The uneven geography of the health system and its effect on the individual probability of death by COVID-19

The COVID-19 pandemic caused many life losses, which were not uniform across territories. Several factors can explain geographical differences, including the health and sanitary infrastructure and the economic performance. The present study seeks to determine the probability of death by COVID-19 of...

Full description

Saved in:
Bibliographic Details
Published in:The Annals of regional science 2024-12, Vol.73 (4), p.1783-1809
Main Authors: Guevara-Rosero, Grace Carolina, Hinojosa, Víctor Hugo, Vásconez, Christian L.
Format: Article
Language:English
Subjects:
COVID-19
Death & dying
Economic performance
Economics
Economics and Finance
Environmental Economics
Fatalities
Geography
Health
Health care
Immunization
Infrastructure
Landscape/Regional and Urban Planning
Microeconomics
Mortality
Pandemics
Regional/Spatial Science
Special Issue Paper
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The COVID-19 pandemic caused many life losses, which were not uniform across territories. Several factors can explain geographical differences, including the health and sanitary infrastructure and the economic performance. The present study seeks to determine the probability of death by COVID-19 of individuals by analyzing their individual and contextual characteristics related to their canton of residence with emphasis on the structure of the health system. Using combined data at the individual and contextual level, a logit multilevel model is estimated. The results show that cantonal differences explain 12.8–22.6% of the total variance of the individual probability to die. Cantons where people were more likely and less likely to die by stage were identified. Level 1 health care centers played an important role in reducing the probability of death by COVID-19 of individuals from the isolation stage to the vaccination stage.
ISSN:0570-1864
1432-0592
DOI:10.1007/s00168-024-01325-7