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Health Systems Research after the COVID-19 Pandemic

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (7 April 2023) | Viewed by 5311

Special Issue Editor


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Guest Editor
China Center for Health Development Studies, Peking University, Beijing 100191, China
Interests: health systems research; vaccine economics; health economics and qutcomes research

Special Issue Information

Dear Colleagues,

Health systems research is a multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors affect access to health care, the quality and cost of health care, and, ultimately, our health and well-being. Its research domains include individuals, families, organizations, institutions, communities and populations. The COVID-19 pandemic has led to substantial disease burdens, and has introduced serious challenges to health systems around the world. Infectious diseases have been recognized as major threats to the entire health system, and will also significantly affect social, economic, and political activities in the future. It is now necessary to consider how our health systems, at the global level and in all countries, will reform and develop after the COVID-19 pandemic.

The study themes of interest include, but are not limited to, the following themes:

  • Health systems research for infectious diseases;
  • Health systems research for non-communicable diseases;
  • Health system reforms in various countries;
  • Role of disease control and prevention in health systems research;
  • Vaccines and immunization policies in health systems research;
  • Population aging and its impact on health systems.

Prof. Dr. Hai Fang
Guest Editor

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Keywords

  • health systems research
  • COVID-19
  • infectious diseases, non-communicable diseases
  • global health
  • disease control and prevention
  • vaccine
  • immunization
  • aging

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Published Papers (2 papers)

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14 pages, 1312 KiB  
Article
Public Health System Economic Efficiency and COVID-19 Resilience: Frontier DEA Analysis
by Aleksandra Kuzior, Mariia Kashcha, Olha Kuzmenko, Serhiy Lyeonov and Paulina Brożek
Int. J. Environ. Res. Public Health 2022, 19(22), 14727; https://doi.org/10.3390/ijerph192214727 - 9 Nov 2022
Cited by 16 | Viewed by 3223
Abstract
The article summarizes the arguments and counterarguments in the scholarly discussion about the problem of choosing a model of healthcare organization. The study’s primary goal was to identify the economic efficiency of the public health system and resistance to COVID-19. The relevance of [...] Read more.
The article summarizes the arguments and counterarguments in the scholarly discussion about the problem of choosing a model of healthcare organization. The study’s primary goal was to identify the economic efficiency of the public health system and resistance to COVID-19. The relevance of addressing this research issue is that the epidemiological challenges posed by the pandemic worldwide have manifested themselves differently in various countries. Therefore, it is advisable to consider the effectiveness of public healthcare models and how they have worked out in the fight against COVID-19. Research in the work was carried out in the following logical sequence: conducting scientometric analysis of research, creation of a statistical research base for 22 countries of the world; construction of integral indices of the economic efficiency of the health care system; calculation of public health system resilience to the COVID-19 pandemic; application of frontier DEA analysis to determine system efficiency; comparison and analysis of the results of research on the economic efficiency of public health systems obtained by different methods. The article presents the results of a comparison of the economic efficiency of the public health system, which showed that the system built according to the Beveridge principle is the most resistant to the pandemic and, at the same time, has the highest indices of economic efficiency. Full article
(This article belongs to the Special Issue Health Systems Research after the COVID-19 Pandemic)
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13 pages, 515 KiB  
Article
The Impact of the COVID-19 Pandemic on Physicians’ Working Hours and Earnings in São Paulo and Maranhão States, Brazil
by Bruno Luciano Carneiro Alves de Oliveira, Lucas Salvador Andrietta, Regimarina Soares Reis, Ruth Helena de Souza Britto Ferreira de Carvalho, Maria Teresa Seabra Soares de Britto e Alves, Mário César Scheffer and Giuliano Russo
Int. J. Environ. Res. Public Health 2022, 19(16), 10085; https://doi.org/10.3390/ijerph191610085 - 15 Aug 2022
Cited by 3 | Viewed by 1695
Abstract
Evidence exists on the health impacts of the current COVID-19 pandemic on health workers, but less is known about its impact on their work dynamics and livelihoods. This matters, as health workers—and physicians in particular—are a scarce and expensive resource in low- and [...] Read more.
Evidence exists on the health impacts of the current COVID-19 pandemic on health workers, but less is known about its impact on their work dynamics and livelihoods. This matters, as health workers—and physicians in particular—are a scarce and expensive resource in low- and middle-income countries (LMICs). Our cross-sectional survey set out to explore changes in working hours and earnings during the second year of the pandemic in a representative sample of 1183 physicians in Brazil’s São Paulo (SP) and Maranhão (MA) states. Descriptive analysis and inferential statistics were employed to explore differences in working hours and earnings among public and private sector physicians across the two locations. The workloads and earnings of doctors working exclusively in the public sector increased the most in the second year of the epidemic, particularly in MA. Conversely, the largest proportion of private-only doctors in our sample saw a decrease in their working hours (48.4%, 95% CI 41.8–55.0), whereas the largest proportion of public-only doctors in MA saw an increase in their working hours (44.4%, 95% CI 38.0–50.8). Although earnings remained broadly stable in the public sector, a third of public sector-only physicians in MA saw an increase in their earnings (95% CI 24.4–36.2). More than half of private-only doctors across both states saw a decrease in their earnings (52.2%, 95% CI 45.6–58.8). The largest proportion of dual practitioners (the majority in Brazil and in our sample) maintained their pre-pandemic levels of income (38.8%, 95% CI 35.3–42.3). As public-sector doctors have been key in the fight against the pandemic, it is critical to invest in these cadres in order to develop epidemic preparedness in LMICs, and to find new ways to harness for-profit actors to deliver social benefits. Full article
(This article belongs to the Special Issue Health Systems Research after the COVID-19 Pandemic)
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