{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:18:24Z","timestamp":1787008704920,"version":"build-2736575974"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"European Union, British Heart Foundation, Leducq Foundation, Medical Research Council"},{"DOI":"10.13039\/100010447","name":"German Centre for Cardiovascular Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010447","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Healthcare systems are faced with unique challenges during the ongoing Covid-19 pandemic. This viewpoint compares the response to the Covid-19 pandemic in the UK and in Germany. Despite being two large European countries of comparable size with good healthcare systems and similar patterns of exposure to Covid-19, Covid-19 related deaths in the UK currently far outnumber those in Germany. This has several reasons, but two explanations stick out: 1. lower long-term investment into healthcare in the UK rendered the NHS more vulnerable to Covid-19; 2. the existence of a well-governed decentralised and partially redundant organisation of healthcare increased resilience in Germany\u2019 s healthcare systems, enhancing the ability to adapt in response to unexpected challenges to healthcare. The response to the current pandemic also illustrates the power and the necessity to learn from each other through transparent communication of successes and mistakes.<\/jats:p>","DOI":"10.1093\/ehjqcco\/qcaa036","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T15:09:32Z","timestamp":1588086572000},"page":"201-203","source":"Crossref","is-referenced-by-count":8,"title":["A tale of two countries: how decentralized organization and long-term investment build resilient healthcare systems"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1881-0197","authenticated-orcid":false,"given":"Paulus","family":"Kirchhof","sequence":"first","affiliation":[{"name":"Institute of Cardiovascular Sciences, College of Medical and Dental Sciences, Medical School, University of Birmingham, Edgbaston, Wolfson Drive Birmingham B15 2TT, UK"},{"name":"Department of Cardiology, University Heart and Vascular Center, UKE Hamburg, Martinistra\u00dfe 52, Geb\u00e4ude Ost 70, 20246 Hamburg, Germany"},{"name":"German Center for Cardiovascular Research (DZHK), Partner Site Hamburg\/Kiel\/L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"2020072520565354500_qcaa036-B1","year":"2020"},{"key":"2020072520565354500_qcaa036-B2","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1016\/S0140-6736(20)30528-6","article-title":"Singapore Novel Coronavirus Outbreak Research T. Investigation of three clusters of COVID-19 in Singapore: implications for surveillance and response measures","volume":"395","author":"Pung","year":"2020","journal-title":"Lancet"},{"key":"2020072520565354500_qcaa036-B3","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1016\/S0140-6736(20)30551-1","article-title":"Are high-performing health systems resilient against the COVID-19 epidemic?","volume":"395","author":"Legido-Quigley","year":"2020","journal-title":"Lancet"},{"key":"2020072520565354500_qcaa036-B4","doi-asserted-by":"crossref","first-page":"m1284","DOI":"10.1136\/bmj.m1284","article-title":"Covid-19: why is the UK government ignoring WHO\u2019s advice?","volume":"368","author":"Pollock","year":"2020","journal-title":"BMJ"},{"key":"2020072520565354500_qcaa036-B5","year":"2020"},{"key":"2020072520565354500_qcaa036-B6","year":"2020"}],"container-title":["European Heart Journal - Quality of Care and Clinical Outcomes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjqcco\/advance-article-pdf\/doi\/10.1093\/ehjqcco\/qcaa036\/33384027\/qcaa036.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjqcco\/article-pdf\/6\/3\/201\/33532797\/qcaa036.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjqcco\/article-pdf\/6\/3\/201\/33532797\/qcaa036.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T20:57:09Z","timestamp":1595710629000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjqcco\/article\/6\/3\/201\/5831294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,6]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,5,6]]},"published-print":{"date-parts":[[2020,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjqcco\/qcaa036","relation":{},"ISSN":["2058-5225","2058-1742"],"issn-type":[{"value":"2058-5225","type":"print"},{"value":"2058-1742","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,7]]},"published":{"date-parts":[[2020,5,6]]}}}