0208/2021 - A Capacidade Institucional do Setor Saúde e a Resposta à Covid-19 em Perspectiva Global The Institutional Capacity of the Health Sector and the Response to Covid-19 in a Global Perspective
O artigo analisa o Índice da Segurança Sanitária Global (ISSG) à luz das respostas nacionais ao primeiro ciclo da pandemia da Covid-19. O ISSG classifica a capacidade dos países no enfrentamento dos riscos biológicos graves. O artigo examina os dados da pandemia de 50 países para avaliar o poder preditivo do ISSG. A ausência da vacinação determinou difusão da Covid-19 no primeiro ciclo da pandemia em 2020.Os indicadores dos países são correlacionados e demonstrados por estatística descritiva. A metodologia de aglomeração por clusters agrupa os países segundo a similaridade da composição etária.A principal restrição que pode ser atribuída ao ISSG diz respeito ao privilegiamento das variáveis biomédicas para a mensuração da capacidade institucional.O artigo evidencia que, paradoxalmente, o primeiro ciclo da pandemia teve um impacto significativo nos países teoricamente mais preparados, segundo o ISSG, para controlar a disseminação de doenças e oferecer mais acesso à assistência à saúde.O artigo assinala que durante o primeiro ciclo da pandemia, o setor saúde dependeu da cooperação dos governos na adoção do distanciamento social.O ISSG não considerou o papel das lideranças políticas que desafiam o risco sanitário severo por veto às medidas de distanciamento social. O ISSG ignora também a estrutura demográfica e de saúde como variável de análise de risco sanitário.
The article analyzes the Global Health Security Index – GHSI - in the light of national responses to the first cycle of the Covid-19. The GHSI classifies countries\' institutional capacity to address biological risks. The article examines Covid-19 pandemic data 50 countries to assess the predictive power of ISSG. The absence of the technological option of vaccination determined the pattern of diffusion of the COVID-19 in the first cycle of the pandemic in 2020.The indicators of the countries are correlated and demonstrated by descriptive statistics. The cluster agglomeration methodology groups countries according to the similarity of age composition.The main restriction that can be attributed to the GHSI concerns the privileging of biomedical variables for the measurement of institutional capacity.The article shows that the pandemic had a significant impact on countries theoretically better prepared, according to the GHSI, to control the spread of diseases and offer more access to health care in 2020. The article points out that during the first cycle of the pandemic, the health sector depended on the cooperation of governments in the adoption of social distance. The GHSI failed to consider the role of political leaders who challenge severe health risk by vetoing social distance. GHSI also ignores the demographic and adult health structure as a risk analysis variable.
The Institutional Capacity of the Health Sector and the Response to Covid-19 in a Global Perspective
Resumo (abstract):
The article analyzes the Global Health Security Index – GHSI - in the light of national responses to the first cycle of the Covid-19. The GHSI classifies countries\' institutional capacity to address biological risks. The article examines Covid-19 pandemic data 50 countries to assess the predictive power of ISSG. The absence of the technological option of vaccination determined the pattern of diffusion of the COVID-19 in the first cycle of the pandemic in 2020.The indicators of the countries are correlated and demonstrated by descriptive statistics. The cluster agglomeration methodology groups countries according to the similarity of age composition.The main restriction that can be attributed to the GHSI concerns the privileging of biomedical variables for the measurement of institutional capacity.The article shows that the pandemic had a significant impact on countries theoretically better prepared, according to the GHSI, to control the spread of diseases and offer more access to health care in 2020. The article points out that during the first cycle of the pandemic, the health sector depended on the cooperation of governments in the adoption of social distance. The GHSI failed to consider the role of political leaders who challenge severe health risk by vetoing social distance. GHSI also ignores the demographic and adult health structure as a risk analysis variable.
Costa, N. do R., SILVA, P.R.F da, Lago, M. J. do, Jatobá, A.. A Capacidade Institucional do Setor Saúde e a Resposta à Covid-19 em Perspectiva Global. Cien Saude Colet [periódico na internet] (2021/jun). [Citado em 19/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-capacidade-institucional-do-setor-saude-e-a-resposta-a-covid19-em-perspectiva-global/18107?id=18107
