Evidence map›Paper›PMID 34872972›Full record

ReviewBMJ global health2021

National health governance, science and the media: drivers of COVID-19 responses in Germany, Sweden and the UK in 2020.

Claudia Hanson, Susanne Luedtke, Neil Spicer, Jens Stilhoff Sörensen, Susannah Mayhew, Sandra Mounier-Jack

Open access · goldAbstract readReview
In one paragraph

Review in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 4 countries.

Claudia HansonGlobal Public Health, Karolinska Institutet, Stockholm, Sweden claudia.hanson@ki.se.ORCID 0000-0001-8066-7873
Susanne LuedtkeInstitute for risk and disaster reduction, University College London, London, UK.
Neil SpicerFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK.
Jens Stilhoff SörensenSchool of Global Studies, University of Gothenburg, Goteborg, Västra Götaland, Sweden.
Susannah MayhewLondon School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK.
Sandra Mounier-JackLondon School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK.
London School of Hygiene & Tropical Medicine · GBKarolinska Institutet · SENational Science and Technology Center for Disaster Reduction · TWUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic is an unprecedented global crisis in which governments had to act in a situation of rapid change and substantial uncertainty. The governments of Germany, Sweden and the UK have taken different paths allowing learning for future pandemic preparedness. To help inform discussions on preparedness, inspired by resilience frameworks, this paper reviews governance structures, and the role of science and the media in the COVID-19 response of Germany, Sweden and the UK in 2020. We mapped legitimacy, interdependence, knowledge generation and the capacity to deal with uncertainty.Our analysis revealed stark differences which were linked to pre-existing governing structures, the traditional role of academia, experience of crisis management and the communication of uncertainty-all of which impacted on how much people trusted their government. Germany leveraged diversity and inclusiveness, a 'patchwork quilt', for which it was heavily criticised during the second wave. The Swedish approach avoided plurality and largely excluded academia, while in the UK's academia played an important role in knowledge generation and in forcing the government to review its strategies. However, the vivant debate left the public with confusing and rapidly changing public health messages. Uncertainty and the lack of evidence on how best to manage the COVID-19 pandemic-the main feature during the first wave-was only communicated explicitly in Germany. All country governments lost trust of their populations during the epidemic due to a mix of communication and transparency failures, and increased questioning of government legitimacy and technical capacity by the public.

Indexed as

COVID-19GermanyHumansPandemicsSARS-CoV-2SwedenUnited KingdomCOVID-19health policypublic health

Identifiers

PMID34872972
PMCPMC8764706
OpenAlexW3217068739

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.