A tale of two countries: how decentralized organization and long-term investment build resilient healthcare systems

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A tale of two countries: how decentralized organization and long-term investment build resilient healthcare systems. / Kirchhof, Paulus.

In: EUR HEART J-QUAL CAR, Vol. 6, No. 3, 01.07.2020, p. 201-203.

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@article{5e1dcd02734f48c5b4586c536ff61046,
title = "A tale of two countries: how decentralized organization and long-term investment build resilient healthcare systems",
abstract = "Healthcare systems are faced with unique challenges during the ongoing Covid-19 pandemic. This viewpoint compares the response to the Covid-19 pandemic in the UK and in Germany. Despite being two large European countries of comparable size with good healthcare systems and similar patterns of exposure to Covid-19, Covid-19 related deaths in the UK currently far outnumber those in Germany. This has several reasons, but two explanations stick out: 1. lower long-term investment into healthcare in the UK rendered the NHS more vulnerable to Covid-19; 2. the existence of a well-governed decentralised and partially redundant organisation of healthcare increased resilience in Germany' s healthcare systems, enhancing the ability to adapt in response to unexpected challenges to healthcare. The response to the current pandemic also illustrates the power and the necessity to learn from each other through transparent communication of successes and mistakes.",
keywords = "Betacoronavirus, COVID-19, Coronavirus Infections/epidemiology, Delivery of Health Care/economics, Germany, Health Expenditures, Humans, Pandemics, Pneumonia, Viral/epidemiology, Politics, SARS-CoV-2, United Kingdom",
author = "Paulus Kirchhof",
note = "Published on behalf of the European Society of Cardiology. All rights reserved. {\textcopyright} The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.",
year = "2020",
month = jul,
day = "1",
doi = "10.1093/ehjqcco/qcaa036",
language = "English",
volume = "6",
pages = "201--203",
journal = "EUR HEART J-QUAL CAR",
issn = "2058-5225",
publisher = "Oxford University Press",
number = "3",

}

RIS

TY - JOUR

T1 - A tale of two countries: how decentralized organization and long-term investment build resilient healthcare systems

AU - Kirchhof, Paulus

N1 - Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.

PY - 2020/7/1

Y1 - 2020/7/1

N2 - Healthcare systems are faced with unique challenges during the ongoing Covid-19 pandemic. This viewpoint compares the response to the Covid-19 pandemic in the UK and in Germany. Despite being two large European countries of comparable size with good healthcare systems and similar patterns of exposure to Covid-19, Covid-19 related deaths in the UK currently far outnumber those in Germany. This has several reasons, but two explanations stick out: 1. lower long-term investment into healthcare in the UK rendered the NHS more vulnerable to Covid-19; 2. the existence of a well-governed decentralised and partially redundant organisation of healthcare increased resilience in Germany' s healthcare systems, enhancing the ability to adapt in response to unexpected challenges to healthcare. The response to the current pandemic also illustrates the power and the necessity to learn from each other through transparent communication of successes and mistakes.

AB - Healthcare systems are faced with unique challenges during the ongoing Covid-19 pandemic. This viewpoint compares the response to the Covid-19 pandemic in the UK and in Germany. Despite being two large European countries of comparable size with good healthcare systems and similar patterns of exposure to Covid-19, Covid-19 related deaths in the UK currently far outnumber those in Germany. This has several reasons, but two explanations stick out: 1. lower long-term investment into healthcare in the UK rendered the NHS more vulnerable to Covid-19; 2. the existence of a well-governed decentralised and partially redundant organisation of healthcare increased resilience in Germany' s healthcare systems, enhancing the ability to adapt in response to unexpected challenges to healthcare. The response to the current pandemic also illustrates the power and the necessity to learn from each other through transparent communication of successes and mistakes.

KW - Betacoronavirus

KW - COVID-19

KW - Coronavirus Infections/epidemiology

KW - Delivery of Health Care/economics

KW - Germany

KW - Health Expenditures

KW - Humans

KW - Pandemics

KW - Pneumonia, Viral/epidemiology

KW - Politics

KW - SARS-CoV-2

KW - United Kingdom

U2 - 10.1093/ehjqcco/qcaa036

DO - 10.1093/ehjqcco/qcaa036

M3 - SCORING: Journal article

C2 - 32374884

VL - 6

SP - 201

EP - 203

JO - EUR HEART J-QUAL CAR

JF - EUR HEART J-QUAL CAR

SN - 2058-5225

IS - 3

ER -