scholarly journals The Impacts of Temporary and Permanent Public Health Policies on HRQOL in a Small Open Economy

2021 ◽  
Vol 13 (17) ◽  
pp. 9866
Author(s):  
Yasuhiro Nakamoto ◽  
Taketo Kawagishi

Considering that people can invest in their health-related quality of life (HRQOL), we investigate the effects of public health policies (i.e., a health investment subsidy policy and the direct distribution of health-related goods) on HRQOL in a small open economy. We find that when the government makes public investment in HRQOL temporarily, HRQOL deteriorates or does not improve at least. On the contrary, when public investment is enforced permanently, it improves in the long run.

SAGE Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 215824402096277
Author(s):  
Leena Eklund Karlsson ◽  
Anne Leena Ikonen ◽  
Kothar Mohammed Alqahtani ◽  
Pernille Tanggaard Andersen ◽  
Subash Thapa

In the Kingdom of Saudi Arabia (KSA), no studies have been documented to analyze the equity aspects of public health policies. The aims of the study were to identify policy documents in the KSA relevant to public health and to explore whether these include an equity approach. Twenty health-related documents were identified from various ministries’ websites and analyzed through directed content analysis. The results showed that the term “equity” was neither defined nor explained in the documents and suggestions on how to tackle health inequities were lacking. None of the suggested measures communicated an explicit focus on promoting health equity or the social gradient. Several upstream, midstream, and downstream measures were suggested to improve justice and public health for the people. The study reveals that there is a need for an in-depth assessment of the policy measures across sectors and their influence on health equity to inform future health policy development and action in the KSA.


2021 ◽  
Author(s):  
Theofilos Gkinopoulos ◽  
Christian T. Elbaek ◽  
Panagiotis Mitkidis

Beliefs in conspiracy theories are a major problem, especially in the face of a pandemic, as these constitute a significant obstacle to public health policies, like the use of masks and vaccination. Indeed, during the COVID-19 pandemic, several ungrounded explanations regarding the origin of the virus or the effects of vaccinations have been rising, leading to vaccination hesitancy or refusal which poses as a threat to public health. Recent studies have shown that in the core of conspiracy theories lies a moral evaluation component; one that triggers a moral reasoning which reinforces the conspiracy itself. To gain a better understanding of how conspiracy beliefs about COVID-19 affect public health containment behaviours and policy support, we analysed comprehensive data from the International Collaboration on the Social & Moral Psychology (ICSMP) of COVID-19, consisting of more than 50.000 participants across 67 countries. We particularly explored the mediating role of two levels of morality: individual and group-based morality. Results show that believing in conspiracy theories reduces adoption of containment health-related behaviors and political support of public health measures and that this relationship is mediated by the two levels of morality. This means that beliefs in conspiracy theories do not simply constitute antecedents of cognitive biases or failures, nor maladaptive behaviors based on personality traits, but are morally infused and should be dealt as such. Based on our findings, we further discuss the psychological, moral, and political implications of endorsement of conspiracy theories in the era of the pandemic.


2017 ◽  
Vol 47 (1) ◽  
pp. 93-124
Author(s):  
Celso José Costa Junior ◽  
Alejandro C. García Cintado ◽  
Armando Vaz Sampaio

Abstract The global crisis that erupted in 2007 led many countries to embark on countercyclical fiscal policies as a way to cushion the blow of a depressed aggregate demand. Advocates of discretionary measures emphasize that fiscal policy can indeed stimulate the economy. The main goal of this work is to assess whether the fiscal policies pursued by the Brazilian government in the aftermath of the 2008 crisis, succeeded in bringing the economy back on track in a sustainable fashion. To this end, the fiscal multipliers of five different shocks are studied in a small open-economy New Keynesian framework. Our results point to the government spending and public investment as the most effective fiscal tools for combating the crisis. However, the highest fiscal multiplier turned out to be the one associated with excise tax reductions.


2021 ◽  
pp. jech-2020-216240
Author(s):  
Iona MacDonald ◽  
Jye-Lin Hsu

With almost no community-transmitted cases and without any complete lockdown throughout 2020, Taiwan is one of very few countries worldwide that has recorded minimal impact from the COVID-19 pandemic attack. This is despite being only 130 km from China and having frequent business communications with that country, where COVID-19 first emerged. At the end of December 2020, Taiwan had recorded just 873 cases and 7 deaths, in a country of around 24 million people. How to determine the effectiveness of public health policies is an important issue that must be resolved, especially in those countries that have experienced few cases of community-transmitted COVID-19. Our analysis of epidemiological data in Taiwan relating to influenza-like illness (ILI), enterovirus and diarrhoea from the past 3 years reveals dramatic reductions in the incidence of ILI and enterovirus in 2020, compared with 2018 and 2019. These reductions occurred within 2 weeks of the government issuing public health policies for COVID-19 and indicate that such policies can effectively reduce infectious diseases overall. In contrast, no such reduction in ILI activity was observed in 2020 after the first COVID-19 case was reported in the USA. We suggest that infectious diseases data can be used to inform effective public health policies needed to break the transmission chain of COVID-19 and that ongoing monitoring of infectious diseases data can provide confidence about nationwide health.


