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Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China

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  • Yingfeng Fang

    (School of Economics and Management, Wuhan University, Wuhan 430072, China)

  • Fen Zhang

    (School of Economics and Management, Wuhan University, Wuhan 430072, China)

  • Chenyu Zhou

    (School of Economics and Management, Wuhan University, Wuhan 430072, China)

  • Ming Chen

    (School of Economics and Management, Wuhan University, Wuhan 430072, China)

Abstract

At the beginning of 2020, the global outbreak of the novel coronavirus COVID-19 posed a huge challenge to the governance capabilities of public health in various countries. In this paper, the SEIR model is used to fit the number of confirmed cases in each province in China, and the reduction rate of the basic reproduction number is used to measure the actual score of the control effect of COVID-19. The potential capacity of prevention and control of epidemics, in theory, is constructed, and we use the difference between theoretical ability and actual score to measure the ability of governance of public health. We found that there were significant differences between actual effect and theoretical ability in various regions, and governance capabilities were an important reason leading to this difference, which was not consistent with the level of economic development. The balance of multiple objectives, the guiding ideology of emphasizing medical treatment over prevention, the fragmentation of the public health system, and the insufficiency of prevention and control ability in primary public health systems seriously affected the government’s ability to respond to public health emergencies.

Suggested Citation

  • Yingfeng Fang & Fen Zhang & Chenyu Zhou & Ming Chen, 2021. "Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China," IJERPH, MDPI, vol. 18(8), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4210-:d:537022
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    References listed on IDEAS

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    2. Potrafke, Niklas, 2010. "The growth of public health expenditures in OECD countries: Do government ideology and electoral motives matter?," Journal of Health Economics, Elsevier, vol. 29(6), pages 797-810, December.
    3. Oscar Jorda & Sanjay R. Singh & Alan M. Taylor, 2022. "Longer-Run Economic Consequences of Pandemics," The Review of Economics and Statistics, MIT Press, vol. 104(1), pages 166-175, March.
    4. Martin S Eichenbaum & Sergio Rebelo & Mathias Trabandt, 2021. "The Macroeconomics of Epidemics [Economic activity and the spread of viral diseases: Evidence from high frequency data]," The Review of Financial Studies, Society for Financial Studies, vol. 34(11), pages 5149-5187.
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    Cited by:

    1. Fen Zhang & Tianyi Song & Xiang Cheng & Tianhao Li & Ziming Yang, 2022. "Transportation Infrastructure, Population Mobility, and Public Health," IJERPH, MDPI, vol. 20(1), pages 1-16, December.

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