COVID-19 health policy evaluation: integrating health and economic perspectives with a data envelopment analysis approach

被引:15
作者
Klumpp, Matthias [1 ,2 ,3 ]
Loske, Dominic [1 ,2 ]
Bicciato, Silvio [4 ]
机构
[1] Georg August Univ Gottingen, Dept Business Adm, Chair Prod & Logist Management, Pl Gottinger Sieben 3, D-37073 Gottingen, Germany
[2] FOM Univ Appl Sci Essen, Leimkugelstr 6, D-45141 Essen, Germany
[3] Fraunhofer Inst Mat Flow & Logist IML Dortmund, JV Fraunhofer Str 2-4, D-44227 Dortmund, Germany
[4] Univ Modena & Reggio Emilia, Interdept Ctr Stem Cells & Regenerat Med CIDSTEM, Dept Life Sci, Via Gottardi 100, I-41125 Modena, Italy
关键词
COVID-19; Health policy; Data envelopment analysis; OECD; EARLY MEDICAL ABORTION; PRODUCTIVITY ANALYSIS; UNDESIRABLE OUTPUTS; OECD COUNTRIES; CARE-SYSTEMS; EFFICIENCY; IMPACT; EPIDEMIC; POPULATION; HOSPITALS;
D O I
10.1007/s10198-021-01425-7
中图分类号
F [经济];
学科分类号
02 ;
摘要
The COVID-19 pandemic is a global challenge to humankind. To improve the knowledge regarding relevant, efficient and effective COVID-19 measures in health policy, this paper applies a multi-criteria evaluation approach with population, health care, and economic datasets from 19 countries within the OECD. The comparative investigation was based on a Data Envelopment Analysis approach as an efficiency measurement method. Results indicate that on the one hand, factors like population size, population density, and country development stage, did not play a major role in successful pandemic management. On the other hand, pre-pandemic healthcare system policies were decisive. Healthcare systems with a primary care orientation and a high proportion of primary care doctors compared to specialists were found to be more efficient than systems with a medium level of resources that were partly financed through public funding and characterized by a high level of access regulation. Roughly two weeks after the introduction of ad hoc measures, e.g., lockdowns and quarantine policies, we did not observe a direct impact on country-level healthcare efficiency, while delayed lockdowns led to significantly lower efficiency levels during the first COVID-19 wave in 2020. From an economic perspective, strategies without general lockdowns were identified as a more efficient strategy than the full lockdown strategy. Additionally, governmental support of short-term work is promising. Improving the efficiency of COVID-19 countermeasures is crucial in saving as many lives as possible with limited resources.
引用
收藏
页码:1263 / 1285
页数:23
相关论文
共 136 条
[21]   Does the AIDS epidemic threaten economic growth? [J].
Bloom, DE ;
Mahal, AS .
JOURNAL OF ECONOMETRICS, 1997, 77 (01) :105-124
[22]   Nonlinear and dynamic programming for epidemic intervention [J].
Blount, S ;
Galambosi, A ;
Yakowitz, S .
APPLIED MATHEMATICS AND COMPUTATION, 1997, 86 (2-3) :123-136
[23]   Five types of OECD healthcare systems: Empirical results of a deductive classification [J].
Boehm, Katharina ;
Schmid, Achim ;
Goetze, Ralf ;
Landwehr, Claudia ;
Rothgang, Heinz .
HEALTH POLICY, 2013, 113 (03) :258-269
[24]   Understanding COVID-19 diffusion requires an interdisciplinary, multi-dimensional approach [J].
Bontempi, Elza ;
Vergalli, Sergio ;
Squazzoni, Flaminio .
ENVIRONMENTAL RESEARCH, 2020, 188
[25]   Microsimulation of Financial Impact of Demand Surge on Hospitals: The H1N1 Influenza Pandemic of Fall 2009 [J].
Braithwaite, Sabina ;
Friedman, Bernard ;
Mutter, Ryan ;
Handrigan, Michael .
HEALTH SERVICES RESEARCH, 2013, 48 (02) :735-752
[26]   Global stability of an age-structure epidemic model with imperfect vaccination and relapse [J].
Cao, Bin ;
Huo, Hai-Feng ;
Xiang, Hong .
PHYSICA A-STATISTICAL MECHANICS AND ITS APPLICATIONS, 2017, 486 :638-655
[27]  
Castaldo Nadia, 2020, JACC Case Rep, V2, P1307, DOI 10.1016/j.jaccas.2020.04.053
[28]   On the role of environmental corruption in healthcare infrastructures: An empirical assessment for Italy using DEA with truncated regression approach [J].
Cavalieri, Marina ;
Guccio, Calogero ;
Rizzo, Ilde .
HEALTH POLICY, 2017, 121 (05) :515-524
[29]   Repeat SARS-CoV-2 testing models for residential college populations [J].
Chang, Joseph T. ;
Crawford, Forrest W. ;
Kaplan, Edward H. .
HEALTH CARE MANAGEMENT SCIENCE, 2021, 24 (02) :305-318
[30]   MEASURING EFFICIENCY OF DECISION-MAKING UNITS [J].
CHARNES, A ;
COOPER, WW ;
RHODES, E .
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH, 1978, 2 (06) :429-444