The coronavirus disease 2019 (COVID-19) pandemic has had a severe impact on global socio-economic development and healthcare access. Considering the link between the two, the objective of this study was to investigate to what extent Greece's residents consider that access to healthcare is an important element for the European's Union (EU) socioeconomic development. The study used data from the Eurobarometer 94.2. Interviews were conducted online. Respondents were recruited by telephone via a dual-frame random digit dialing (RDD) sample design. The sample was supplemented with a non-probabilistic sample randomly drawn from Kantar's LifePoints panel. The sample size was n = 1002. A logistic model was fitted using the respondents' opinions regarding the direction the EU is heading in as a dependent variable. As potential predictors, we used respondents' opinions regarding the importance of access to healthcare for the EU's socioeconomic development, the extent to which more (or less) decision-making should take place at the European level for dealing with health issues, the index of political interest and several sociodemographic characteristics. According to the analysis, those that mentioned healthcare access as an important element for the EU's socioeconomic development were more likely to consider that the EU is heading in the wrong direction. The results of this study may indicate feelings of discomfort regarding the decline of society in the European Union due to disruptions to healthcare access and the contraction of national economies caused by the COVID-19 pandemic.
Citation: Dimitris Zavras. 2022: Healthcare access as an important element for the EU's socioeconomic development: Greece's residents' opinions during the COVID-19 pandemic, National Accounting Review, 4(4): 362-377. doi: 10.3934/NAR.2022020
The coronavirus disease 2019 (COVID-19) pandemic has had a severe impact on global socio-economic development and healthcare access. Considering the link between the two, the objective of this study was to investigate to what extent Greece's residents consider that access to healthcare is an important element for the European's Union (EU) socioeconomic development. The study used data from the Eurobarometer 94.2. Interviews were conducted online. Respondents were recruited by telephone via a dual-frame random digit dialing (RDD) sample design. The sample was supplemented with a non-probabilistic sample randomly drawn from Kantar's LifePoints panel. The sample size was n = 1002. A logistic model was fitted using the respondents' opinions regarding the direction the EU is heading in as a dependent variable. As potential predictors, we used respondents' opinions regarding the importance of access to healthcare for the EU's socioeconomic development, the extent to which more (or less) decision-making should take place at the European level for dealing with health issues, the index of political interest and several sociodemographic characteristics. According to the analysis, those that mentioned healthcare access as an important element for the EU's socioeconomic development were more likely to consider that the EU is heading in the wrong direction. The results of this study may indicate feelings of discomfort regarding the decline of society in the European Union due to disruptions to healthcare access and the contraction of national economies caused by the COVID-19 pandemic.
| [1] |
Acemoglou D, Johnson S (2007) Disease and development: The effect of life expectancy on economic growth. J Polit Econ 115: 925–985. https://doi.org/10.1086/529000 doi: 10.1086/529000
|
| [2] |
Adrikopoulou C (2020) Greece COVID-19·chara Adrikopoulou. Eur State Aid Law Q 19: 89–92. https://doi.org/10.21552/estal/2020/1/20 doi: 10.21552/estal/2020/1/20
|
