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评估新冠政策评估的替代指标,以瑞典为反事实案例。

Assessing alternative indicators for Covid-19 policy evaluation, with a counterfactual for Sweden.

机构信息

University of Stockholm, Stockholm, Sweden.

University of Rome Tor Vergata and EIEF, Rome, Italy.

出版信息

PLoS One. 2022 Mar 16;17(3):e0264769. doi: 10.1371/journal.pone.0264769. eCollection 2022.

Abstract

Using the synthetic control method, we construct counterfactuals for what would have happened if Sweden had imposed a lockdown during the first wave of the COVID-19 epidemic. We consider eight different indicators, including a novel one that we construct by adjusting recorded daily COVID-19 deaths to account for weakly excess mortality. Correcting for data problems and re-optimizing the synthetic control for each indicator, we find that a lockdown would have had sizable effects within one week. The much longer delay estimated by two previous studies focusing on the number of positives cases is mainly driven by the extremely low testing frequency that prevailed in Sweden in the first months of the epidemic. This result appears relevant for choosing the timing of future lockdowns and highlights the importance of looking at several indicators to derive robust conclusions. We also find that our novel indicator is effective in correcting errors in the COVID-19 deaths series and that the quantitative effects of the lockdown are stronger than previously estimated.

摘要

使用合成控制法,我们构建了如果瑞典在 COVID-19 疫情第一波期间实施封锁将会发生什么的反事实情况。我们考虑了包括一个新的指标在内的 8 个不同指标,该指标是通过调整记录的每日 COVID-19 死亡人数以考虑到微弱的超额死亡率来构建的。纠正数据问题并为每个指标重新优化合成控制,我们发现封锁将在一周内产生相当大的影响。两个之前专注于阳性病例数量的研究估计的更长的延迟主要是由疫情最初几个月在瑞典普遍存在的极低检测频率驱动的。这一结果对于选择未来封锁的时机具有重要意义,并强调了使用多个指标得出稳健结论的重要性。我们还发现,我们的新指标有效地纠正了 COVID-19 死亡系列中的错误,并且封锁的定量影响比以前估计的要大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c487/8926176/42d3621f511a/pone.0264769.g001.jpg

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