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1.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; JOUR(1-B):No Pagination Specified, 84.
Article in English | APA PsycInfo | ID: covidwho-2102067

ABSTRACT

Background: Many high school students struggle with mental illness, especially since the isolation of the COVID-19 pandemic. Educating high school faculty/staff with basic information to recognize and refer students for mental health concerns may improve faculty/staff knowledge, confidence, and trust in the mental health referral process, which may then increase referrals and subsequent treatment of at-risk youth. Methods: A Quality Improvement Project was conducted by a Hawaiece[yen]i Keiki Nurse Practitioner at a Hawaiece[yen]i public high school to determine if educating high school faculty and staff on identification and referral of high school students displaying signs of mental health distress improves staff knowledge, confidence, and trust in the overall process. The project was conducted by delivering an asynchronous webinar intervention to the faculty and staff. Data was collected via a pre-test, post-test, and a one-month follow-up test by means of a questionnaire. Results: Of the 47 total participants, 37 completed the post-survey, and 25 completed the one-month follow-up survey. Results from the one-month follow-up indicate participant level of confidence (measured on a 5-point Likert scale) in identification of students improved from mean score m = 2.96 (pre-test) to m = 4.12 (1-month follow-up), level of confidence in knowledge of the process improved from m = 2.65 (pre-test) to m = 4.11 (1-month follow-up), and level of trust in the process improved from m = 2.21 (pre-test) to m = 3.20 (1-month follow-up). Conclusion: The intervention was successful in increasing faculty/staff level of confidence in identification of students who may need mental health referrals, level of confidence in the process for referral, and level of trust in the referral process. Participants' scores between the immediate post-test and the one-month follow-up remained relatively consistent over time, indicating effective retention of the material. Recommended future research includes studying the number of referrals made after the intervention, and studying actual outcomes of those referrals among students in order to determine if the intervention improves student mental health outcomes. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

2.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; JOUR(12-B):No Pagination Specified, 83.
Article in English | APA PsycInfo | ID: covidwho-2101705

ABSTRACT

Currently, there is minimal research regarding the impact of the current Covid-19 health crisis on Latinx immigrant families. This study explores overall parenting stress and parenting stress directly related to the current Covid-19 health crisis in Latinx immigrant mothers with children currently receiving mental health services. Additionally, it examines how Immigrant Latinx families are being impacted and their needs during the Covid-19 health crisis. Semi-structured interviews were conducted on twenty Latinx immigrant mothers currently experiencing parenting stress and have children currently receiving mental health services. Participant responses were considered using the Interpretive Phenomenological Analysis method. An analysis showed themes such as overall negative impact of the Covid-19 Pandemic, negative impact on mental/emotional health, and overall need during the Covid-19 Pandemic. The findings showed that Latinx immigrant families currently receiving mental health services experienced an overall negative impact on their lives. The principal findings also demonstrated that Latinx immigrant families' mental/ emotional health was negatively impacted and had significantly experienced higher levels of parenting stress. Findings further revealed a need for basic needs, more mental health support/ professional help, and school support to help address areas of impact in the lives of Latinx immigrant families. Clinical implications include providing culturally sensitive care to Latinx immigrant families and a better sense of how the Covid-19 health crisis affected Latinx families, including their overall experiences and needs related to the pandemic that mental health clinicians are serving. Further research is needed to study the experiences of all immigrant Latinx family members, Latinx immigrant families who only have one parent, Latinx immigrant mothers from various Latin American countries, and Latinx immigrant families with diverse acculturation levels and coping practices. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

3.
Review of European and Comparative Law ; JOUR(3):219-237, 50.
Article in English | Web of Science | ID: covidwho-2100940

