scholarly journals The broader societal impacts of COVID-19 and the growing importance of capturing these in health economic analyses

Author(s):  
Lena Schnitzler ◽  
Luca M. M. Janssen ◽  
Silvia M. A. A. Evers ◽  
Louise J. Jackson ◽  
Aggie T. G. Paulus ◽  
...  

Abstract The rapid spread of the current COVID-19 pandemic has affected societies worldwide, leading to excess mortality, long-lasting health consequences, strained healthcare systems, and additional strains and spillover effects on other sectors outside health (i.e., intersectoral costs and benefits). In this perspective piece, we demonstrate the broader societal impacts of COVID-19 on other sectors outside the health sector and the growing importance of capturing these in health economic analyses. These broader impacts include, for instance, the effects on the labor market and productivity, education, criminal justice, housing, consumption, and environment. The current pandemic highlights the importance of adopting a societal perspective to consider these broader impacts of public health issues and interventions and only omit these where it can be clearly justified as appropriate to do so. Furthermore, we explain how the COVID-19 pandemic exposed and exacerbated existing deep-rooted structural inequalities that contribute to the wider societal impacts of the pandemic.

Author(s):  
Liping Fu ◽  
Kaibo Xu ◽  
Feng Liu ◽  
Lu Liang ◽  
Zhengmin Wang

Background: The distribution of medical resources in China is seriously imbalanced due to imbalanced economic development in the country; unbalanced distribution of medical resources makes patients try to seek better health services. Against this backdrop, this study aims to analyze the spatial network characteristics and spatial effects of China’s health economy, and then find evidence that affects patient mobility. Methods: Data for this study were drawn from the China Health Statistical Yearbooks and China Statistical Books. The gravitational value of China’s health spatial network was calculated to establish a network of gravitational relationships. The social network analysis method was used for centrality analysis and spillover effect analysis. Results: A gravity correlation matrix was constructed among provinces by calculating the gravitational value, indicating the spatial relationships of different provinces in the health economic network. Economically developed provinces, such as Shanghai and Jiangsu, are at the center of the health economic network (centrality degree = 93.333). These provinces also play a strong intermediary role in the network and have connections with other provinces. In the CONCOR analysis, 31 provinces are divided into four blocks. The spillover effect of the blocks indicates provinces with medical resource centers have beneficial effects, while provinces with insufficient resources have obvious spillover effects. Conclusion: There is a significant gap in the geographical distribution of medical resources, and the health economic spatial network structure needs to be improved. Most medical resources are concentrated in economically developed provinces, and these provinces’ positions in the health economic spatial network are becoming more centralized. By contrast, economically underdeveloped regions are at the edge of the network, causing patients to move to provinces with medical resource centers. There are health risks of the increasing pressure to seek medical treatment in developed provinces with abundant medical resources.


2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Anita Naemi Holm

This article presents a theoretical view on culturally embedded thinking and action in encounters between patient and health professional. A key point of the analysis indicates that a highly efficient health sector may entail an implicit duality: on the one hand, the health professional can and often must relate pragmatically to the patient in order to solve problems and do so quickly, while on the other, the professional may be personally challenged when embedded cultural thinking leads to conflicts or dilemmas. This means that a purely pragmatic perspective will be challenged when such conflicts arise. The article looks at interrelated concepts such as ‘culture’, ‘prejudice’ and ‘meaning’ in order to shed light on the presuppositions that are brought into the cultural encounter between patient and health professional. This kind of analysis will hopefully contribute to a raised awareness of what is actually – apart from pragmatic problem solving – going on in such encounters. The conceptual framework used in this article primarily draws on the German philosopher Hans-Georg Gadamer, which is contrasted with the pragmatic perspective from the American philosopher Richard Rorty.


Author(s):  
Stefan Walzer ◽  
Daniel Droeschel ◽  
Mark Nuijten ◽  
Hélène Chevrou-Séverac

2015 ◽  
Vol 34 (2) ◽  
pp. 139-154 ◽  
Author(s):  
Paula K. Lorgelly ◽  
◽  
Brett Doble ◽  
Rachel J. Knott

Author(s):  
Ahmad Al Balkhi

This chapter aims to review the healthcare strategies in the United Arab Emirates (UAE) with a special focus on the Emirate of Abu Dhabi. The chapter starts with an introduction to the adopted strategic planning of health sector in the UAE. Then it provides the theoretical background to the subject, outlines the persisting health issues and concerns, in addition to the main challenges of health planning in the United Arab Emirates. This will be followed by an overview of the current health system and regulations in the UAE, and will elaborate on the adopted health strategies, and upon that will suggest solutions and tips that can help in overcoming challenges and resolving critical issues. The review concludes with recommendation for future researches that could expand the scope of this review to be more comprehensive and focused on the strategic option for achieving excellence in the healthcare sector.


