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Archiv Euromedica ; 11(4):5-9, 2021.
Article in English | Web of Science | ID: covidwho-1486862


AIM: The objective of our study is to evaluate the impact that the COVID-19 emergency and the related measures adopted have had on the family management of minors with neuropsychiatric disorders. Another objective of this study is to carry out a first longitudinal evaluation of this impact on parental stress, comparing the data collected before the pandemic with those collected during the lockdown. METHODS: This is an observational study that involved 271 families of patients already treated at the Child Neuropsychiatry Unit of the Salerno University Hospital between 2 and 23 years (112 with Autism Spectrum Disorder, 86 with epilepsy and 73 with other disorders of neurodevelopment). All participants were given an ad hoc telephone interview and a standardized questionnaire (PSI - Parenting Stress Index-Short Form). The telephone interview showed that a significant percentage of parents reported an increase in their child's daily management difficulties during the lock-down and emotional / behavioral problems, in particular the externalizing disorder. Comparison of the mean scores of the PSI-SF questionnaires completed before and during the lockdown showed a statistically significant increase in scores in the Total Stress scale and in the Parental Distress subscales. RESULTS & CONCLUSION: The results of our study suggest that the confinement measures and changes in daily routine imposed by quarantine negatively affected the behavioral and emotional dimensions of both children and parents causing a significant increase in parental stress, which is mainly related to feelings of inadequacy in relation to their role in such a delicate situation, and concern for the future.

Eurohealth ; 26(2):51-57, 2020.
Article in English | GIM | ID: covidwho-942067


Finding ways to increase the surge capacity and flexibility of the health workforce has been fundamental to delivering an effective COVID-19 response. This article explores the strategies that 44 countries in Europe plus Canada have taken to maintain and increase the availability of health workers using data from the COVID-19 Health System and Response Monitor. We show that all countries have used a variety of strategies to repurpose and mobilise the existing health workforce, while some have also augmented capacity by utilising foreign-trained or previously retired or inactive health professionals, medical and nursing students and volunteers.

Eurohealth ; 26(2):63-67, 2020.
Article in English | GIM | ID: covidwho-941926


The COVID-19 pandemic has put health systems and their ability to deliver health care services under strain. During the pandemic, health policymakers and health managers have learned to operate within a so-called "new normal" carefully balancing the response to COVID-19 with ensuring continuity of essential health services. Depending on the phase of the epidemic, the focus of service delivery needs to change requiring rapid shifts in priorities and allocation of resources while maintaining a baseline functionality for both. This dual-track approach presents an extreme challenge for policymakers and health facility mangers in agility and rapid alignment of key health system functions to accommodate increased demand for health services.