ABSTRACT

This article analyses the bill of 2nd February 2021 on additional revenues of the National Health Fund, the National Fund for the Protection of Historical Monuments and the establishment of a Fund for the Support of Culture and National Heritage in the Media Area. The draft legislation, the announcement of which has triggered an unprecedented blackout protest in private media as well as a mass anti-government protest on the Internet, provides for the introduction of new public levies called advertisement contributions and the establishment of a new state special-purpose fund - the Fund for the Support of Culture and National Heritage in the Media Area. The aim of the article is to identify and present those provisions of the draft act which have evoked most controversies and have given rise to the stiff social resistance to the proposal. The first part of the paper is devoted to the assessment of the regulations within the context of the objective of the bill that was declared by the drafters in the legislative rationale. The analysis carried out has supported the assumption that providing adequate finances for those special-purpose funds that are strongly involved in remedying the consequences of the SARS CoV-2 epidemic was not a genuine purpose of the bill. It also leads to the conclusion that there is no constitutional justification for such a special-purpose levy. In the second part, the controversies over technical components of the advertising levies have been presented and analysed. On the basis of this analysis, it is possible to conclude that some of the qualitative and quantitative elements of the so-called advertisement contributions may give rise to interpretative doubts. The implementation of the research objectives made it possible to formulate a thesis that the advertisement contributions, as drafted, would not be efficient instruments of fair taxation of digital economy but rather would form instruments for achieving certain political objectives.

4.
Anales de la Facultad de Medicina ; JOUR(3):209-216, 83.
Article in Spanish | CAB Abstracts | ID: covidwho-2100503

ABSTRACT

Introduction. Isolation and social distancing strategies to control the COVID-19 pandemic probably had a negative impact on physicians' lifestyles. Objective. To design and validate a questionnaire to assess physicians' lifestyle before and during the pandemic. Methods. We carried out a psychometric study. A total of 204 medical specialists from a national hospital in Lima-Peru were admitted to the study and answered the questionnaire virtually. Results. Content validity was carried out with a committee of experts, with a Cochran's Q of 7 and p of 0.50. In the relevance, representativeness and clarity of the items, the global Aiken's V was 0.97. The pilot test showed adequate reliability (Cronbach's alpha 0.842). For construct validity, overall sample adequacy was assessed by Bartlett's test of sphericity, before (X2 = 4235.75, p < 0.01) and during (X2 = 4328, p < 0.01) the pandemic. In addition, the Kaiser-Meyer-Olkin (KMO) test had an overall value before and during the pandemic of 0.78 and 0.76 respectively. Exploratory Factor Analysis structured five domains. Factor loadings (polychoric correlations and Oblimin rotation) were estimated, and the correlation between domains was adequate. Confirmatory Factor Analysis indicated adequate model fit. Conclusion. The instrument shows adequate psychometric properties, so it can be considered as a useful, valid, and reliable instrument to assess the lifestyle of physicians before and during the COVID-19 pandemic.

5.
Acta Odontol Latinoam ; 35(2): 144-154, 2022 Sep 30.
Article in English | MEDLINE | ID: covidwho-2101108

ABSTRACT

The aim of this study was to analyze oral health actions in four municipalities in Brazil during the COVID-19 pandemic according to a theoretical framework model on oral healthcare management. It was a qualitative study carried out in two stages. A theoretical-empirical model on the significance of oral healthcare management was developed, following the Grounded Theory method. Fourteen dentists and five healthcare managers participated, through open interview. Subsequently, collaborative research was performed, and the model was applied to analyze the documents produced to address the pandemic by each of four municipalities in Santa Catarina State. The model provided a framework for analyzing actions for coping with the pandemic regarding oral health services. Actions were identified in all dimensions of the model: reduction in supply of dental care due to restricted access to elective services; search for biosafety care standards; dissemination of standardized science-based guidelines; attempt to maintain comprehensive dental assistance through re-adaptation of specialized services and collective actions; and relocation of oral health professionals to assist in other sectors. The oral health care management framework can serve as a reference for redesigning oral health actions and services in other municipalities during the COVID-19 pandemic, in a broader perspective.


