The Role of Public Health Expenditures in COVID-19 control: Evidence from Local Governments in England.
The Role of Public Health Expenditures in COVID-19 control: Evidence from Local Governments in England.
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DOI：
10.1016/j.ssmph.2021.100861
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Bishai D
中科院分区：
文献类型：
--
作者：
Acharya A;Wolfson C;Matta S;Cardona C;Lamba S;Bishai D
150多年来，英格兰地方卫生部门在控制世纪的传染病流行方面发挥了关键作用。然而，最近的行政改革使它们失去了为社区服务的灵活性。我们使用英格兰上层地方（UTLA）公共卫生部门过去人均预算拨款的行政数据，以研究公共卫生资金水平是否与2020年3月至7月期间更快控制第一波COVID-19大流行相关。因变量是UTLA第10例COVID-19病例与每10万例新病例达到峰值并开始下降的天数。我们的模型控制了区域社会经济因素。我们发现当地公共卫生支出与COVID-19控制速度之间没有相关性。然而，用于改善局部地区的总体公共支出有助于缩短达到高峰的时间。与预期相反，像伦敦这样人口密集的地区持续时间较短。收入较高的地区在加快当地COVID-19第一波发病率的第一个高峰时间方面取得了更快的成功。我们帮助了解公共支出和社会经济因素如何影响流行病。该论文关注英格兰局部地区第一波COVID-19感染。地方公共卫生支出无助于缩短达到感染高峰的时间。在英格兰人口密集和富裕的地区，大流行得到了更快的控制。
For over 150 years the local health departments of England have been critical in controlling 19th and 20th century infectious epidemics. However, recent administrative changes have hollowed out their flexibility to serve communities. We use administrative data on past budgetary allocations per capita to public health departments at upper tier local areas (UTLAs) of England to examine whether public health funding levels were correlated with more rapid control of the first wave of the COVID-19 pandemic between March and July of 2020. The dependent variable was the number of days between a UTLA's 10th case of COVID-19 and the day when new cases per 100,000 peaked and began to decline. Our models controlled for regional socio-economic factors. We found no correlation between local public health expenditure and the speed of control of COVID-19. However, overall public expenditure allocated to improve local areas helped reduce time to reach peak. Contrary to expectation, more dense areas such as London experienced shorter duration. Higher income areas had more rapid success in accelerating the time of the first peak in the first wave of their local COVID-19 incidence. We contribute to understanding the impact of how public expenditure and socio-economic factors affect an epidemic. The paper concerns COVID-19 infection in the local areas of England for the first wave. Local-area public health expenditure did not contribute to reducing time to reach peak infection levels. The pandemic was controlled faster in more dense and richer areas of England.
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