Mathematical optimization models for reallocating and sharing health equipment in pandemic situations.

In this paper we provide a mathematical programming based decision tool to optimally reallocate and share equipment between different units to efficiently equip hospitals in pandemic emergency situations under lack of resources. The approach is motivated by the COVID-19 pandemic in which many Heath National Systems were not able to satisfy the demand of ventilators, sanitary individual protection equipment or different human resources. Our tool is based in two main principles: (1) Part of the stock of equipment at a unit that is not needed (in near future) could be shared to other units; and (2) extra stock to be shared among the units in a region can be efficiently distributed taking into account the demand of the units. The decisions are taken with the aim of minimizing certain measures of the non-covered demand in a region where units are structured in a given network. The mathematical programming models that we provide are stochastic and multiperiod with different robust objective functions. Since the proposed models are computationally hard to solve, we provide a divide-et-conquer math-heuristic approach. We report the results of applying our approach to the COVID-19 case in different regions of Spain, highlighting some interesting conclusions of our analysis, such as the great increase of treated patients if the proposed redistribution tool is applied.

Business dynamism, sectoral reallocation and productivity in a pandemic.

Asymmetric effects across sectors are the distinctive features of the Covid-19 shock. An Epidemiological-Industry Dynamic model with heterogeneous firms and endogenous firms dynamics mimics the deep recession suffered by sectors characterized by high exposure, the reallocation of entry and exit opportunities across sectors, and the dynamics of aggregate productivity during the first wave of the pandemic. The cleansing effect induced by the Covid-19 crisis is sector-specific. Monetary policy and sticky wages are central ingredients to capture reallocation effects. Social distancing, by smoothing out cleansing in the social sector, slows down the reallocation process and prolongs the recession, but saves lives.

Hospital Resource Management -A Survey

Healthcare is a limited resource that is constantly in high demand because everyone requires it. When demand exceeds supply, resources become relatively scarce, making the overall resource allocation in healthcare even more difficult, as we have seen at the time of COVID-19. Effective resource allocation faces obstacles such as a lack of trained human resources, inefficient resource use, a lack of focus on improvement, and inefficient resource reallocation. This paper will outline a study of the numerous approaches to resource allocation in healthcare, outlining the methods employed, the outcomes, and benefits and drawbacks of each approach. In order to address any kind of emergency situation that may arise in the future, it was our goal to pinpoint the research gap between the work that had already been done and the solution to this problem through the survey analysis. In order to boost hospital resource management, the paper identifies a variety of potential solutions which can be categorized further into subcategories which can be seen through different perspectives and a range of approaches that can be implemented during COVID-19 or in any other emergency condition. © 2023 IEEE.

Productivity and wages of firms using COVID-19-related support policies

Objective: This study analyzes the performance over the past several years of firms that have taken advantage of various COVID-19-related support policies. Methods: This study uses survey data on Japanese firms linked with official firm statistics to analyze the productivity and wages over the past several years of firms. Results: The results indicate that the firms that used support policies had lower productivity and wages long before the pandemic. Firms that used multiple policy measures and those that repeatedly used support policies tended to show additionally lower performance. Conclusions: Firm support policies may have the side effect of preserving inherently inefficient firms and such a problem may increase in severity as support policies become prolonged. © 2023 by the Southwestern Social Science Association.

The inflationary effects of sectoral reallocation.

The COVID-19 pandemic has led to an unprecedented shift of consumption from services to goods. We study this demand reallocation in a multi-sector model featuring sticky prices, input-output linkages, and labor reallocation costs. Reallocation costs hamper the increase in the supply of goods, causing inflationary pressures. These pressures are amplified by the fact that goods prices are more flexible than services prices. We estimate the model allowing for demand reallocation, sectoral productivity, and aggregate labor supply shocks. The demand reallocation shock explains a large portion of the rise in U.S. inflation in the aftermath of the pandemic.