Analisar as ações de saúde bucal em quatro municípios brasileiros durante a pandemia de COVID-19, segundo um modelo de referencial teórico sobre gestão da atenção à saúde bucal. Estudo qualitativo realizado em dois momentos. Foi desenvolvido um modelo teórico-empírico sobre o significado da gestão do cuidado em saúde bucal, seguindo o método da Teoria Fundamentada nos Dados. Participaram 14 dentistas e cinco gestores de saúde, por meio de entrevista aberta. Posteriormente, no segundo momento, foi realizada uma pesquisa colaborativa, e o modelo foi aplicado para analisar os documentos produzidos em cada município para o enfrentamento local da pandemia, em quatro municípios do Estado de Santa Catarina, sul do Brasil. O modelo forneceu uma estrutura para analisar as ações de enfrentamento da pandemia nos serviços de saúde bucal. Foram identificadas ações em todas as dimensões do modelo: redução da oferta de atendimento odontológico devido à restrição de acesso aos serviços eletivos; a busca por padrões de assistência à biossegurança; disseminação de diretrizes padronizadas e com base científica; a tentativa de manter a assistência odontológica integral por meio da readaptação de serviços especializados e ações coletivas; e realocação de profissionais de saúde bucal para atendimento em outros setores. O referencial de gestão da atenção à saúde bucal pode servir de referência para redesenhar as ações e serviços de saúde bucal em outros municípios em período de pandemia de COVID-19, em uma perspectiva mais ampla.


Subject(s)
COVID-19 , Pandemics , United States , Humans , Brazil/epidemiology , Pandemics/prevention & control , Cities , Grounded Theory , COVID-19/prevention & control
6.
Scand J Trauma Resusc Emerg Med ; 29(1): 155, 2021 Oct 30.
Article in English | MEDLINE | ID: covidwho-2098402

ABSTRACT

BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a highly contagious airborne virus inducing pandemic coronavirus disease 2019 (COVID-19). This is most relevant for medical staff working under harmful conditions in emergencies often dealing with patients and an undefined SARS-CoV-2 status. We aimed to measure the effect of high-class filtering facepieces (FFP) in emergency medical service (EMS) staff by analyzing seroprevalence and history of positive polymerase chain reaction (PCR) for SARS-CoV-2. METHOD: This observational cohort study included workers in EMS, who were compared with hospital staff (HS) and staff, which was not directly involved in patient care (NPC). All direct patient contacts of EMS workers were protected by FFP2/N95 (filtering face piece protection class 2/non-oil-based particulates filter efficiency 95%) masks, whereas HS was protected by FFP2/N95 exclusively when a patient had a proven or suspected SARS-CoV-2 infection. NPC was not protected by higher FFP. The seroprevalence of SARS-CoV-2 antibodies was analyzed by immunoassay by end of 12/2020 together with the history of a positive PCR. In addition, a self-assessment was performed regarding the quantity of SARS-CoV-2 positive contacts, about flu symptoms and personal belief of previous COVID-19 infections. RESULTS: The period in which contact to SARS-CoV-2 positive patients has been possible was 10 months (March to December 2020)-with 54,681 patient contacts documented for EMS-either emergencies (n = 33,241) or transportation services (n = 21,440). Seven hundred-thirty (n = 730) participants were included into the study (n = EMS: 325, HS: 322 and NPC: 83). The analysis of the survey showed that the exposure to patients with an unknown and consecutive positive SARS-CoV-2 result was significantly higher for EMS when compared to HS (EMS 55% vs. HS 30%, p = 0.01). The incidence of a SARS-CoV-2 infection in our cohort was 1.2% (EMS), 2.2% (HS) and 2.4% (NPC) within the three groups (ns) and lowest in EMS. Furthermore, the belief of previous COVID-19 was significant higher in EMS (19% vs. 10%), CONCLUSION: The consistent use of FFP2/N95 in EMS is able to prevent work-related SARS-CoV-2 infections in emergency situations. The significance of physical airway protection in exposed medical staff is still relevant especially under the aspect of new viral variants and unclear effectiveness of new vaccines.


