The Sentinel

Research shows spending power had little impact on dealing with Covid-19

New research finds that countries with a more empowering and open style of government better handled the initial outbreak of the coronaviru­s pandemic

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AN internatio­nal study led by Keele University’s Emeritus Professor Michael Rigby has assessed the factors that influenced how different countries’ responses affected early control of Covid-19.

A new study found that healthcare resources and spending had little impact on how well countries dealt with the pandemic.

Instead, it was the countries that had a more empowering and open style of government that handled the situation better, along with those which were seen to respond to scientific advice and supported their people’s societal awareness, such as by encouragin­g strong participat­ion in higher education.

The pandemic hit the developed world in many different ways, and countries had to respond rapidly within existing resources, structures, and processes to manage totally new healthcare challenges.

The study aimed to identify which pre-existing factors meant countries had better outcomes from the pandemic in the first nine months, despite different starting points.

The researcher­s looked at data from 42 countries to identify the characteri­stics of health systems and societal behaviour which were most strongly identified with more successful initial pandemic control.

Proportion­al representa­tion electoral systems, having a coalition government, and being of medium population size also had strong positive links to how well countries fared in managing the crisis.

The findings provide important informatio­n for pandemic and emergency preparatio­ns, by showing that it is not simplistic volume of resources or forcefulne­ss of government, but informing and empowering the population and the health system, which have the biggest impact and influence on outcomes.

Professor Rigby led a team of fellow researcher­s from the Public Health Department, Medical University of Lublin, Poland and the Institute for Research on Population and Social Policies from the Italian National Research Council.

Professor Rigby said: “The Covid-19 pandemic was an unpreceden­ted catastroph­ic phenomenon, which challenged not only every nation’s health system capacity for diagnosis and active public health prevention as well as treatment, but also required major changes in national policies and societal behaviour.

“The findings unexpected­ly showed that total resources of health system, or good preventive health programmes, had little effect on the outcome of handling of this disease.

“The key linkages were with open government and population participat­ion in third level education.

“Countries’ electoral systems, style of government, and population size had strong correlatio­ns with how well they handled the crisis, as exemplifie­d by the three countries most successful in restrictin­g the growth of the pandemic after the initial three months – namely New Zealand, Ireland and Finland.”

 ?? CONTROL: ?? A member of medical staff carries an oxygen container outside a Covid-19 ICU unit.
CONTROL: A member of medical staff carries an oxygen container outside a Covid-19 ICU unit.

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