Policy disparities in response to the first wave of COVID-19 between China and Germany

Abstract Objective Our research summarized policy disparities in response to the first wave of COVID-19 between China and Germany. We look forward to providing policy experience for other countries still in severe epidemics. Methods We analyzed data provided by National Health Commission of the Peop...

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Main Authors: Yuyao Zhang, Leiyu Shi, Haiqian Chen, Xiaohan Wang, Gang Sun
Format: Article
Language:English
Published: BMC 2021-03-01
Series:International Journal for Equity in Health
Subjects:
Online Access:https://doi.org/10.1186/s12939-021-01424-3
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author Yuyao Zhang
Leiyu Shi
Haiqian Chen
Xiaohan Wang
Gang Sun
author_facet Yuyao Zhang
Leiyu Shi
Haiqian Chen
Xiaohan Wang
Gang Sun
author_sort Yuyao Zhang
collection DOAJ
description Abstract Objective Our research summarized policy disparities in response to the first wave of COVID-19 between China and Germany. We look forward to providing policy experience for other countries still in severe epidemics. Methods We analyzed data provided by National Health Commission of the People’s Republic of China and Johns Hopkins University Coronavirus Resource Center for the period 10 January 2020 to 25 May 252,020. We used generalized linear model to evaluate the associations between the main control policies and the number of confirmed cases and the policy disparities in response to the first wave of COVID-19 between China and Germany. Results The generalized linear models show that the following factors influence the cumulative number of confirmed cases in China: the Joint Prevention and Control Mechanism; locking down the worst-hit areas; the highest level response to public health emergencies; the expansion of medical insurance coverage to suspected patients; makeshift hospitals; residential closed management; counterpart assistance. The following factors influence the cumulative number of confirmed cases in Germany: the Novel Coronavirus Crisis Command; large gathering cancelled; real-time COVID-19 risk assessment; the medical emergency plan; schools closure; restrictions on the import of overseas epidemics; the no-contact protocol. Conclusions There are two differences between China and Germany in non-pharmaceutical interventions: China adopted the blocking strategy, and Germany adopted the first mitigation and then blocking strategy; China’s goal is to eliminate the virus, and Germany’s goal is to protect high-risk groups to reduce losses. At the same time, the policies implemented by the two countries have similarities: strict blockade is a key measure to control the source of infection, and improving medical response capabilities is an important way to reduce mortality.
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spelling doaj.art-87a7d19a482e48c497bb05bd8a6a99a82022-12-21T22:14:10ZengBMCInternational Journal for Equity in Health1475-92762021-03-012011710.1186/s12939-021-01424-3Policy disparities in response to the first wave of COVID-19 between China and GermanyYuyao Zhang0Leiyu Shi1Haiqian Chen2Xiaohan Wang3Gang Sun4Department of Health Management, School of Health Management, Southern Medical UniversityDepartment of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins UniversityDepartment of Health Management, School of Health Management, Southern Medical UniversityDepartment of Health Management, School of Health Management, Southern Medical UniversityDepartment of Health Management, School of Health Management, Southern Medical UniversityAbstract Objective Our research summarized policy disparities in response to the first wave of COVID-19 between China and Germany. We look forward to providing policy experience for other countries still in severe epidemics. Methods We analyzed data provided by National Health Commission of the People’s Republic of China and Johns Hopkins University Coronavirus Resource Center for the period 10 January 2020 to 25 May 252,020. We used generalized linear model to evaluate the associations between the main control policies and the number of confirmed cases and the policy disparities in response to the first wave of COVID-19 between China and Germany. Results The generalized linear models show that the following factors influence the cumulative number of confirmed cases in China: the Joint Prevention and Control Mechanism; locking down the worst-hit areas; the highest level response to public health emergencies; the expansion of medical insurance coverage to suspected patients; makeshift hospitals; residential closed management; counterpart assistance. The following factors influence the cumulative number of confirmed cases in Germany: the Novel Coronavirus Crisis Command; large gathering cancelled; real-time COVID-19 risk assessment; the medical emergency plan; schools closure; restrictions on the import of overseas epidemics; the no-contact protocol. Conclusions There are two differences between China and Germany in non-pharmaceutical interventions: China adopted the blocking strategy, and Germany adopted the first mitigation and then blocking strategy; China’s goal is to eliminate the virus, and Germany’s goal is to protect high-risk groups to reduce losses. At the same time, the policies implemented by the two countries have similarities: strict blockade is a key measure to control the source of infection, and improving medical response capabilities is an important way to reduce mortality.https://doi.org/10.1186/s12939-021-01424-3Global health equityCOVID-19ChinaGermanyNonpharmaceutical intervention
spellingShingle Yuyao Zhang
Leiyu Shi
Haiqian Chen
Xiaohan Wang
Gang Sun
Policy disparities in response to the first wave of COVID-19 between China and Germany
International Journal for Equity in Health
Global health equity
COVID-19
China
Germany
Nonpharmaceutical intervention
title Policy disparities in response to the first wave of COVID-19 between China and Germany
title_full Policy disparities in response to the first wave of COVID-19 between China and Germany
title_fullStr Policy disparities in response to the first wave of COVID-19 between China and Germany
title_full_unstemmed Policy disparities in response to the first wave of COVID-19 between China and Germany
title_short Policy disparities in response to the first wave of COVID-19 between China and Germany
title_sort policy disparities in response to the first wave of covid 19 between china and germany
topic Global health equity
COVID-19
China
Germany
Nonpharmaceutical intervention
url https://doi.org/10.1186/s12939-021-01424-3
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