To explore the overlooked topics in scenario 1, we utilized a median scatter plot for visualization. In this plot, the horizontal axis represents the attention each keyword received in scientific papers, while the vertical axis indicates the attention each keyword received in policy documents. The scatter plots for nine different periods are displayed in
Figure 4, illustrating the distribution and temporal changes of the overlooked scientific contents in policy. Our analysis reveals that most keywords are consistently clustered in the lower-left area across all periods, indicating they receive limited attention in both policy documents and scientific papers. These keywords were deemed insufficient for detecting the overlooked scientific contents and were therefore excluded from further consideration in this study. Additionally, we identified that the overlooked scientific contents in policy predominantly occur in the upper-left and upper-right portions of the scatter plot, specifically above the dotted line. Consequently, this section focuses exclusively on keywords located in these two regions, as they highlight areas where there is a significant disparity between scientific emphasis and policy attention.
Figures (a) through (i) in
Figure 4 depict the attention given to each keyword in policies and papers across nine distinct periods. This study focuses on two specific regions: the upper-left area and the region above the dotted line in the upper-right quadrant. Keywords distributed in these two areas are ranked based on the disparity in attention they received in policies versus papers, from the largest to the smallest difference. For each period, the keywords with the greatest disparity in attention within these areas were selected as representative keywords for analysis. Due to space limitations, this article does not provide an exhaustive interpretation of all key terms. Instead, it selectively analyzes the policy blind spots identified during different periods, highlighting the most significant discrepancies between scientific research and policy focus.
The evolution of the overlooked scientific contents in policy during the COVID-19 pandemic reflects the shifting priorities and challenges faced by policies as the crisis unfolded. Here is a refined summary of these changes over time.
(1) During the initial phase of the COVID-19 pandemic from January to March 2020, policies focused primarily on internal medicine, computer science, medical emergencies, and emergency medicine, as indicated by the concentration in the upper-left quadrant. This reflects a swift policy response to the pressures placed on the healthcare system by the pandemic, particularly in the areas of emergency and internal medicine. However, policies may not have fully leveraged the applications of computer science in medical emergencies, such as telemedicine and data analytics—technologies critical for alleviating strain on medical resources and enhancing the efficiency of healthcare services.
Simultaneously, disciplines such as virology, biology, disease studies, and microbiology garnered significant attention in academia, as evidenced by their prominence in the upper-right quadrant. Despite this, these foundational research areas may not have received adequate emphasis in policy discussions. Research in virology and microbiology is pivotal for understanding viral characteristics, transmission mechanisms, and developing effective therapeutic interventions. The disparity between policy focus and academic research during this period could have led to a delayed scientific foundation for pandemic understanding, underscoring the necessity of strengthening the link between basic research and policy formulation in pandemic response efforts.
(2) During the period from April to June 2020, the COVID-19 pandemic posed unprecedented challenges to global health systems. Despite showing higher policy attention in the upper-left quadrant for telemedicine, data science, and family medicine, policies may not have fully leveraged data science to optimize telehealth services. This suggests that while policies recognized the importance of these fields, there was a shortfall in implementing and integrating data science to enhance telemedicine capabilities.
Meanwhile, terms in the upper-right quadrant, such as political science, healthcare, economics, and microbiology, indicate that these areas received significantly more attention from academia than from policies. This discrepancy may reflect a deeper engagement with these topics within academic circles, but it also suggests that policies may not have adequately incorporated this research into their decision-making processes. Furthermore, interdisciplinary studies at the intersection of political science and healthcare could have provided crucial perspectives for pandemic response, but these insights may not have been sufficiently considered by policies.
(3) During the period from July to September 2020, global strategies for responding to the COVID-19 pandemic gradually took shape, but there remained significant disparities between policy and academic research priorities. While terms in the upper-left quadrant, such as internal medicine, computer science, and environmental health, received some policy attention, they may not have been fully leveraged, particularly concerning the recognition of environmental factors’ impact on the pandemic.
Simultaneously, disciplines in the upper-right quadrant, including psychology, political science, public health, and epidemiology, garnered substantial attention within academia. However, these research findings appear not to have been adequately translated into policy actions.
This disparity suggests that although policies likely recognized the importance of internal medicine and computer science in pandemic response, the integration of environmental health and mental health considerations into actual policy formulation was potentially insufficient. Moreover, interdisciplinary studies at the intersection of social sciences and public health, encompassing psychology and epidemiology, provided a multi-dimensional perspective on the pandemic. Yet, the incorporation of these perspectives into policy frameworks appears to have been inadequate.
(4) During the period from October to December 2020, the upper-left quadrant shows that internal medicine, computer science, and medical services received heightened policy attention. This likely reflects policies’ ongoing emphasis on direct healthcare services. However, the application of computer science in medical technology may not have been fully leveraged, thereby limiting the potential of technological innovation in pandemic response.
Simultaneously, disciplines in the upper-right quadrant, such as psychology, immunology, virology, and microbiology, garnered significant attention within academia. Yet, these academic research findings appear not to have been adequately translated into policy actions. Research in immunology and virology is crucial for vaccine development and pandemic control, but policies may not have fully utilized these insights to guide public health strategies. Additionally, psychology plays a vital role in understanding the impact of the pandemic on public mental health, yet this area may also have been overlooked.