| [3] | Agency for Healthcare Research and Quality (2000) Your guide to choosing Quality Health Care. U.S. Department of Health and Human Services 2000. Available from: https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/smd011000_29.pdf. |
| [4] |
Ajakaiye O, Kimenyi MS (2011) Higher education and economic development in Africa: Introduction and overview. J Afr Econ 20: iii3–iii13. https://doi.org/10.1093/jae/ejr027 doi: 10.1093/jae/ejr012
|
| [5] |
Anderson C (2020) (Re)Considering the Sources of Economic Perceptions. Soc Sci Q 101: 1314–1325. https://doi.org/10.1111/ssqu.12825 doi: 10.1111/ssqu.12825
|
| [6] |
Androutsou L, Latsou D, Geitona M (2021) Health systems' challenges and responses for recovery in the Pre and post COVID-19 era. J Serv Sci Manage 14: 444–460. https://doi.org/10.4236/jssm.2021.144028 doi: 10.4236/jssm.2021.144028
|
| [7] |
Aschauer W (2014) Societal well-being in Europe from theoretical perspectives to a multidimensional measurement. L'Année Sociol 64: 295–330. https://doi.org/10.3917/anso.142.0295 doi: 10.3917/anso.142.0295
|
| [8] |
Ashraf BN (2020) Economic impact of government interventions during the COVID-19 pandemic: International evidence from financial markets. J Behav Exp Finance 27: 100371. https://doi.org/10.1016/j.jbef.2020.100371 doi: 10.1016/j.jbef.2020.100371
|
| [9] |
Balen J, Liu ZC, McManus DP, et al. (2013) Health access livelihood framework reveals potential barriers in the control of schistosomiasis in the Dongting Lake area of Hunan Province, China. PLoS Negl Trop Dis 7: e2350. https://doi.org/10.1371/journal.pntd.0002350 doi: 10.1371/journal.pntd.0002350
|
| [10] |
Ballesio A, Lombardo C, Lucidi F, et al. (2021) Caring for the carers: Advice for dealing with sleep problems of hospital staff during the COVID-19 outbreak. J Sleep Res 30: e13096. https://doi.org/10.1111/jsr.13096 doi: 10.1111/jsr.13096
|
| [11] | Baqaee D, Farhi E (2021) Keynesian production networks and the COVID-19 crisis: A simple benchmark. Available from: https://www.nber.org/papers/w28346. |
| [12] |
Bloom DE, Canning D (2000) Policy forum: Public health. The health and wealth of nations. Science 287: 1207–1209. https://doi.org/10.1126/science.287.5456.1207 doi: 10.1126/science.287.5456.1207
|
| [13] | Boone L, Haugh D, Pain N, et al. (2020) Tackling the fallout from COVID-19. In: Baldwin, R.E., Weder, B., Economics in the Time of COVID-19. London, United Kingdom: Centre for Economic Policy Research, 37–44. |
| [14] | Botelho D, Pfister M (2011) Policies and institutions on multinational corporation-small and medium enterprise linkages: The Brazilian case. In: Rugraff, E., Hansen, M.W., Multinational Corporations and Local Firms in Emerging Economies. Amsterdam, The Netherlands: Amsterdam University Press, 211–230. |
| [15] |
Boulton A (2020) Why diabetes must not be forgotten in the global fight against COVID-19. Diabetes Res Clin Pract 165: 108319. https://doi.org/10.1016/j.diabres.2020.108319 doi: 10.1016/j.diabres.2020.108319
|
| [16] |
Brislane Á, Larkin F, Jones H, et al. (2021) Access to and quality of healthcare for pregnant and postpartum women during the COVID-19 pandemic. Front Glob Women Health 2: 628625. https://doi.org/10.3389/fgwh.2021.628625 doi: 10.3389/fgwh.2021.628625
|
| [17] | Bucher A (2022) Does Europe need a health union? Policy Contribution 2 Bruegel. |
| [18] |
Cai Z, Liu Z, Zuo S, et al. (2019) Finding a peaceful road to urbanization in China. Land Use Policy 83: 560–563. https://doi.org/10.1016/j.landusepol.2019.02.042 doi: 10.1016/j.landusepol.2019.02.042
|
| [19] |
Capano G, Howlett M, Jarvis DSL, et al. (2020) Mobilizing policy (in)capacity to fight COVID-19: Understanding variations in state responses. Policy Soc 39: 285–308. https://doi.org/10.1080/14494035.2020.1787628 doi: 10.1080/14494035.2020.1787628
|
| [20] | Unknown Author (1973) Economic benefits of health. Bull World Health Organ 48: 70–74 |
| [21] |
