ABSTRACT
In their study, Aliseda-Alonso et al. compared publicly available surveillance data from the Centers for Disease Control and Prevention (CDC)to data on COVID-19 cases and deaths from state and territorial governmental sources;they found that the CDC consistently underreports the cases and deaths of Blacks and Latinos as well as people younger than 65 years. Standardizing data collection and reporting is necessary, but not sufficient, for interoperability-the ability of the US health system's many sectors to easily exchange information to benefit clinical, public health, and research efforts. A wide variety of data sources will be required, including, but not limited to, public health surveillance data, clinical data from public and private health systems, death certificates, claims, and administrative and survey data. The Office of the National Coordinator for Health Information Technology has created an Interoperability Standards Advisory process to provide information regarding standards needed for interoperability, although without the authority to require implementation or adoption.7 In a 2020 report, interoperability between health systems in the United States was reported to be improving, albeit slowly;it is concentrated in cities, is highly variable, and is associated with health system size.8 In Iran, Shanbehzadeh et al. consulted the literature and convened experts to create a COVID-19 minimum data set and interoperable reporting framework to support their nation's public health pandemic response.9 Following the implementation of a standardized, interoperable data collection system, states must be held accountable for data reporting.
ABSTRACT
INTRODUCTION: Group well-child care (GWCC) is an alternative to traditional pediatric well-child care designed to increase parental social support and peer learning. This mixed methods study explored the adaptation and implementation of GWCC to a virtual format during coronavirus disease 2019 (COVID-19 pandemic) among Spanish-speaking Latino immigrant families. METHOD: Interviews were conducted with eight providers and 10 mothers from May through September 2020. Qualitative analyses used a priori codes based on an implementation science framework. Quantitative data included demographics, the COVID-19 Impact Scale, and virtual group attendance. Bivariate analyses identified correlates of virtual visit attendance. RESULTS: Eighty percent of mothers reported the pandemic had moderately or extremely impacted at least one major life domain such as daily life, food security, or family conflict. Of 27 mothers offered virtual groups, 67% attended. Mothers who attended virtual groups reported lower English proficiency (p = .087) and fewer friends and family members with COVID-19 (M = 1.0 vs. 5.1, p < .05) than those who did not attend. Women described virtual GWCC as acceptable and a source of social support. Some described differences in group dynamics compared with in-person groups and had privacy concerns. Providers noted scheduling and billing challenges affecting feasibility and sustainability. They reported that visits with good attendance were productive. Mothers and pediatric providers offered recommendations to improve feasibility and privacy and address sustainability. DISCUSSION: Competing demands for those most impacted by COVID-19 may outweigh benefits of attendance. Virtual Spanish language GWCC appears acceptable and feasible for Spanish speaking Latina mothers. Thematic analysis and recommendations identify areas of improvement. (PsycInfo Database Record (c) 2022 APA, all rights reserved).