How many democratic countries have conducted COVID-19 public inquiries? An exploratory study of government-led postpandemic reviews (2020-2024).

BMJ public health Pub Date : 2025-09-25 eCollection Date: 2025-01-01 DOI:10.1136/bmjph-2025-002567
Kevin Bardosh, Maximilien Lacour, Kira Pronin, Norma Correa Aste, Roger Koppl
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Abstract

Introduction: Many governments have initiated national inquiries into their responses to the COVID-19 pandemic. Lessons drawn from them will matter for public health policies. While these inquiries represent an opportunity for policy learning, there may also be obstacles. This study helps to explore these opportunities and obstacles by providing an initial survey of COVID-19 inquiries.

Methods: We collected a novel data set of national COVID-19 inquiries in democratic countries, taking note of their type, membership, timing, mandate and whether their terms of reference asked the inquiry to consider the adequacy of the government pandemic response as well as the collateral harms arising from government interventions. We conducted a series of panel logit analyses to examine the extent to which country-level factors-such as the level of democracy and executive oversight, centralisation of executive power and economic development-were associated with the likelihood of appointing a COVID-19 inquiry.

Results: We found 32 national COVID-19 inquiries, held in 25 (32%) of the countries in our data set, which included 78 countries with a score of at least 0.6 on the 2019 Varieties of Democracy (V-Dem) Electoral Democracy Index. Of the 32 national inquiries, 14 (44%) were public inquiries (proper), 15 (47%) were inquiries conducted by parliamentary committees and 3 (9%) were another type of inquiry. The earliest public inquiries (proper) were launched in the first half of 2020 in the Scandinavian countries. Generally, countries were slightly quicker to establish parliamentary committee inquiries than public inquiries proper. Many democracies, such as Canada, have yet to initiate one at all.A country's probability of initiating a COVID-19 inquiry was positively correlated with its level of democracy, gross domestic product per capita and executive oversight, but negatively correlated with higher values of the V-Dem index of presidentialism. These correlations were significant once we controlled for multicollinearity. The vast majority of inquiries (77%) were appointed in 2020 and 2021. Most inquiries' terms of reference were relatively open-ended, with few specifically demanding an examination of policy adequacy and most urging some sort of investigation into the COVID-19 measures' collateral harms.

Conclusion: Although slightly less than a third of countries in our sample have initiated inquiries into their COVID-19 response, those that have tend to mention collateral harms in their terms of reference, but not policy inadequacy. Our exploratory study should be followed by fine-grained textual analyses of individual inquiries.

有多少民主国家开展了COVID-19公众调查?政府主导的大流行后审查(2020-2024)的探索性研究。
导言:许多政府已就其应对COVID-19大流行的措施启动了全国性调查。从中汲取的经验教训将对公共卫生政策产生重要影响。虽然这些调查为政策学习提供了机会,但也可能存在障碍。本研究通过对COVID-19咨询进行初步调查,有助于探索这些机会和障碍。方法:我们收集了民主国家COVID-19国家调查的新数据集,注意其类型、成员、时间、任务,以及它们的职权范围是否要求调查考虑政府大流行应对的充分性以及政府干预产生的附带损害。我们进行了一系列小组逻辑分析,以检验民主和行政监督水平、行政权力集中化和经济发展等国家层面因素与任命COVID-19调查的可能性之间的关联程度。结果:我们发现,在我们的数据集中,有25个国家(32%)进行了32次全国性COVID-19调查,其中包括78个在2019年民主品种(V-Dem)选举民主指数中得分至少为0.6的国家。在32项全国调查中,14项(44%)是公众调查(适当的),15项(47%)是议会委员会进行的调查,3项(9%)是另一种调查。最早的公开调查(适当的)于2020年上半年在斯堪的纳维亚国家发起。一般来说,各国建立议会委员会调查比正式的公众调查要快一些。许多民主国家,如加拿大,还没有开始这样做。一个国家发起新冠肺炎调查的可能性与民主主义水平、人均国内生产总值(gdp)、行政监督呈正相关,但与总统主义的V-Dem指数呈负相关。一旦我们控制多重共线性,这些相关性是显著的。绝大多数调查(77%)是在2020年和2021年任命的。大多数调查的职权范围相对开放,很少有人明确要求审查政策的充分性,大多数人敦促对COVID-19措施的附带损害进行某种调查。结论:虽然在我们的样本中,略低于三分之一的国家对其COVID-19应对措施进行了调查,但这些国家倾向于在其职权范围内提及附带损害,而不是政策不足。我们的探索性研究之后,应该对个别询问进行细粒度的文本分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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