Chen S, Song H, Wu C (2021) Human capital investment and firms' industrial emissions: Evidence and mechanism. J Econ Behav Organ 182: 162–184. https://doi.org/10.1016/j.jebo.2020.12.002 doi: 10.1016/j.jebo.2020.12.002
|
| [22] |
Christian B, Ray D, Benyoussef A, et al. (1977) Health and socio-economic development: An intersectional model. Soc Sci Med (1967) 11: 63–69. https://doi.org/10.1016/0037-7856(77)90001-4 doi: 10.1016/0037-7856(77)90001-4
|
| [23] |
Dauderstädt M (2022) International inequality and the COVID-19 pandemic. Intereconomics 57: 40–46. https://doi.org/10.1007/s10272-022-1026-9 doi: 10.1007/s10272-022-1026-9
|
| [24] | de Vries CE, Hoffman I (2020) The optimism gap. Personal complacency versus societal pessimism in European public opinion. Gütersloh, Germany: Bertelsmann Stiftung. Available from: https://www.bertelsmann-stiftung.de/en/publications/publication/did/the-optimism-gap-all |
| [25] | Dumitrescu AL (2020) The European pillar of social rights. Implementation and effects in the EU member states. Glob Econom Obs 8: 63–74 |
| [26] | European Centre for Disease Prevention and Control (2020) Increased transmission of COVID-19 in the EU/EEA and the UK-Twelfth Update. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/covid-19-risk-assessment-increased-transmission-12th-update-september-2020.pdf. |
| [27] | European Commission, Directorate General for Economic and Financial Affairs (2021) European Economic Forecast: Spring 2021. Luxembourg: Publications Office of the European Union. https://doi.org/10.2765/66679 |
| [28] | European Commission and European Parliament (2021) Eurobarometer 94.2 (2020). Cologne, Germany: GESIS. https://doi.org/10.4232/1.13722 |
| [29] | European Foundation for the Improvement of Living and Working Conditions (2021) Towards the future of Europe: Social factors shaping optimism and pessimism among citizens. Available from: http://eurofound.link/ef21004. |
| [30] | European Parliament (2020) Parlemeter 2020: A Glimpse of Certainty in Uncertain Times. Available from: https://www.europarl.europa.eu/at-your-service/files/be-heard/eurobarometer/2020/parlemeter-2020/en-report.pdf. |
| [31] |
Farsalinos K, Poulas K, Kouretas D, et al. (2021) Improved Strategies to Counter the COVID-19 Pandemic: Lockdowns vs. primary and Community Healthcare. Toxicol Rep 8: 1–9. https://doi.org/10.1016/j.toxrep.2020.12.001 doi: 10.1016/j.toxrep.2020.12.001
|
| [32] | Feachem RG (2000) Poverty and inequity: A proper focus for the New Century. Bull World Health Organ 78: 1–2. |
| [33] |
Fjær EL, Stornes P, Borisova LV, et al. (2017) Subjective perceptions of unmet need for health care in Europe among social groups: Findings from the European social survey (2014) special module on the social determinants of health. Eur J Public Health 27: 82–89. https://doi.org/10.1093/eurpub/ckw219 doi: 10.1093/eurpub/ckw219
|
| [34] |
Flor LS, Friedman J, Spencer CN, et al. (2022) Quantifying the effects of the COVID-19 pandemic on gender equality on health, social and economic indicators: A comprehensive review of data from March, 2020, to September, 2021. Lancet 399: 2381–2397. https://doi.org/10.1016/50140-6736(22)00008-3 doi: 10.1016/S0140-6736(22)00008-3
|
| [35] |
Franzini L, Fernandez-Esquer ME (2006) The association of subjective social status and health in low-income Mexican-origin individuals in Texas. Soc Sci Med 63: 788–804. https://doi.org/10.1016/j.socscimed.2006.01.009 doi: 10.1016/j.socscimed.2006.01.009
|
| [36] |
García-Azorín D, Seeher KM, Newton CR, et al. (2021) Disruptions of neurological services, its causes and mitigation strategies during COVID-19: A global review. J Neurol 268: 3947–3960. https://doi.org/10.1007/s00415-021-10588-5 doi: 10.1007/s00415-021-10588-5
|
| [37] |
Giannopoulou I, Tsobanoglou GO (2020) COVID-19 pandemic: Challenges and opportunities for the Greek health care system. Ir J Psychol Med 37: 226–230. https://doi.org/10.1017/ipm.2020.35 doi: 10.1017/ipm.2020.35
