Better public decisions on COVID-19: A thought experiment in metrics

Objectives: Poor decision-making is a hallmark of the COVID-19 pandemic. Better metrics would help improve decision-makers' understanding of the scope of the pandemic and allow for better public understanding/review of these decisions. Study design: Two novel metrics of disease impact were comp...

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Autores principales: David J. Tonjes, Krista L. Thyberg, Elizabeth Hewitt
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/c459d8efd94c4b1a9977c3230aaf887c
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spelling oai:doaj.org-article:c459d8efd94c4b1a9977c3230aaf887c2021-11-04T04:41:33ZBetter public decisions on COVID-19: A thought experiment in metrics2666-535210.1016/j.puhip.2021.100208https://doaj.org/article/c459d8efd94c4b1a9977c3230aaf887c2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666535221001336https://doaj.org/toc/2666-5352Objectives: Poor decision-making is a hallmark of the COVID-19 pandemic. Better metrics would help improve decision-makers' understanding of the scope of the pandemic and allow for better public understanding/review of these decisions. Study design: Two novel metrics of disease impact were compared with more commonly used standard metrics. Methods: A multi-criteria decision analysis technique, used previously to support metric selection in solid waste planning, was adapted to compare number of deaths, hospitalisations, positive test results and positivity rates (standard COVID-19 impact metrics) with a simple model that estimates the total number of potentially infectious people in an area and an associated odds ratio for infectious people. Results: The odds ratio and total infectious population estimate metrics scored better in a comparison analysis than number of deaths, hospitalisations, positive test results and positivity rates (in that order). Conclusions: The novel metrics provide a more effective means of communication than other more common measures of the outbreak. These superior metrics should support decision-making processes and result in a more informed population.David J. TonjesKrista L. ThybergElizabeth HewittElsevierarticleDisease metricsDecision supportPublic involvementInfectious populationOdds ratioPublic aspects of medicineRA1-1270ENPublic Health in Practice, Vol 2, Iss , Pp 100208- (2021)
institution DOAJ
collection DOAJ
language EN
topic Disease metrics
Decision support
Public involvement
Infectious population
Odds ratio
Public aspects of medicine
RA1-1270
spellingShingle Disease metrics
Decision support
Public involvement
Infectious population
Odds ratio
Public aspects of medicine
RA1-1270
David J. Tonjes
Krista L. Thyberg
Elizabeth Hewitt
Better public decisions on COVID-19: A thought experiment in metrics
description Objectives: Poor decision-making is a hallmark of the COVID-19 pandemic. Better metrics would help improve decision-makers' understanding of the scope of the pandemic and allow for better public understanding/review of these decisions. Study design: Two novel metrics of disease impact were compared with more commonly used standard metrics. Methods: A multi-criteria decision analysis technique, used previously to support metric selection in solid waste planning, was adapted to compare number of deaths, hospitalisations, positive test results and positivity rates (standard COVID-19 impact metrics) with a simple model that estimates the total number of potentially infectious people in an area and an associated odds ratio for infectious people. Results: The odds ratio and total infectious population estimate metrics scored better in a comparison analysis than number of deaths, hospitalisations, positive test results and positivity rates (in that order). Conclusions: The novel metrics provide a more effective means of communication than other more common measures of the outbreak. These superior metrics should support decision-making processes and result in a more informed population.
format article
author David J. Tonjes
Krista L. Thyberg
Elizabeth Hewitt
author_facet David J. Tonjes
Krista L. Thyberg
Elizabeth Hewitt
author_sort David J. Tonjes
title Better public decisions on COVID-19: A thought experiment in metrics
title_short Better public decisions on COVID-19: A thought experiment in metrics
title_full Better public decisions on COVID-19: A thought experiment in metrics
title_fullStr Better public decisions on COVID-19: A thought experiment in metrics
title_full_unstemmed Better public decisions on COVID-19: A thought experiment in metrics
title_sort better public decisions on covid-19: a thought experiment in metrics
publisher Elsevier
publishDate 2021
url https://doaj.org/article/c459d8efd94c4b1a9977c3230aaf887c
work_keys_str_mv AT davidjtonjes betterpublicdecisionsoncovid19athoughtexperimentinmetrics
AT kristalthyberg betterpublicdecisionsoncovid19athoughtexperimentinmetrics
AT elizabethhewitt betterpublicdecisionsoncovid19athoughtexperimentinmetrics
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