ArticleCureus2025
A Public Value Crisis Model Approach to COVID-19 Outbreak Control in the Dominican Republic.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOVID-19 exposed critical vulnerabilities in health systems worldwide. The Dominican Republic faced an early and severe outbreak in Duarte Province, necessitating rapid action. The government implemented a localized "Public Value Crisis Model," known as #PlanDuarte, integrating public-private collaboration, epidemiological intelligence, and community engagement.
objectiveTo evaluate whether #PlanDuarte was associated with measurable epidemiological improvements using Interrupted Time Series Analysis (ITSA), and to examine how public value principles informed crisis governance.
methodsWe analyzed daily COVID-19 data from March to December 2020 using segmented regression with Newey-West standard errors. Duarte Province (intervention site) was compared with all other provinces (non-intervention group). Data sources included the Ministry of Public Health registry. We assessed changes in trends for daily new cases following the lockdown and the implementation of public value-driven actions.
resultsPrior to the intervention, Duarte experienced a significant daily increase in cases (β1 = 0.88, p < 0.001). Following implementation, the post-intervention trend decreased significantly (β3 = -1.63, p < 0.001), unlike the non-intervention provinces. Epidemiological improvements corresponded with increased testing, expanded hospital capacity, and strengthened intersectoral coordination.
conclusionThe intervention in Duarte Province was associated with reduced epidemic growth and strengthened system responsiveness. Rooted in public value theory, #PlanDuarte illustrates how coordinated, community-empowering governance structures can improve crisis outcomes. Results reflect temporal association rather than definitive causality and underscore the need for context-sensitive governance in middle-income settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.