Whose is this street? Actors and conflicts in the governance of pedestrianisation processes

The benefits of pedestrianisation are widely acknowledged. Following the COVID-19 pandemic, cities are increasingly proposing street closures, in some cases as isolated experiments and in others with more structural ambitions. Although generally seen favourably, street closures often give rise to conflicts. Existing literature on conflicts in pedestrianisations focuses on residents', shopkeepers', or road users' opposition to the actual interventions. Less attention is given to the tensions and conflicts related to the governance process adopted or the constellation of actors involved. This paper aims to shed light on the broad range of conflicts likely to undermine pedestrianisation initiatives by studying a series of street closures in a semi-central neighbourhood of Turin, the Torino Mobility Lab project. Based on semi-structured interviews and document analysis, the paper shows how different substantive, procedural and relational conflicts can affect the governance of pedestrianisation processes, undermining their effectiveness. The responsibilities and reasons for the success or otherwise of pedestrianisation initiatives are linked to procedural and relational factors, which often receive less attention than substantive aspects. The inherent political dimension of pedestrianisation, the deep-rooted vision of the street as a space for cars, and the absence of a shared vision placing street closures within a system of actions aimed at undermining the principle of automobility as a right are also highlighted as key underlying factors. © 2023 Elsevier Ltd

Understanding the dynamics of non-clinical staff reallocation to clinical practice during the first wave of COVID-19-a qualitative study

Background: During the coronavirus disease 2019 (COVID-19) pandemic one responsive strategy to ensure hospital staff capacity was reallocation of staff between departments. Unpredicted factors may influence how such a strategy is executed and knowledge of potential moderating factors is essential to improve future staff contingency plans. The aim of this study was to explore the dynamics of reallocating non-clinical staff from departments with low activity to clinical practice during the first wave of the COVID-19 pandemic at a 530-bed university hospital in the Capital Region of Denmark. Methods: This was a qualitative study based on six individual semi-structured interviews with non-clinical staff who were reallocated during the first wave of the COVID-19 pandemic, and eight interviews with leaders from departments reallocating staff. Data was analyzed using inductive content analysis. Results: The results showed that implementation of a staff contingency plan is influenced by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Even though staff felt obligated and motivated to work and intended to cover shifts, reallocation was influenced by several other factors related to the contingency plan set-up, how the contingency plan and roles were interpreted by staff and leaders, how the leaders prioritized tasks and staff time, and the feeling of psychological safety. We found that staff and leaders interpreted the contingency plan in a social context, navigated the system, and made individual adjustments. Conclusions: This study sheds light on the dynamics of a reallocation process of non-clinical staff during the first wave of the COVID-19 pandemic. Reallocation is affected by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Future staff contingency plans should take these factors into consideration to make better use of human resources in times of crisis and to improve staff experience with reallocation. © 2022 The authors.

Unto the least of these: Caring for the vulnerable in the time of COVID

As the COVID-19 pandemic initially unfolded in early 2020, medical systems were rapidly overwhelmed with critically ill patients. Intensive care resources were strained and, in some cases, insufficient. Concepts of triage and allocation of life-saving resources, once only hypothetical, were called into action. Vulnerable elderly, chronically ill, and disabled patients found themselves subject to protocols and guidelines that singled them out for disparate access to treatments. In this article, I overview the historical background of the early COVID-19 crisis, frontline triage guidelines in Italy and New York City, the conceptual nature of triage, the problematic practice of reallocation, the ethical principles that were challenged, how Judeo-Christian teachings inform these issues, and conflicts of physician duties with attendant moral distress. I close with a set of normative guideline statements that could help define a path through the extreme scarcities of a catastrophic pandemic crisis surge.

Subsidizing Labour Hoarding in Recessions: The Employment and Welfare Effects of Short-time Work

Short-time work (STW) policies provide subsidies for hour reductions to workers in firms experiencing temporary shocks. They are the main policy tool used to support labour hoarding during downturns and were aggressively used during the coronavirus disease 2019 (COVID-19) pandemic. Yet, very little is known about their employment and welfare consequences. This article leverages unique administrative social security data from Italy and quasi-experimental variation in STW policy rules to offer evidence on the effects of STW on firms' and workers' outcomes during the Great Recession. Our results show large and significant negative effects of STW treatment on hours, but large and positive effects on headcount employment. We then analyse whether these positive employment effects are welfare enhancing, distinguishing between temporary and more persistent shocks. We first provide evidence that liquidity constraints and rigidities in wages and hours may make labour hoarding inefficiently low without STW. Then, we show that adverse selection of low productivity firms into STW reduces the long-run insurance value of the program and creates significant negative reallocation effects when the shock is persistent.