2020 ◽  
Vol 6 (1) ◽  
pp. 83-89
Author(s):  
Rodrigo de Macedo Couto ◽  
Danie Friguglietti Brandespim

The One Health concept represents the inseparability of human, animal, and environmental health through a unified view of health care. This article addressed the topic of public health policies from the One Health perspective, demonstrating its inclusion in various health agendas such as emerging and reemerging infectious diseases, basic sanitation, mental health, chronic non-communicable diseases, interpersonal violence, and food safety. The results showed that the application of the One Health concept to the development and implementation of policies is associated with a growing need to involve transdisciplinary teams for solving complex problems to improve communication and to ensure the relevance and acceptability of public policies, thus guaranteeing governance. According to the principle of efficiency, the government must be aware of the evolution of technical knowledge and should use the One Health approach to improve the efficacy of already existing systems. We, therefore, conducted this review to contextualize current knowledge in this topic which is becoming an essential tool for public health policy-makers and practitioners around the world promoting a reflection on the importance of multiprofessional articulation in the implementation of intersectoral public health policies.


2020 ◽  
Vol 13 (3) ◽  
pp. 225-233
Author(s):  
Justin Bernstein ◽  
Pierce Randall

Abstract Public health ethicists face two difficult questions. First, what makes something a matter of public health? While protecting citizens from outbreaks of communicable diseases is clearly a matter of public health, is the same true of policies that aim to reduce obesity, gun violence or political corruption? Second, what should the scope of the government’s authority be in promoting public health? May government enact public health policies some citizens reasonably object to or policies that are paternalistic? Recently, some theorists have attempted to address these questions by arguing that something is a matter of public health if and only if it involves a health-related public good, such as clean water or herd immunity. Relatedly, they have argued that appeals to the promotion of public health should only be used to justify the provision of health-related public goods. This public goods conception of public health (PGC) is meant to enjoy advantages over its rivals in three respects: it provides a better definition of public health than rival views, it respects moral disagreement, and it avoids licensing objectionably paternalistic public health policies. We argue, however, that the PGC does just as poorly, or worse, than its rivals in all three respects.


2018 ◽  
Vol 3 (1) ◽  
pp. 37-46
Author(s):  
ANDREW B. WOLF ◽  
GIDON FELSEN

AbstractMany public policies are designed to counteract commonly made decisions that result in poor health. These policies have primarily been informed by the behavioural economics of decision making. Underappreciated in this conversation has been the perspective from neuroscience, despite its recent success – and the likelihood of future progress – in advancing our understanding of the neural basis for health-related decisions. Using tobacco control as an example, we provide a concise overview of how public health policies can and should be informed by neuroscience. We propose that such input can improve policies by increasing their effectiveness, improving screening efficiency and informing relevant ethical considerations. Finally, we recognise limitations and highlight roles that key stakeholders can play in incorporating neuroscientific evidence for the benefit of public policy.


2020 ◽  
Vol 13 (20) ◽  
pp. 43-57 ◽  
Author(s):  
Simona Vulpe

AbstractVaccine hesitancy is not a singular view but encompasses a set of positions located between complete acceptance of vaccination and complete rejection of vaccination. In this paper, I argue that vaccine-hesitant attitudes emerge at the intersection of individual and structural processes, and thus can be better conceptualized as “extended attitudes”. Drawing on the theoretical understanding of risk and science scepticism in post-modern societies, I consider hesitant attitudes towards vaccination as addressing risks that are induced in our everyday lives by science developments. I conducted K-Means Cluster Analysis on Eurobarometer data from 2019 regarding Europeans’ attitudes towards vaccination. Four clusters of vaccine-hesitant attitudes were identified. “Price hesitation” and “Effort hesitation” result from restricted access to vaccination because of structural constraints, such as low economic capital and health care system’ deficits. “Unexercised pro-vaccination” is an attitude manifested by people who grant authority to science to manage health-related risks, even though they did not vaccinate in the last five years. “Consistent anti-vaccination” pertains to highly reflexive individuals who dismiss experts’ authority because of scientifically derived risks. My analysis enhances the theoretical understanding and the empirical assessment of vaccine-hesitant attitudes in the European Union and can inform public health policies in this area.


More than a year has passed since the emergence of Coronavirus Disease 2019 (COVID-19) pandemic. However, Indonesia still tussles to flatten the curve. To curb the infection rate, the Government of Indonesia passed public health policies to increase its healthcare system capacity and Indonesians’ awareness about COVID-19. However, existing health disparities between its regions, funding and political concern, and misinformation continue to hinder the effectiveness of these policies. This paper aims to provide a critical commentary on the current efforts against the COVID-19 pandemic and the challenges facing it’s in responses in Indonesia.


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