|
| [38] |
Gössling S, Scott D, Hall CM (2021) Pandemics, tourism and global change: A rapid assessment of COVID-19. J Sustain Tour 29: 1–20. https://doi.org/10.1080/09669582.2020.1758708 doi: 10.1080/09669582.2020.1758708
|
| [39] | Griffin K (1999) Alternative strategies for economic development. New York, United States of America: St. Martin's Press, Inc. https://doi.org/10.1057/9780230599918 |
| [40] |
Gu D, Zhang Z, Zeng Y (2009) Access to healthcare services makes a difference in healthy longevity among older Chinese adults. Soc Sci Med 68: 210–219. https://doi.org/10.1016/j.socscimed.2008.10.025 doi: 10.1016/j.socscimed.2008.10.025
|
| [41] |
Hasmath R, Hsu J (2007) Social development in the Tibet autonomous region: A contemporary and historical analysis. Int J Dev Issues 6: 125–141. https://doi.org/10.1108/14468950710843398 doi: 10.1108/14468950710843398
|
| [42] | Hellenic Statistical Authority (2021) Press Release Material deprivation and living conditions. 2020 Survey Results on Income and Living Conditions (SILC). Available from: https://www.statistics.gr/documents/20181/4d12381a-851f-c7a8-c3d8-cafaafe52653. |
| [43] | Hendrickx J (1999) Using categorical variables in Stata. Stata Tech Bull STB-52: 2–8. |
| [44] |
Jan A, Mata MN, Albinsson PA, et al. (2021) Alignment of Islamic banking sustainability indicators with sustainable development goals: Policy recommendations for addressing the COVID-19 pandemic. Sustainability 13: 2607. https://doi.org/10.3390/su13052607 doi: 10.3390/su13052607
|
| [45] |
Khan H (1991) Measurement and determinants of socioeconomic development: A critical prospectus. Soc Indic Res 24: 153–175. doi: 10.1007/BF00300358
|
| [46] |
Kluge H, Kelley E, Barkley S, et al. (2018) How primary health care can make universal health coverage a reality, ensure healthy lives, and promote wellbeing for all. Lancet 392: 1372–1374. https://doi.org/10.1016/S0140-6736(18)32482-6 doi: 10.1016/S0140-6736(18)32482-6
|
| [47] |
Kondilis E, Tarantilis F, Benos A (2021) Essential public healthcare services utilization and excess non-COVID-19 mortality in Greece. Public Health 198: 85–88. https://doi.org/10.1016/j.puhe.2021.06.025 doi: 10.1016/j.puhe.2021.06.025
|
| [48] | Krubiner C, Keller JM, Kaufman J (2020) Balancing the COVID-19 response with wider health needs key decision-making considerations for low- and middle-income countries. Available from: https://www.cgdev.org/sites/default/files/balancing-covid-19-response-wider-health-needs-key-decision-making-considerations-low.pdf. |
| [49] |
Liu YL, Zhu K, Chen QY, et al. (2021) Impact of the COVID-19 pandemic on farm households' vulnerability to multidimensional poverty in rural China. Sustainability 13: 1842. https://doi.org/10.3390/su13041842 doi: 10.3390/su13041842
|
| [50] |
Madanian S, Parry DT, Airehrour D, et al. (2019) Mhealth and big-data integration: Promises for healthcare system in India. BMJ Health Care Inform 26: e100071. https://doi.org/10.1136/bmjhci-2019-100071 doi: 10.1136/bmjhci-2019-100071
|
| [51] | Mirvis DM, Chang CF, Cosby A (2008) Health as an economic engine: Evidence for the importance of Health in economic development. J Health Hum Serv Admin 31: 30–57. |
| [52] |
Mohapatra S (2021) Gender differentiated economic responses to crises in developing countries: Insights for COVID-19 recovery policies. Rev Econ Househ. 19: 291–306. https://doi.org/10.1007/s11150-020-09512-z doi: 10.1007/s11150-020-09512-z
|
| [53] |
Moynihan R, Sanders S, Michaleff ZA, et al. (2021) Impact of COVID-19 pandemic on utilisation of healthcare services: A systematic review. BMJ Open 11: e045343. https://doi.org/10.1136/bmjopen-2020-045343 doi: 10.1136/bmjopen-2020-045343
|
| [54] |
