Aims: The existing response management system for pandemic disease fell short of controlling COVID-19. This study evaluates the response management relative efficiency of 58 countries in two stages, using two models. Materials & methods: Data envelopment analysis was applied for efficiency analysis. Results: 89.6% of countries were inefficient in pandemic control and 79% were inefficient in treatment measures. Sensitivity analysis underlines resources as a critical factor. Further examination points to absence of a robust and uniform mitigation measure against the pandemic in most countries. Conclusions: Preventing spread is not only the first line of defense; it is the only line of defense. The lack of a global public health database support system and uniform response compounded inefficiency. A robust pandemic response management framework is developed based on practices of key performers. Action plans are proposed, with a recommendation for a global public health pandemic database monitoring and support system as the nucleus. Graphical abstract
【저자키워드】 COVID-19, pandemic control, Efficiency, Data envelopment analysis, pandemic response framework, 【초록키워드】 Treatment, public health, pandemic, database, Spread, Measures, management, resource, Analysis, action plan, Support, Abstract, stages, global public health, material, nucleus, Defense, country, robust, lack, evaluate, applied, absence, inefficient, Preventing, 【제목키워드】 Treatment, management,