Graduate School of Public Health, Kyungpook National University.
Department of Nursing, Daegu Hanny University, Daegu, Korea.
Medicine (Baltimore). 2022 Aug 19;101(33):e29980. doi: 10.1097/MD.0000000000029980.
The coronavirus disease (COVID-19) has spread globally; however, the COVID-19 mortality rate varies largely across countries. The purpose of this study was to investigate the factors affecting mortality and increase in mortality rate by time trends in 30 member countries of the Organization for Economic Co-operation and Development (OECD). These countries have different national health and medical characteristics in terms of health care use, health equipment, health resource, health risk, and health status at different time points. The results revealed that the lower 25% of countries had an increase in the mortality rate of 27.21% which was higher than the upper 25% of countries' increase in the mortality rate of 20.51%. Therefore, the affected countries should strengthen their medical infrastructure to prepare for such large-scale outbreaks in the future. It is imperative to reduce the health inequality between population groups and achieve health equity, regardless of the income gap, rather than vaccination of specific countries. This will require the management of non-communicable diseases, a solid health insurance system, a stable supply of medical supplies, and strengthening the competency of health care workers.
冠状病毒病（COVID-19）已在全球范围内传播；然而，COVID-19 的死亡率在各国之间差异很大。本研究的目的是调查在经济合作与发展组织（OECD）的 30 个成员国中，通过时间趋势影响死亡率和死亡率上升的因素。这些国家在医疗保健使用、医疗设备、卫生资源、健康风险以及不同时间点的健康状况方面具有不同的国家卫生和医疗特点。结果表明，死亡率上升幅度较高的国家处于较低的 25%，死亡率上升幅度为 27.21%，而死亡率上升幅度较高的国家处于较高的 25%，死亡率上升幅度为 20.51%。因此，受影响的国家应加强其医疗基础设施，为未来此类大规模疫情做好准备。减少人群之间的健康不平等，实现健康公平，无论是收入差距，还是特定国家的疫苗接种，都是当务之急。这需要管理非传染性疾病、健全的医疗保险制度、稳定的医疗用品供应以及加强医护人员的能力。
