Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti

Abstract Background In late January, a worldwide crisis known as COVID-19 was declared a Public Health Emergency of International Concern by the WHO. Within only a few weeks, the outbreak took on pandemic proportions, affecting over 100 countries. It was a significant issue to prevent and control CO...

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Main Authors: Ji Youn Yoo, Samia Valeria Ozorio Dutra, Dany Fanfan, Sarah Sniffen, Hao Wang, Jamile Siddiqui, Hyo-Suk Song, Sung Hwan Bang, Dong Eun Kim, Shihoon Kim, Maureen Groer
Format: Article
Language:English
Published: BMC 2020-12-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-020-09924-7
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author Ji Youn Yoo
Samia Valeria Ozorio Dutra
Dany Fanfan
Sarah Sniffen
Hao Wang
Jamile Siddiqui
Hyo-Suk Song
Sung Hwan Bang
Dong Eun Kim
Shihoon Kim
Maureen Groer
author_facet Ji Youn Yoo
Samia Valeria Ozorio Dutra
Dany Fanfan
Sarah Sniffen
Hao Wang
Jamile Siddiqui
Hyo-Suk Song
Sung Hwan Bang
Dong Eun Kim
Shihoon Kim
Maureen Groer
author_sort Ji Youn Yoo
collection DOAJ
description Abstract Background In late January, a worldwide crisis known as COVID-19 was declared a Public Health Emergency of International Concern by the WHO. Within only a few weeks, the outbreak took on pandemic proportions, affecting over 100 countries. It was a significant issue to prevent and control COVID-19 on both national and global scales due to the dramatic increase in confirmed cases worldwide. Government guidelines provide a fundamental resource for communities, as they guide citizens on how to protect themselves against COVID-19, however, they also provide critical guidance for policy makers and healthcare professionals on how to take action to decrease the spread of COVID-19. We aimed to identify the differences and similarities between six different countries’ (US, China, South Korea, UK, Brazil and Haiti) government-provided community and healthcare system guidelines, and to explore the relationship between guideline issue dates and the prevalence/incidence of COVID-19 cases. Methods To make these comparisons, this exploratory qualitative study used document analysis of government guidelines issued to the general public and to healthcare professionals. Documents were purposively sampled (N = 55) and analyzed using content analysis. Results The major differences in the evaluation and testing criteria in the guidelines across the six countries centered around the priority of testing for COVID-19 in the general population, which was strongly dependent on each country’s healthcare capacity. However, the most similar guidelines pertained to the clinical signs and symptoms of COVID-19, and methods to prevent its contraction. Conclusion In the initial stages of the outbreak, certain strategies were universally employed to control the deadly virus’s spread, including quarantining the sick, contact tracing, and social distancing. However, each country dealt with differing healthcare capacities, risks, threats, political and socioeconomic challenges, and distinct healthcare systems and infrastructure. Acknowledging these differences highlights the importance of examining the various countries’ response to the COVID-19 pandemic with a nuanced view, as each of these factors shaped the government guidelines distributed to each country’s communities and healthcare systems.
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spelling doaj.art-95edf25954dd492093d78f092ebb2a632022-12-21T18:12:40ZengBMCBMC Public Health1471-24582020-12-0120111610.1186/s12889-020-09924-7Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and HaitiJi Youn Yoo0Samia Valeria Ozorio Dutra1Dany Fanfan2Sarah Sniffen3Hao Wang4Jamile Siddiqui5Hyo-Suk Song6Sung Hwan Bang7Dong Eun Kim8Shihoon Kim9Maureen Groer10College of Nursing, University of South FloridaCollege of Nursing, University of Tennessee – KnoxvilleCollege of Nursing, University of Florida, Health Professions, Nursing, Pharmacy BuildingMorsani College of Medicine, University of South FloridaDepartment of Chemical and Biomedical Engineering, University of South FloridaCanon Medical Systems Ltd.Department of Emergency Medical Service, Daejeon Health Institute of TechnologyDepartment of Special Warfare Medical Non-Commissioned Officer, Daejeon Health Institute of TechnologyDepartment of Disaster Construction Safety, Daejeon Health Institute of TechnologyDepartment of Public Health, Konyang UniversityCollege of Nursing, University of South FloridaAbstract Background In late January, a worldwide crisis known as COVID-19 was declared a Public Health Emergency of International Concern by the WHO. Within only a few weeks, the outbreak took on pandemic proportions, affecting over 100 countries. It was a significant issue to prevent and control COVID-19 on both national and global scales due to the dramatic increase in confirmed cases worldwide. Government guidelines provide a fundamental resource for communities, as they guide citizens on how to protect themselves against COVID-19, however, they also provide critical guidance for policy makers and healthcare professionals on how to take action to decrease the spread of COVID-19. We aimed to identify the differences and similarities between six different countries’ (US, China, South Korea, UK, Brazil and Haiti) government-provided community and healthcare system guidelines, and to explore the relationship between guideline issue dates and the prevalence/incidence of COVID-19 cases. Methods To make these comparisons, this exploratory qualitative study used document analysis of government guidelines issued to the general public and to healthcare professionals. Documents were purposively sampled (N = 55) and analyzed using content analysis. Results The major differences in the evaluation and testing criteria in the guidelines across the six countries centered around the priority of testing for COVID-19 in the general population, which was strongly dependent on each country’s healthcare capacity. However, the most similar guidelines pertained to the clinical signs and symptoms of COVID-19, and methods to prevent its contraction. Conclusion In the initial stages of the outbreak, certain strategies were universally employed to control the deadly virus’s spread, including quarantining the sick, contact tracing, and social distancing. However, each country dealt with differing healthcare capacities, risks, threats, political and socioeconomic challenges, and distinct healthcare systems and infrastructure. Acknowledging these differences highlights the importance of examining the various countries’ response to the COVID-19 pandemic with a nuanced view, as each of these factors shaped the government guidelines distributed to each country’s communities and healthcare systems.https://doi.org/10.1186/s12889-020-09924-7COVID-19CoronavirusGovernment guidelinesOutbreak COVID-19Pandemic
spellingShingle Ji Youn Yoo
Samia Valeria Ozorio Dutra
Dany Fanfan
Sarah Sniffen
Hao Wang
Jamile Siddiqui
Hyo-Suk Song
Sung Hwan Bang
Dong Eun Kim
Shihoon Kim
Maureen Groer
Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti
BMC Public Health
COVID-19
Coronavirus
Government guidelines
Outbreak COVID-19
Pandemic
title Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti
title_full Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti
title_fullStr Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti
title_full_unstemmed Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti
title_short Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti
title_sort comparative analysis of covid 19 guidelines from six countries a qualitative study on the us china south korea the uk brazil and haiti
topic COVID-19
Coronavirus
Government guidelines
Outbreak COVID-19
Pandemic
url https://doi.org/10.1186/s12889-020-09924-7
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