Department for Public Health, Unit for Health Promotion, University of Southern Denmark, Denmark.
Department of Sports, Health and Care, Municipality of Esbjerg, Denmark.
Scand J Public Health. 2022 Aug;50(6):711-729. doi: 10.1177/14034948211056215. Epub 2021 Nov 29.
This study investigates the non-medical public health and surveillance policies and actions for tackling the community spread of COVID-19 pandemic in Denmark, Serbia and Sweden during the first five months of the pandemic in 2020. The study is inspired by a process-tracing design for case study with a focus on the non-medical measures and surveillance strategies implemented by the three countries. The comprehensive collection and study of national documents formed the basis of the document analysis. The Danish strategy was to prolong the transmission period, preventing high numbers of infected cases from impacting their healthcare capacity. The government's strategy was characterized by strict governance elements, health guidelines and behavioural recommendations. In Serbia, the main strategy was to prevent the spread and control of the infectious disease by shifting all human and material resources towards the function of controlling the spread. Serbia applied the strictest measures in the fight against coronavirus in relation to other countries in the region and in Europe. The Swedish strategy focused more on recommendations than requirements to motivate the public to modify their behaviours voluntarily. Sweden's loose pandemic strategy implementation focused on voluntary and stepwise action rather than legislation and compulsory measures.
本研究调查了丹麦、塞尔维亚和瑞典在 2020 年大流行的头五个月期间针对 COVID-19 大流行的社区传播采取的非医学公共卫生和监测政策及行动。该研究的灵感来自于案例研究的过程追踪设计，重点关注这三个国家实施的非医学措施和监测策略。对国家文件的全面收集和研究构成了文件分析的基础。丹麦的策略是延长传播周期，防止大量感染者对其医疗保健能力造成影响。政府的策略具有严格的治理要素、卫生准则和行为建议。在塞尔维亚，主要策略是通过将所有人力和物力资源转移到控制传播的功能上来防止传染病的传播和控制。塞尔维亚在与该地区和欧洲其他国家的冠状病毒斗争中采取了最严格的措施。瑞典的策略侧重于建议而非要求，以激励公众自愿改变行为。瑞典宽松的大流行策略实施侧重于自愿和逐步行动，而不是立法和强制措施。
