Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Operational Research Center in Healthcare, Near East University, Nicosia/TRNC, Mersin, Turkey.
PLoS One. 2024 Apr 5;19(4):e0294625. doi: 10.1371/journal.pone.0294625. eCollection 2024.
The resilience of a country during the COVID-19 pandemic was determined based in whether it was holistically prepared and responsive. This resilience can only be identified through systematic data collection and analysis. Historical evidence-based response indicators have been proven to mitigate pandemics like COVID-19. However, most databases are outdated, requiring updating, derivation, and explicit interpretation to gain insight into the impact of COVID-19. Outdated databases do not show a country's true preparedness and response capacity, therefore, it undermines pandemic threat. This study uses up-to-date evidence-based pandemic indictors to run a cross-country comparative analysis of COVID-19 preparedness, response capacity, and healthcare resilience. PROMETHEE-a multicriteria decision making (MCDM) technique-is used to quantify the strengths (positive) and weaknesses (negative) of each country's COVID-19 responses, with full ranking (net) from best to least responsive. From 22 countries, South Korea obtained the highest net outranking value of 0.1945, indicating that it was the most resilient, while Mexico had the lowest (-0.1428). Although countries were underprepared, there was a robust response to the pandemic, especially in developing countries. This study demonstrates the performance and response capacity of 22 key countries to resist COVID-19, from which other countries can compare their statutory capacity ranking in order to learn/adopt the evidence-based responses of better performing countries to improve their resilience.
一个国家在 COVID-19 大流行期间的弹性取决于其是否全面做好准备和做出反应。这种弹性只能通过系统的数据收集和分析来确定。基于历史证据的应对指标已被证明可以减轻 COVID-19 等大流行。然而,大多数数据库都已过时,需要更新、推导和明确解释,以深入了解 COVID-19 的影响。过时的数据库无法显示一个国家的真实准备情况和应对能力,因此,这会削弱对大流行的威胁。本研究使用最新的基于证据的大流行指标,对 COVID-19 的准备情况、应对能力和医疗保健弹性进行跨国比较分析。PROMETHEE——一种多准则决策(MCDM)技术——用于量化每个国家 COVID-19 应对措施的优势(正)和劣势(负),并进行全面排名(净),从最有弹性到最不有弹性。在 22 个国家中,韩国获得了最高的净超排名值 0.1945,表明其最有弹性,而墨西哥的排名最低(-0.1428)。尽管各国准备不足,但对大流行的反应非常强劲,特别是在发展中国家。本研究展示了 22 个关键国家抵抗 COVID-19 的表现和应对能力,其他国家可以从中比较其法定能力排名,以了解/采用表现更好的国家的基于证据的应对措施,提高自身的弹性。