Surgeons' involvement in COVID-19 treatment: a practice by a regional core hospital in Japan to avoid physician burnout.

BACKGROUND: To prevent task accumulation on certain divisions, our institution developed a unique system of allocating inpatient treatment of COVID-19 patients to doctors who were not specialized in respiratory infections. The objective of this study was to investigate whether surgeons can be involved in the COVID-19 inpatient treatment without negatively affecting patient outcome, and how such involvement can affect the wellbeing of surgeons. METHODS: There were 300 patients diagnosed with COVID-19 and hospitalized from January to June 2021, and 160 of them were treated by the redeployed doctors. They were divided into 3 groups based on the affiliation of the treating doctor. Patient characteristics and outcomes were compared between the groups. In addition, the impact of COVID-19 duty on participating surgeons was investigated from multiple perspectives, and a postduty survey was conducted. RESULTS: There were 43 patients assigned to the Department of Surgery. There were no differences in the backgrounds and outcomes of patients compared with other groups. The surgeon's overtime hours were significantly longer during the duty period, despite no change in the number of operations and the complication rate. The questionnaire revealed that there was a certain amount of mental and physical burden from the COVID-19 duty. CONCLUSION: Surgeons can take part in inpatient COVID-19 treatment without affecting patient outcome. However, as such duty could negatively affect the surgeons' physical and mental wellbeing, further effort is needed to maintain the balance of fulfilling individual and institutional needs.

Employer reallocation during the COVID-19 pandemic: Validation and application of a do-it-yourself CPS.

Economists have recently begun using independent online surveys to collect national labor market data. Questions remain over the quality of such data. This paper provides an approach to address these concerns. Our case study is the Real-Time Population Survey (RPS), a novel online survey of the US built around the Current Population Survey (CPS). The RPS replicates core components of the CPS, ensuring comparable measures that allow us to weight and rigorously validate our results using a high-quality benchmark. At the same time, special questions in the RPS yield novel information regarding employer reallocation during the COVID-19 pandemic. We estimate that 26% of pre-pandemic workers were working for a new employer one year into the COVID-19 outbreak in the US, at least double the rate of any previous episode in the past quarter century. Our discussion contains practical suggestions for the design of novel labor market surveys and highlights other promising applications of our methodology.

Where have all the workers gone? Recalls, retirements, and reallocation in the COVID recovery

At the onset of the COVID pandemic, the U.S. economy suddenly and swiftly lost 20 million jobs. Over the next two years, the economy has been on the recovery path. We assess the labor market two years into the COVID crisis. We show that early employment dynamics were almost entirely driven by temporary layoffs and later recalls. Taking these into account, we show that the labor market remained surprisingly tight throughout the crisis, despite the dramatic job losses. By spring, 2022, the labor market had largely recovered and was characterized by extremely tight markets and a slightly depressed employment-to-population ratio driven largely by retirements. Finally, we see surprisingly little evidence of excess reallocation, despite predictions that COVID would dramatically and permanently change the way we live and work. We do see that employment has reallocated somewhat away from low-skilled service jobs, and, in light of the job vacancy patterns, conclude that worker preferences or changes in job amenities are driving this shift. In addition, the retirements paved the way for movements up the job ladder, making low-skilled customer-facing jobs even less desirable.

Evaluating the public acceptance of sustainable mobility interventions responding to Covid-19: The case of the Great Walk of Athens and the importance of citizen engagement.

