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Original Article
Healthcare Systems and COVID-19 Mortality in Selected OECD Countries: A Panel Quantile Regression Analysis
Jalil Safaei, Andisheh Saliminezhad
J Prev Med Public Health. 2023;56(6):515-522.   Published online October 15, 2023
DOI: https://doi.org/10.3961/jpmph.23.162
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  • 57 Download
AbstractAbstract AbstractSummary PDF
Objectives
The pandemic caused by coronavirus disease 2019 (COVID-19) has exerted an unprecedented impact on the health of populations worldwide. However, the adverse health consequences of the pandemic in terms of infection and mortality rates have varied across countries. In this study, we investigate whether COVID-19 mortality rates across a group of developed nations are associated with characteristics of their healthcare systems, beyond the differential policy responses in those countries.
Methods
To achieve the study objective, we distinguished healthcare systems based on the extent of healthcare decommodification. Using available daily data from 2020, 2021, and 2022, we applied quantile regression with non-additive fixed effects to estimate mortality rates across quantiles. Our analysis began prior to vaccine development (in 2020) and continued after the vaccines were introduced (throughout 2021 and part of 2022).
Results
The findings indicate that higher testing rates, coupled with more stringent containment and public health measures, had a significant negative impact on the death rate in both pre-vaccination and post-vaccination models. The data from the post-vaccination model demonstrate that higher vaccination rates were associated with significant decreases in fatalities. Additionally, our research indicates that countries with healthcare systems characterized by high and medium levels of decommodification experienced lower mortality rates than those with healthcare systems involving low decommodification.
Conclusions
The results of this study indicate that stronger public health infrastructure and more inclusive social protections have mitigated the severity of the pandemic’s adverse health impacts, more so than emergency containment measures and social restrictions.
Summary
Key Message
This study investigates whether COVID-19 mortality rates across a group of developed nations are associated with characteristics of their healthcare systems, beyond the differential policy responses in those countries. To this aim, a quantile regression with non-additive fixed effects is applied to estimate mortality rates across quantiles. The results of this study indicate that stronger public health infrastructure and more inclusive social protections have mitigated the severity of the pandemic’s adverse health impacts, more so than emergency containment measures and social restrictions.
Special Article
Lessons From Unified Germany and Their Implications for Healthcare in the Unification of the Korean Peninsula
Gun-Chun Ryu
J Prev Med Public Health. 2013;46(3):127-133.   Published online May 31, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.3.127
Correction in: J Prev Med Public Health 2013;46(4):210
  • 8,644 View
  • 95 Download
  • 4 Crossref
AbstractAbstract PDF

This study investigated the German experience in the transition to a unified health care system and suggests the following implications for Korea. First, Germany could have made use of the unification process better if there had been a good road map. Therefore Korea must develop a well prepared road map that considers all possible situations. Second, Germany saw an opportunity for the improvement of the health care system in the early stage of unification but could not take advantage of it because the situation changed dramatically and they had not sufficiently prepared for it. Korea should take into account the opportunity for improvement of the present health care system, such as the roles of public health and traditional medicine. Thirdly, the conditions f North Korea seem to be far worse than those of former East Germany and also worse than even those of other transition countries. Therefore Korea should design a long-term road map taking as many variables into account as possible, including the different rigid way of thinking and the interrelationship among the social sectors. Fourthly, during the German reunification unexpected factors changed the direction of the events. Korea should have a separate plan for the unexpected factors.

Summary

Citations

Citations to this article as recorded by  
  • Mid-Term Strategic Plan for the Public Health and Medical Care Cooperation in the Korean Peninsula
    Yun Seop Kim, Jin-Won Noh, Yo Han Lee, Sin Gon Kim
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
  • What Lessons Does the Political Transition in 1989 Central and Eastern Europe Offer for Health System Reform in a Changed North Korea?
    Martin McKee
    Journal of Global Health Science.2019;[Epub]     CrossRef
  • Systematic review of evidence on public health in the Democratic People’s Republic of Korea
    John J Park, Ah-Young Lim, Hyung-Soon Ahn, Andrew I Kim, Soyoung Choi, David HW Oh, Owen Lee-Park, Sharon Y Kim, Sun Jae Jung, Jesse B Bump, Rifat Atun, Hee Young Shin, Kee B Park
    BMJ Global Health.2019; 4(2): e001133.     CrossRef
  • Quality of websites of obstetrics and gynecology departments: a cross-sectional study
    Günther A Rezniczek, Laura Küppers, Hubertus Heuer, Lukas A Hefler, Bernd Buerkle, Clemens B Tempfer
    BMC Pregnancy & Childbirth.2015;[Epub]     CrossRef
Original Article
Job Analyses of Health Care Managers in Group Health Care System.
Kyoo Sang Kim, Chong Yon Park, Jaehoon Roh
Korean J Prev Med. 1994;27(4):777-792.
  • 1,860 View
  • 24 Download
AbstractAbstract PDF
For developing the Group Health care system, health managers' job structure were analysed in the aspects of content, amount, and process. As a trial research, data were collected by a standardized job analysis table to 6 doctors, 40 nurses, and 11 industrial hygienists of Group Health Care System. Health care managers were performing complex and intellectual jobs such as health education for workers, managing health care, conference as well as more simple jobs like as filling diary. Especially, job was consisted of general job and health care management job in the proportion of 1:2.18. The major general job were data management related with the health statistics, and major health care management jobs were managing health care, health counselling, environmental management of working sites. Each specific jobs were required differentiated intellectual capacity, creativity, autonomy, psychic stress, and physical work; most respondents perceived that health care management jobs should require more inputs than general jobs Additionally job satisfaction and perceived need on specific job items were analysed. Results of this research, suggested through the field experiences in working sites, should be considered for improving the Group Health Care System.
Summary

JPMPH : Journal of Preventive Medicine and Public Health