(5) During the period from January to March 2021, the global response to the COVID-19 pandemic entered a new phase. Policies showed some attention to internal medicine, family medicine, and medical services in the upper-left quadrant, but there was room for increased focus. Meanwhile, disciplines in the upper-right quadrant, such as psychology, immunology, nursing, and epidemiology, received considerable attention within academia but may not have been adequately prioritized by policies.
The importance of family medicine and community healthcare in pandemic response appears to have been underappreciated, with this aspect not fully reflected in policy. Academic attention to mental health issues and immunological research is crucial for understanding the impact of the pandemic on individuals and society. However, these insights may not have been sufficiently integrated into policy frameworks.
This disparity could result in policies lacking comprehensiveness, particularly in terms of mental health support and the application of immunological research. Strengthening the integration of these critical areas into policy formulation would enhance the overall effectiveness of pandemic response strategies.
(6) During the period from April to June 2021, terms in the upper-left quadrant, such as internal medicine, computer science, and public relations, received some policy attention but may not have been fully leveraged to enhance pandemic communication effectiveness and healthcare service efficiency. Meanwhile, terms in the upper-right quadrant, including psychology, immunology, public health, and economic growth, reflect the academic community’s deep engagement with these areas. However, these research findings may not have been adequately prioritized by policies.
This disparity suggests that despite the extensive academic discussion on the critical role of public relations in pandemic communication and the importance of mental health during the pandemic, policies may not have effectively integrated these insights. Moreover, the balance between economic growth and public health—a topic extensively explored in academia—may also have been underrepresented in policy decisions.
(7) During the period from July to September 2021, terms in the upper-left quadrant, such as internal medicine, computer science, and odds ratios, indicate that policies emphasized traditional healthcare and data analysis. However, this emphasis may not have fully leveraged the critical role of statistics in pandemic analysis.
Meanwhile, the upper-right quadrant highlights that psychology, vaccination, business, and healthcare were focal points of academic research. Despite their significance, these areas may not have received adequate attention in policy discussions. Psychology plays a crucial role in understanding public behavior and mental health during the pandemic, while strategies for promoting vaccination and the influence of business factors on healthcare are equally important.
The failure of policies to fully integrate these academic insights could result in less comprehensive pandemic response measures. Specifically, the underutilization of psychological research might hinder efforts to address public behavior and mental health, while insufficient attention to vaccination strategies and business impacts on healthcare could limit the effectiveness of public health interventions.
(8) During the period from October to December 2021, internal medicine, computer science, and sociology in the upper-left quadrant received some policy attention but may not have been fully utilized to drive effective pandemic management. In particular, the sociological perspective in pandemic response appears to have been underappreciated, as was the application of technological innovation in healthcare.
Meanwhile, terms in the upper-right quadrant—such as psychology, immunology, mental health, and economic growth—reflect the academic community’s deep engagement with these areas. Research in psychology and immunology is crucial for understanding the impact of the pandemic on individuals and society. Additionally, the link between mental health and economic growth, a topic extensively explored in academia, may not have received adequate consideration from policies.
This disparity suggests that while policies recognized the importance of certain fields, they may have fallen short in integrating sociological insights and technological advancements into comprehensive pandemic management strategies. The underutilization of psychological and immunological research could hinder efforts to address both public health and socioeconomic challenges effectively.
(9) During the period from January to February 2022, terms in the upper-left quadrant, such as internal medicine, computer science, and public relations, received some policy attention but may not have fully reflected their actual importance in pandemic response. Specifically, the critical role of public relations in pandemic communication and the potential of computer science in data management and analysis were possibly underutilized by policies.
Meanwhile, terms in the upper-right quadrant—such as biology, psychology, immunology, and vaccination—highlighted areas of significant academic focus. These fields did not receive adequate emphasis in policy formulation despite their crucial contributions. Biological research is essential for understanding viral characteristics and pandemic progression, while psychological studies provide valuable insights into the impact of the pandemic on public mental health. Research in immunology and vaccination strategies is vital for guiding effective vaccine distribution and inoculation plans, but these findings may not have been fully translated into policy practice.
This disparity suggests that while policies recognized the importance of certain fields, they may have fallen short in leveraging the full potential of public relations, computer science, and academic research to enhance comprehensive pandemic response efforts.
The aforementioned results indicate that over time, policy responses to the pandemic have exhibited several key trends and shortcomings. Early 2020: Policies rapidly responded to the pressures on healthcare systems but underemphasized the application of computer science in medical emergencies. Mid-2020: There was increased attention to telemedicine and data science, yet implementation and integration remained inadequate. Additionally, interdisciplinary studies at the intersection of political science and healthcare may not have been fully considered. Late 2020 to Early 2021. Policy continued to focus on internal medicine and computer science but overlooked the application of psychological research and immunological studies, which are crucial for comprehensive pandemic response. Mid-2021 to Early 2022: Policies’ attention to public relations and sociology was insufficient, while academic research in psychology, immunology, and vaccination strategies received far greater emphasis than reflected in policy decisions.
Overall, policies have consistently underemphasized several critical areas, including: the application of computer science in healthcare, mental health issues, immunological and virological research. Additionally, less attention has been given to: environmental concerns, the integration of sociology and political science, the balance between economic growth and public health. The preceding analyses revealed that policy oversight often encompassed scientific insights from computer science, psychology, environmental studies, public health and nursing, as well as political and public relations domains. The findings presented in this section closely align with those earlier observations, underscoring a recurring gap between academic research and policy focus.