COVID-19, the most wide-spread and disruptive pandemic in over a century, enforced emergency urban design responses meaning to recalibrate transport provision globally. This is the first work that systematically evaluates the 'public acceptance' as a proxy for 'policy success' and 'potential for longer-term viability' of the high-profile sustainable transport intervention package introduced in 2020 in the capital city of Greece known as the Great Walk of Athens (GWA). This is achieved through a twin statistical analysis of an e-survey that looked into the attitudes and urban mobility experiences of Athenians accessing the area of the trial daily. The research enabled a comparison between the pre- and post-implementation traffic situations and provided details about specific measures packaged in the GWA project. Our results suggest that walking and cycling uptake were only marginally improved. Traffic delays for car users were considerable. Car usage declined somewhat, with the exception of ride-sharing. Public transport ridership numbers suffered a lot because of concerns about sharing closed space with many others during a pandemic. Men and people on low income were more likely to agree with the 'change'. Naturally this was the case for people identified as primarily cyclists and pedestrians. The most impactful package elements in terms of car lane sacrifices (i.e., the redevelopment of Panepistimiou Street) had the lowest acceptability rates. A key reason that underpinned people's hesitation to approve the GWA initiative was the lack of public consultation in the decision-making that shaped the project. Our study provides evidence-based generalisable lessons for similar metropolitan environments looking to implement more or evaluate for possibly making permanent 'rushed' anti-Covid street redevelopment measures.

[Decline in work and commuting injuries during the first lockdown in the SARS-CoV-2 pandemic : Comparison to the time period 2015-2019]. / Rückgang der Arbeits- und Wegeunfälle während des 1. Lockdowns 2020 im Rahmen der SARS-CoV-2-Pandemie : Vergleich zu den Zeiträumen der Jahre 2015­2019.

BACKGROUND: Measures such as restrictions on personal contact and going out were taken to reduce SARS-CoV­2 infection numbers, ultimately resulting in the first lockdown. This was intended to create capacity in the healthcare system to manage the pandemic. AIM OF THE WORK: To analyze whether the number of work and commuting injuries decreased during the lockdown compared to the years 2015-2019. MATERIAL AND METHODS: All work and commuting accidents treated at the Klinikum rechts der Isar and the Berufsgenossenschaftliche Unfallklinik Murnau during the observational period 16 March-4 May 2020 were retrospectively compared with the figures from the same observation period in the years 2015-2019. The data on case numbers according to the transit physician procedure (DAV) were further broken down into cases of the injury type procedure (VAV) and severe injury type procedure (SAV) according to the injury type index of the German Social Accident Insurance (DGUV). In addition, the collected data were compared with data from the Federal Statistical Office on the numbers of traffic accidents and traffic fatalities. RESULTS: A total of 4313 cases were considered. In 2020, the number of work and commuting accidents decreased by 31% compared to the observation period 2015-2019. VAV cases were decreased by 26% in 2020. SAV cases decreased by 5% in 2020. Road traffic accidents decreased by 17% in thre first four months in 2020 compared to the first four months in 2019. Traffic fatalities decreased by 11%. DISCUSSION: There was a 31% decrease in work and commuting accidents. This contributed to resource reallocation in the context of the pandemic. Nevertheless, almost constant numbers of severely injured patients and accidental deaths occurred, which shows the relevance of trauma surgery structures especially in times of crisis and makes it indispensable to include them in the calculation of intensive care resources.

Two years after lockdown: reviewing the effects of COVID-19 on health services and support for adolescents living with HIV in South Africa.

INTRODUCTION: South Africa's progress towards the 95-95-95 goals has been significantly slower among adolescents living with HIV (ALHIV), among whom antiretroviral therapy (ART) adherence, retention in care and viral suppression remain a concern. After 2 years of living with COVID-19, it is important to examine the direct and indirect effects of the pandemic on healthcare resources, access to HIV services and availability of support structures, to assess their impact on HIV care for ALHIV. DISCUSSION: The COVID-19 response in South Africa has shifted healthcare resources towards combatting COVID-19, affecting the quality and availability of HIV services-especially for vulnerable populations, such as ALHIV. The healthcare system's response to COVID-19 has threatened to diminish fragile gains in engaging ALHIV with HIV services, especially as this group relies on overburdened public health facilities for their HIV care. Reallocation of limited health resources utilized by ALHIV disrupted healthcare workers' capacity to form and maintain therapeutic relationships with ALHIV and monitor ALHIV for ART-related side effects, treatment difficulties and mental health conditions, affecting their ability to retain ALHIV in HIV care. Prevailing declines in HIV surveillance meant missed opportunities to identify and manage opportunistic infections and HIV disease progression in adolescents. "Lockdown" restrictions have limited access to healthcare facilities and healthcare workers for ALHIV by reducing clinic appointments and limiting individual movement. ALHIV have had restricted access to social, psychological and educational support structures, including national feeding schemes. This limited access, coupled with reduced opportunities for routine maternal and sexual and reproductive health services, may place adolescent girls at greater risk of transactional sex, child marriages, unintended pregnancy and mother-to-child HIV transmission. CONCLUSIONS: Adolescent HIV care in South Africa is often overlooked; however, ART adherence among ALHIV in South Africa is particularly susceptible to the consequences of a world transformed by COVID-19. The current structures in place to support HIV testing, ART initiation and adherence have been reshaped by disruptions to health structures, new barriers to access health services and the limited available education and psychosocial support systems. Reflecting on these limitations can drive considerations for minimizing these barriers and retaining ALHIV in HIV care.

