Lee Doowon, Choi Bobae
University of Newcastle, Australia.
Health Policy Technol. 2020 Dec;9(4):587-597. doi: 10.1016/j.hlpt.2020.08.010. Epub 2020 Aug 28.
To describe how health care crisis resulting from the COVID-19 pandemic in South Korea has led to innovation and changes to government policy. This paper presents the significant cluster events, relevant developments of innovation, and economical impact in Korea that could inform policy makers on how to respond to health crises in the future.
Health care, economy, epidemiological data are collected from various sources including the Korea Centers for Disease Control and Prevention (KCDC) or other government sources.
The KCDC jointly with medical professionals developed a series of innovations such as 1) Full contact tracing and rapid testing with a 12 h turnaround and 10 min movement tracking systems, 2) transparent disclosure of all contract tracing data to the public through a central database, 3) Drive-Through and Walk-Through testing methods, and 4) a 4 tier patient severity index and community treatment isolation centers. Korea moved from the 4th in the world for total confirmed cases in March down to 76th in August.
Expedited enforcement of amended legislation acts to protect the healthcare workforce resulted in only 10 healthcare professionals contracting the virus while caring for Covid-19 patients. This has resulted in minimal human capital loss and the government was able to re-direct existing medical workforce to areas in need. The quarantine strategies implemented resulted in little need to lock down the whole economy but also limited the cost spent to gain a year of life to 193,848 Won (US$163).
描述韩国因新冠疫情导致的医疗危机如何引发创新及政府政策变化。本文介绍了韩国的重大聚集性事件、相关创新发展以及经济影响,可为政策制定者提供未来应对健康危机的参考。
从包括韩国疾病控制与预防中心(KCDC)或其他政府来源在内的各种渠道收集医疗、经济、流行病学数据。
KCDC与医学专业人员共同开发了一系列创新举措,如1)全面接触者追踪和12小时周转的快速检测以及10分钟行动追踪系统;2)通过中央数据库向公众透明披露所有接触者追踪数据;3)免下车和步行通过检测方法;4)四级患者严重程度指数和社区治疗隔离中心。韩国从3月全球确诊病例总数排名第四降至8月的第76位。
加快实施修订后的立法以保护医护人员,结果只有10名医护人员在照顾新冠患者时感染病毒。这导致了最小的人力资本损失,政府能够将现有的医疗劳动力重新调配到有需要的地区。实施的检疫策略几乎无需封锁整个经济,同时将延长一年生命的成本限制在193,848韩元(163美元)。