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Resource allocations for health and education should be based on evidence, not politics

If resource allocation decisions were made based on evidence rather than internal and external politics, the education sector would get a large chunk of resources, given its potential for positive impact on health, wellbeing and the economy, now and in the future. Researchers writing in the Journal of the Royal Society of Medicine say an evidence-based approach would likely see disinvestment from the healthcare sector, especially from low value and wasteful healthcare activities linked to overprescribing and overdiagnosis. Resources would then be reallocated to education, given the large burden of disease that could be avoided with better education systems.

The authors write that school disruptions caused by the COVID-19 pandemic will have significant negative effects on health, adding that allocating more resources, financial and human, to support education systems is key to long-term health, wellbeing and resilience of individuals and society more generally. A recent analysis by the UK National Audit Office found that the UK education sector received about 1% of COVID support funding.

One of the authors, Dr Anant Jani, of the Oxford Martin School at the University of Oxford, said: “The COVID-19 pandemic has led to the largest ever disruption to education systems globally. Simulations suggest that around 0.6 years of schooling will be lost globally due to school closures, with higher levels for children from lower socio-economic groups, who have been historically disadvantaged because of less access to high quality education.”

Suggestions from the authors on how the damage caused by COVID-19 can be minimised include identifying and working with the most vulnerable groups, strengthening school infrastructure, investing in teacher training and addressing existing curricular deficiencies. They say that education also needs to expand to include broader curricula on social and emotional health so that children have more awareness of how to stay healthy.

Dr Jani said: “These approaches are supported by several studies which demonstrate that intergenerational perpetuation of inequalities is lower in countries with greater educational public support programmes for low-income families, with health and wellbeing benefits lasting into adulthood.”

Notes to editors

Leveraging the bi-directional links between health and education to promote long-term resilience and equality (DOI: 10.1177/01410768211066890) by Anant Jani, Chloe Lowry, Eloise Haylor, Shamila Wanninayake and David Gregson will be published by the Journal of the Royal Society of Medicine at 00:05 hrs (UK time) on Wednesday 12 January 2022.

The link for the full text of the paper when published will be:

https://journals.sagepub.com/doi/full/10.1177/01410768211066890

For further information or a copy of the paper please contact:

Rosalind Dewar

Media Office, Royal Society of Medicine

DL: +44 (0) 1580 764713

M: +44 (0) 7785 182732

E: media@rsm.ac.uk

The Journal of the Royal Society of Medicine (JRSM) is a leading voice in the UK and internationally for medicine and healthcare. Published continuously since 1809, JRSM features scholarly comment and clinical research. JRSM is editorially independent from the Royal Society of Medicine, and its editor is Dr Kamran Abbasi.

JRSM is a journal of the Royal Society of Medicine and it is published by SAGE Publishing.

Sara Miller McCune founded SAGE Publishing in 1965 to support the dissemination of usable knowledge and educate a global community. SAGE is a leading international provider of innovative, high-quality content publishing more than 1000 journals and over 800 new books each year, spanning a wide range of subject areas. A growing selection of library products includes archives, data, case studies and video. SAGE remains majority owned by our founder and after her lifetime will become owned by a charitable trust that secures the company’s continued independence. Principal offices are located in Los Angeles, London, New Delhi, Singapore, Washington DC and Melbourne. www.sagepublishing.com

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