine.arsenault@gwu.edu. |
المصدر: | BMC health services research [BMC Health Serv Res] 2023 Apr 12; Vol. 23 (1), pp. 363. Date of Electronic Publication: 2023 Apr 12. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
مواضيع طبية MeSH: | Pandemics*/prevention & control , COVID-19*/epidemiology , COVID-19*/prevention & control, Humans ; Health Services ; Health Facilities ; Long-Term Care |
مستخلص: | Background: Disruptions in essential health services during the COVID-19 pandemic have been reported in several countries. Yet, patterns in health service disruption according to country responses remain unclear. In this paper, we investigate associations between the stringency of COVID-19 containment policies and disruptions in 31 health services in 10 low- middle- and high-income countries in 2020. Methods: Using routine health information systems and administrative data from 10 countries (Chile, Ethiopia, Ghana, Haiti, Lao People's Democratic Republic, Mexico, Nepal, South Africa, South Korea, and Thailand) we estimated health service disruptions for the period of April to December 2020 by dividing monthly service provision at national levels by the average service provision in the 15 months pre-COVID (January 2019-March 2020). We used the Oxford COVID-19 Government Response Tracker (OxCGRT) index and multi-level linear regression analyses to assess associations between the stringency of restrictions and health service disruptions over nine months. We extended the analysis by examining associations between 11 individual containment or closure policies and health service disruptions. Models were adjusted for COVID caseload, health service category and country GDP and included robust standard errors. Findings: Chronic disease care was among the most affected services. Regression analyses revealed that a 10% increase in the mean stringency index was associated with a 3.3 percentage-point (95% CI -3.9, -2.7) reduction in relative service volumes. Among individual policies, curfews, and the presence of a state of emergency, had the largest coefficients and were associated with 14.1 (95% CI -19.6, 8.7) and 10.7 (95% CI -12.7, -8.7) percentage-point lower relative service volumes, respectively. In contrast, number of COVID-19 cases in 2020 was not associated with health service disruptions in any model. Conclusions: Although containment policies were crucial in reducing COVID-19 mortality in many contexts, it is important to consider the indirect effects of these restrictions. Strategies to improve the resilience of health systems should be designed to ensure that populations can continue accessing essential health care despite the presence of containment policies during future infectious disease outbreaks. (© 2023. The Author(s).) |
References: | BMJ Glob Health. 2021 Jun;6(6):. (PMID: 34112648) Asia Pac J Public Health. 2021 Nov;33(8):968-971. (PMID: 33870725) Int J Health Policy Manag. 2017 Apr 04;6(8):431-435. (PMID: 28812842) J Int AIDS Soc. 2021 Oct;24 Suppl 6:e25794. (PMID: 34713578) Bull World Health Organ. 2022 Feb 1;100(2):168-170. (PMID: 35125542) BMJ Open. 2022 Jun 3;12(6):e059408. (PMID: 36437538) BMJ Open. 2022 Feb 3;12(2):e056342. (PMID: 35115356) Lancet HIV. 2021 Mar;8(3):e158-e165. (PMID: 33549166) BMJ Open. 2022 Apr 12;12(4):e055790. (PMID: 35414554) Lancet Infect Dis. 2020 May;20(5):533-534. (PMID: 32087114) BMJ Glob Health. 2022 Jan;7(1):. (PMID: 35012970) BMC Health Serv Res. 2021 May 17;21(1):463. (PMID: 34001123) Glob Heart. 2021 Jun 10;16(1):44. (PMID: 34211830) BMJ Glob Health. 2021 Aug;6(8):. (PMID: 34452941) Nat Med. 2022 Jun;28(6):1314-1324. (PMID: 35288697) Lancet Public Health. 2022 May;7(5):e417-e426. (PMID: 35461592) BMJ Glob Health. 2021 Jul;6(7):. (PMID: 34315776) BMJ Open. 2021 Mar 16;11(3):e045343. (PMID: 33727273) BMJ Case Rep. 2021 Sep 14;14(9):. (PMID: 34521739) Diabetes Metab Syndr. 2020 Nov-Dec;14(6):1621-1623. (PMID: 32889403) Heart. 2022 Oct 13;108(21):1716-1721. (PMID: 35105666) World Dev. 2021 Apr;140:105318. (PMID: 34548741) Lancet. 2020 May 30;395(10238):1687-1688. (PMID: 32539939) Health Policy Plan. 2021 Aug 12;36(7):1140-1151. (PMID: 34146394) PLoS One. 2021 Jul 26;16(7):e0254825. (PMID: 34310639) PLoS One. 2021 Feb 1;16(2):e0245886. (PMID: 33524042) Curr Dev Nutr. 2021 Mar 18;5(4):nzab024. (PMID: 33884343) Nat Hum Behav. 2021 Apr;5(4):529-538. (PMID: 33686204) Lancet Glob Health. 2020 Oct;8(10):e1273-e1281. (PMID: 32791117) EClinicalMedicine. 2022 Mar;45:101305. (PMID: 35224471) Ann Glob Health. 2021 Nov 15;87(1):109. (PMID: 34824990) BMJ Open. 2021 Mar 18;11(3):e045813. (PMID: 33737441) BMJ Glob Health. 2021 Sep;6(9):. (PMID: 34470746) BMJ Open. 2020 Oct 5;10(10):e043763. (PMID: 33020109) Eur J Public Health. 2021 Jul 13;31(3):634-640. (PMID: 33755130) BMJ Glob Health. 2022 May;7(5):. (PMID: 35501068) BMJ Open. 2022 Nov 29;12(11):e061849. (PMID: 36446449) Lancet Glob Health. 2021 Jun;9(6):e793-e801. (PMID: 34019835) BMC Health Serv Res. 2021 Feb 24;21(1):174. (PMID: 33627115) |
معلومات مُعتمدة: | 001 International WHO_ World Health Organization; INV-017293 United States GATES Bill & Melinda Gates Foundation; INV-005254 United States GATES Bill & Melinda Gates Foundation |
فهرسة مساهمة: | Keywords: COVID-19 restrictions; Health care disruptions; Health services; Health system resilience; Health systems; Pandemic response |
تواريخ الأحداث: | Date Created: 20230412 Date Completed: 20230414 Latest Revision: 20230903 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC10096103 |
DOI: | 10.1186/s12913-023-09363-1 |
PMID: | 37046260 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1472-6963 |
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DOI: | 10.1186/s12913-023-09363-1 |