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医疗资源与冠状病毒病(COVID-19)死亡率:来自中国湖北省的证据与启示。

Medical resources and coronavirus disease (COVID-19) mortality rate: Evidence and implications from Hubei province in China.

机构信息

Institution of Population and Labor Economics, The Chinese Academy of Social Science, Beijing, China.

School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China.

出版信息

PLoS One. 2021 Jan 15;16(1):e0244867. doi: 10.1371/journal.pone.0244867. eCollection 2021.

Abstract

In light of the ongoing coronavirus disease (COVID-19) pandemic, this study aims to examine the relationship between the availability of public health resources and the mortality rate of this disease. We conducted empirical analyses using linear regression, a time-varying effect model, and a regression discontinuity design to investigate the association of medical resources with the mortality rate of the COVID-19 patients in Hubei, China. The results showed that the numbers of hospital beds, healthcare system beds, and medical staff per confirmed cases all had significant negative effects on the coronavirus disease mortality rate. Furthermore, in the context of the severe pandemic currently being experienced worldwide, the present study summarized the experience and implications in pandemic prevention and control in Hubei province from the perspective of medical resource integration as follows: First, hospitals' internal medical resources were integrated, breaking interdepartmental barriers. Second, joint pandemic control was realized by integrating regional healthcare system resources. Finally, an external medical resource allocation system was developed.

摘要

鉴于目前正在持续的冠状病毒病(COVID-19)大流行,本研究旨在探讨公共卫生资源的可及性与该疾病死亡率之间的关系。我们使用线性回归、时变效应模型和回归不连续性设计进行实证分析,以调查医疗资源与中国湖北省 COVID-19 患者死亡率之间的关联。结果表明,医院床位、医疗系统床位和每例确诊病例的医务人员数量均对冠状病毒病死亡率有显著的负向影响。此外,在当前全球范围内经历的严重大流行背景下,本研究从医疗资源整合的角度总结了湖北省在大流行预防和控制方面的经验和启示如下:一是整合医院内部医疗资源,打破部门壁垒;二是整合区域医疗系统资源,实现联合疫情防控;三是建立外部医疗资源调配体系。

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2019 novel coronavirus outbreak: a quiz or final exam?2019 新型冠状病毒爆发:是测验还是期末考试?
Front Med. 2020 Apr;14(2):225-228. doi: 10.1007/s11684-020-0753-1. Epub 2020 Mar 20.
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Health Care Manag Sci. 2020 Sep;23(3):311-314. doi: 10.1007/s10729-020-09504-6. Epub 2020 Mar 7.
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Clinical Characteristics of Coronavirus Disease 2019 in China.《中国 2019 年冠状病毒病临床特征》
N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.
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Early lessons from the frontline of the 2019-nCoV outbreak.2019新型冠状病毒疫情前线的早期经验教训。
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