2020 ◽  
Vol 1 ◽  
Author(s):  
Florence Thibaut ◽  
Patricia J. M. van Wijngaarden-Cremers

Even if the fatality rate has been twice higher for men than for women, the Covid-19 pandemic has affected women more than men, both as frontline workers and at home. The aim of our article was to analyze the differences observed in mental health and violence between men and women in the COVID outbreak. For this purpose, we have used all papers available in PubMed between January and July 2020 as well as data from non-governmental associations. We have thus successively analyzed the situation of pregnancy during the pandemic; the specific psychological and psychiatric risks faced by women both as patients and as workers in the health sector, the increased risk of violence against women at home and at workplace and, finally the risk run by children within their families. In conclusion, research on the subject of mental health issues during the Covid-19 pandemic is still scarce, especially in women. We hope that this pandemic will help to recognize the major role of women at home and at the workplace.


2020 ◽  
Vol 23 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Clare L. Burns ◽  
Laurelie R. Wishart ◽  
Sanjeewa Kularatna ◽  
Elizabeth C. Ward

Author(s):  
Harry Verhoeven

Following the global upsurge in conflict in the late 1980s and early 1990s, no confrontation turned out to be more devastating than the Great African War, which led to mass excess mortality with estimates ranging between 2.7 million and 5.4 million people dead in the 1998–2007 period. Unlike the First World War, with which it is often compared because of the multitude of states which battled each other on Congolese territory, Africa’s Great War cannot be defined by unambiguous start and end dates. The violence since the 1990s is perhaps more usefully thought of in analogy with Europe’s Thirty Years’ War in the 17th century or, as some historians argue, the cataclysmic conflict centered on Eurasia that encompassed both World Wars, separated only by a failing truce between 1919 and 1937. With not only alliances changing regularly in the Great African War but also a whole cast of participants joining and leaving the battlefield and the frontlines gradually blurring to the point of becoming virtually indefinable, many scholars prefer using “Congo Wars” to refer to a series of regularly interlinked but sometimes also clearly distinct conflicts—local, national, regional—waged on the territory of what was formerly known as Zaire and now as the Democratic Republic of the Congo (DRC). Thus, while a narrow definition separates out a “First Congo War” (beginning in September or October 1996 [once again, depending on one’s definition!] and ending on 17 May 1997) from the “Second Congo War” (the Great African War “proper,” from 2 August 1998 to 17 December 2002), other perspectives date the start of the conflict(s) back to the Rwandan genocide and argue that the Congo Wars, in parts of the territory like North and South Kivu and Ituri, are still ongoing. This bibliography takes a relatively expansive view of the conflagration, focusing publications analyzing the central events between 1996 and 2002, but acknowledging the impressive body of scholarship that not only scrutinizes the consequences of six years of catastrophic violence but also traces ongoing localized and/or transnational conflict in the DRC. At the time of writing (summer 2019), some optimism is taking hold after the peaceful (if controversial) handover of presidential power by Joseph Kabila to Felix Tshisekedi in January 2019 following elections in December 2018; violent confrontations among militias and between rebel groups, the MONUC/MONUSCO UN force, and the state still occur regularly, but not since 2013 have insurgents (i.e., the M23 rebellion) credibly threatened to take over an entire province, let alone seek to oust the president in Kinshasa: progress by Congolese standards. Although foreign actors still meddle in Congo’s politics, they do not do so as overtly and probably also not as profusely and effectively in the 2000s. The task will fall to historians a generation from now to assess whether the Congo Wars really have been coming to an end, twenty-five years after they began raging, or whether the current moment merely turned out to be a relatively peaceful interlude separating one set of violent outbursts from another.


2017 ◽  
Vol 19 (suppl_6) ◽  
pp. vi39-vi40
Author(s):  
Nebras Warsi ◽  
Laureen Hachem ◽  
Farshad Nassiri ◽  
Alireza Mansouri

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