Pereira Adelyne Maria Mendes, Machado Cristiani Vieira, Veny Miquel Bennasar, Juan Aina Maria Yañez, Recio Sonia Navas
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1.480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Universidade das Ilhas Baleares. Palma de Maiorca Espanha.
Cien Saude Colet. 2021 Oct;26(10):4425-4437. doi: 10.1590/1413-812320212610.11312021. Epub 2021 May 26.
This study aimed to analyze comparatively strategies and political actions adopted in response to the COVID-19 pandemic in Germany and Spain in 2020. Based on historical institutionalism, we focused on the institutionality of government action in five work dimensions. The results showed different state capacities in coordination, implementation, and effectiveness of strategies. Crisis management and governance strengths are related to recognizing its severity and negotiation skills; national production capacity of supplies and equipment; and broad targeting of fiscal and financial resources from central government to health, social, and economic areas. These aspects varied between cases, acting as a relevant differential in governmental response. Other differentials were health system's structure; availability of workers; and national science and technology system, highlighting the importance of medium and long-term investments.
本研究旨在比较分析2020年德国和西班牙针对新冠疫情所采取的应对策略和政治行动。基于历史制度主义，我们聚焦于政府行动在五个工作维度上的制度性。结果显示，在策略的协调、实施和有效性方面，各国的国家能力有所不同。危机管理和治理优势与对危机严重性的认知及谈判技巧、物资和设备的国家生产能力，以及中央政府对卫生、社会和经济领域财政和金融资源的广泛投入有关。这些方面在不同案例中存在差异，是政府应对措施中的一个重要区别因素。其他差异包括卫生系统结构、劳动力供应情况以及国家科技体系，凸显了中长期投资的重要性。