An Introduction to Socioeconomic Dynamics of the COVID-19 Crisis: Global, Regional, and Local Perspectives

This edited volume on the socioeconomic dynamics of the COVID-19 crisis covers a wide spectrum of topics, such as reallocation of economic resources, financial markets, government policy response to COVID-19 crisis, stock market return, social relief packages, spread of the disease in polluted cities, public health strategies and biopolitics, donation efficiencies, global hegemony, psychological perspectives, mental health outcomes, cultural challenges, and organization and management research in the post-COVID-19 era, as well as entrepreneurial universities, entrepreneurial frugality, and the international entrepreneurship future. Through each chapter, the authors, who are experts in this area of study, have tried to unfold an emerging aspect in the COVID-19 crisis which could benefit not only academic readers but also institutional, economic, social, and developmental policymakers, as well as health managers and practitioners on the ground. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Proposal for the elaboration of a triage guideline in the context of the COVID-19 pandemic.

This document offers a proposal for the elaboration of a triage guideline in the context of the COVID-19 pandemic. This proposal includes recommendations on the procedural norms and substantive norms that should govern the allocation and reallocation of therapeutic resources in conditions of extreme scarcity.

Este documento ofrece una propuesta desde la perspectiva de la bioética para la elaboración de un protocolo de triaje en el contexto de la pandemia de COVID-19. Dicha propuesta incluye recomendaciones sobre las normas procedimentales y normas sustantivas que deben regir la asignación y reasignación de recursos terapéuticos en condiciones de escasez extrema.

Productivity of firms using relief policies during the COVID-19 crisis.

This study, based on an original survey of Japanese firms, analyzes the productivity of firms that used relief policy measures during the COVID-19 pandemic. The productivity of firms using these relief measures was lower than that of non-user firms prior to the pandemic, suggesting that inefficient firms have been affected seriously. The result cautions against the excessive and prolonged relief policies.

Addressing budget reduction and reallocation on health-related resources during COVID-19 pandemic in malaria-endemic countries.

The global COVID-19 pandemic has been affecting the maintenance of various disease control programmes, including malaria. In some malaria-endemic countries, funding and personnel reallocations were executed from malaria control programmes to support COVID-19 response efforts, resulting mainly in interruptions of disease control activities and reduced capabilities of health system. While it is principal to drive national budget rearrangements during the pandemic, the long-standing malaria control programmes should not be left behind in order to sustain the achievements from the previous years. With different levels of intensity, many countries have been struggling to improve the health system resilience and to mitigate the unavoidable stagnation of malaria control programmes. Current opinion emphasized the impacts of budget reprioritization on malaria-related resources during COVID-19 pandemic in malaria endemic countries in Africa and Southeast Asia, and feasible attempts that can be taken to lessen these impacts.

Recessions and total factor productivity: Evidence from sectoral data.

The recent COVID-19 crisis has generated a concern that productivity (which was already at historically low levels) may further decline. From a theoretical standpoint, the recessions-total factor productivity (TFP) nexus is ambiguous à priori. This paper empirically examines the dynamic impact of recessions on TFP. We compute a new measure of utilization-adjusted productivity from a sample of 24 industries in 18 advanced economies between 1970 and 2014. Resorting to the local projection method we trace out the dynamic short to medium-term impact of such recessionary shocks. We find that deep recessions lead to a permanent deterioration in the level of total factor productivity. This effect is driven by the increase in resource misallocation across different sectors.