Nattino G, Lemeshow S, Phillips G, et al. (2017) Assessing the calibration of dichotomous outcome models with the calibration belt. STATA J 17: 1003–1014. https://doi.org/10.1177/1536867X1801700414 doi: 10.1177/1536867X1801700414
|
| [55] | Nnadozie E, Jerome A (2019) Definition and measurement of growth and development. In: Nnadozie, E., Jerome, A., African Economic Development. Bingley, United Kingdom: Emerald Publishing Limited, 39–56 |
| [56] |
Nørgaard SK, Vestergaard LS, Nielsen J, et al. (2021) Real-time monitoring shows substantial excess all-cause mortality during the second wave of COVID-19 in Europe, October to December 2020. Euro Surveill 26: pii = 2002023. https://doi.org/10.2807/1560-7917.ES.2021.26.1.2002023 doi: 10.2807/1560-7917.ES.2021.26.1.2002023
|
| [57] |
Nshimyiryo A, Barnhart DA, Cubaka VK, et al. (2021) Barriers and coping mechanisms to accessing healthcare during the COVID-19 lockdown: A cross-sectional survey among patients with chronic diseases in rural Rwanda. BMC Public Health 21: 704. https://doi.org/10.1186/s12889-021-10783-z doi: 10.1186/s12889-021-10783-z
|
| [58] |
Nteka N (2021) COVID-19 impact on Greece's health sector. Entrepreneurship 9: 45–55. https://doi.org/10.37708/ep.swu.v9i1.4 doi: 10.37708/ep.swu.v9i1.4
|
| [59] |
Pak A, Adegboye OA, Adekunle AI, et al. (2020) Economic consequences of the COVID-19 outbreak: The need for epidemic preparedness. Front Public Health 8: 241. https://doi:10.3389/fpubh.2020.00241 doi: 10.3389/fpubh.2020.00241
|
| [60] | Pal A (2009) Does microcredit facilitate socioeconomic development? Pepperdine Policy Rev 2: 20–31. Available from: https://digitalcommons.pepperdine.edu/ppr/vol2/iss1/5 |
| [61] |
Palliyaguru R, Amaratunga D, Haigh R (2013) Developing an approach to assess the influence of integrating disaster risk reduction practices into infrastructure reconstruction on socio-economic development. Disaster Prev Manag 22: 160–171. https://doi.org/10.1108/09653561311325307 doi: 10.1108/09653561311325307
|
| [62] |
Palvia P, Baqir N, Nemati H (2018) ICT for socio-economic development: A citizens' perspective. Inf Manag 55: 160–176. https://doi.org/10.1016/j.im.2017.05.003 doi: 10.1016/j.im.2017.05.003
|
| [63] | Petrakis PE, Kostis PC (2020) Growth in the Greek economy. In: Petrakis, P.E., Kostis, P.C., The Evolution of the Greek Economy: Past Challenges and Future Approaches, the Political Economy of Greek Growth up to 2030 by. Cham, Germany: Springer International Publishing, 226–254 |
| [64] |
Rivera R, Rosenbaum JE, Quispe W (2020) Excess mortality in the United States during the first three months of the COVID-19 pandemic. Epidemiol Infect 148: e264. https://doi.org/10.1017/S0950268820002617 doi: 10.1017/S0950268820002617
|
| [65] |
Roztocki N, Weistroffer HR (2016) Conceptualizing and researching the adoption of ICT and the impact on socioeconomic development. Inf Technol Dev 22: 541–549. https://doi.org/10.1080/02681102.2016.1196097 doi: 10.1080/02681102.2016.1196097
|
| [66] |
Sarkar P, Debnath N, Reang D (2021) Coupled human-environment system amid COVID-19 crisis: A conceptual model to understand the nexus. Sci Total Environ 753: 141757. https://doi.org/10.1016/j.scitotenv.2020.141757 doi: 10.1016/j.scitotenv.2020.141757
|
| [67] |
Seghier ML (2020) The COVID-19 pandemic: What can bioengineers, computer scientists and big data specialists bring to the table. Int J Imaging Syst Technol 30: 511–512. https://doi.org/10.1002/ima.22466 doi: 10.1002/ima.22466
|
| [68] | Sen A (1999) Development as freedom. Oxford, United Kingdom: Oxford University Press. |
| [69] |
Settersten RA, Bernardi L, Härkönen J, et al. (2020) Understanding the effects of Covid-19 through a life course lens. Adv Life Course Res 45: 100360. https://doi.org/10.1016/j.alcr.2020.100360 doi: 10.1016/j.alcr.2020.100360
|
| [70] |
Shi J, Gao X, Xue S, et al. (2021) Spatiotemporal evolution and influencing mechanism of the COVID-19 epidemic in Shandong Province. China Sci Rep 11: 7811. https://doi.org/10.1038/s41598-021-86188-0 doi: 10.1038/s41598-021-86188-0
|
| [71] |
Smith DA (2017) Troubled Europe? Int J Comp Sociol 58: 167–168. https://doi.org/10.1177/0020715217714842 doi: 10.1177/0020715217714842
|
| [72] |
Smith WC, Ikoma S, Baker DP (2016) Education, health, and labor force supply: Broadening human capital for national development in Malawi. Cogent Educ 3: 1149041. https://doi.org/10.1080/2331186X.2016.1149041 doi: 10.1080/2331186X.2016.1149041
|
| [73] |
Steenvoorden EH (2015) A general discontent disentangled: A conceptual and empirical framework for societal unease. Soc Indic Res 124: 85–110. https://doi.org/10.1007/s11205-014-0786-4 doi: 10.1007/s11205-014-0786-4
|
| [74] | Steenvoorden EH, van der Meer TW (2017) Continent of pessimism or continent of realism? A multilevel study into the impact of macro-economic outcomes and political institutions on societal pessimism, European Union 2006–2012. Int J Comp Sociol. European Union 58: 192–214. https://doi.org/10.1177/0020715217710809 |
| [75] | Subramanian T (2020) Analyzing the positive effects of adopting a model of national health insurance in India on economic growth. J Health Policy Manag 3: 1–3 |
| [76] |
Thu TPB, Ngoc PNH, Hai NM, et al. (2020) Effect of the social distancing measures on the spread of COVID-19 in 10 highly infected countries. Sci Total Environ 742: 140430. https://doi.org/10.1016/j.scitotenv.2020.140430 doi: 10.1016/j.scitotenv.2020.140430
|
| [77] |
Van Houwelingen P (2016) Societal pessimism in Japan, the United States and the Netherlands. Jpn J Pol Sci 17: 427–450. https://doi.org/10.1017/S1468109916000177 doi: 10.1017/S1468109916000177
|
| [78] |
Walstad WB (1997) The effect of economic knowledge on public opinion of economic issues. J Econ Educ 28: 195–205. https://doi.org/10.1080/00220489709596744 doi: 10.1080/00220489709596744
|
| [79] |
Whaley CM, Cantor J, Pera MF, et al. (2021) Industry variation in risk of delaying care during COVID-19. J Gen Intern Med 36: 3621–3624. https://doi.org/10.1007/s11606-021-06694-9 doi: 10.1007/s11606-021-06694-9
|
| [80] | World Bank (2020) Global Economic Prospects, June 2020. Washington, DC: World Bank; ISBN 978-1-4648-1553-9. |
| [81] | World Commission on Environment and Development (1987) Report of the World Commission on Environment and Development: Our Common Future. Oxford, United Kingdom: Oxford University Press. |
| [82] |
Yfantopoulos J (2021) Awaiting the "catharsis". Eur J Health Econ 22: 499–504. https://doi.org/10.1007/s10198-020-01193-w doi: 10.1007/s10198-020-01193-w
|
| [83] | Yonk RM, Smith JT, Wardle AR (2017) Building a quality of life index. In: Boas, A.A.V., Quality of Life and Quality of Working Life, London, United Kingdom: InTech |
| [84] |
Zavras D (2021) A cross-sectional population-based study on the influence of the COVID-19 pandemic on incomes in Greece. AIMS Public Health 8: 376–387. https://doi.org/10.3934/publichealth.2021029 doi: 10.3934/publichealth.2021029
|
| [85] |
Zhang J, Zheng Z, Zhang L, et al. (2021) Influencing factors of environmental risk perception during the COVID-19 epidemic in China. Int J Environ Res Public Health 18: 9375. https://doi.org/10.3390/ijerph18179375 doi: 10.3390/ijerph18179375
|
| [86] |
Zhao L, Rasoulinezhad E, Sarker T, et al. (2022) Effects of COVID-19 on global financial markets: Evidence from qualitative research for developed and developing economies. Eur J Dev Res: 1–19. https://doi.org/10.1057/s41287-021-00494-x doi: 10.1057/s41287-021-00494-x
|
Dimitris Zavras. 2022: Healthcare access as an important element for the EU's socioeconomic development: Greece's residents' opinions during the COVID-19 pandemic, National Accounting Review, 4(4): 362-377. doi: 10.3934/NAR.2022020
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