Subject(s)
COVID-19 , Emergencies , Cohort Studies , Health Personnel , Humans , SARS-CoV-2 , Seroepidemiologic Studies
7.
Afrika Focus ; JOUR(2):323-342, 34.
Article in English | CAB Abstracts | ID: covidwho-2098095

ABSTRACT

Background: Management of patients with covid-19 needing hospitalisation is challenging worldwide. However, little or no information has been gathered regarding the experiences of healthcare workers (hcw s) involved in the care of patients with covid-19 in poorly resourced settings. This study explored the experiences of hcw s managing hospitalised patients with covid-19 in a treatment centre in Kano, Nigeria. Methods: hcw s directly or indirectly involved in managing patients with covid-19 in one of the two treatment centres in Kano, Nigeria, were sampled based on being information-rich cases. The study participants were interviewed individually via telephone using a semi-structured interview guide. Data collection was stopped when content saturation was attained. Data was analysed using thematic synthesis. Results: Eleven hcw s, comprising two medical doctors, five nurses, a laboratory staff member, a community health extension worker, an environmental health officer and a cleaner, participated in this study. Four major themes were generated: (i) the profile and readiness of hcw s prior to being engaged to work in a covid-19 treatment centre, (ii) the experience of hcw s while working in the covid-19 treatment wards, (iii) challenges with working in covid-19 treatment wards, and (iv) post-treatment support for covid-19 patients. The participants had variable prior experience in managing patients with infectious diseases. Interventions offered were mainly antiviral therapy, nursing care, counselling, nutritional interventions and toilet hygiene. Challenges encountered included insufficient cooperation from patients, poor personnel welfare, lack of human resources/equipment and issues interfering with wellbeing (stigma). Conclusion: The studied population exhibited professional competence and success in managing hospitalised patients with covid-19 during hospitalisation, despite existing challenges.

8.
Psychiatr Serv ; : appips20220281, 2022 Nov 02.
Article in English | MEDLINE | ID: covidwho-2098126

ABSTRACT

In 2021, the British Columbia (BC) Interior experienced a series of unprecedented disasters, ranging from extreme heat and wildfires to catastrophic flooding and evacuations. Along with these severe weather events, BC was affected by COVID-19 outbreaks and public health restrictions. Despite these challenges, communities worked to ensure that youths who are at risk for increased mental health challenges continued to have access to services that promote well-being, such as individual placement and support programs for supported employment and education. This Open Forum presents program considerations and adaptations in Foundry Penticton, one of 12 province-wide integrated youth hubs, to ensure service delivery during acute and chronic disasters.

9.
BMJ Glob Health ; 7(10)2022 10.
Article in English | MEDLINE | ID: covidwho-2097968

ABSTRACT

The COVID-19 pandemic reversed much of global progress made in combatting tuberculosis, with South Africa experiencing one of the largest impacts on tuberculosis detection. The aim of this paper is to share our experiences in applying learning health systems (LHS) thinking to the codevelopment of an intervention improving an integrated response to COVID-19 and tuberculosis in a South African district. A sequential partially mixed-methods study was undertaken between 2018 and 2021 in the district of Amajuba in KwaZulu-Natal. Here, we report on the formulation of a Theory of Change, codesigning and refining proposed interventions, and piloting and evaluating codesigned interventions in primary healthcare facilities, through an LHS lens. Following the establishment and formalisation of a district Learning Community, diagnostic work and a codevelopment of a theory of change, intervention packages tailored according to pandemic lockdowns were developed, piloted and scaled up. This process illustrates how a community of learning can generate more responsive, localised interventions, and suggests that the establishment of a shared space of research governance can provide a degree of resilience to facilitate adaption to external shocks. Four main lessons have been gleaned from our experience in adopting an LHS approach in a South African district, which are (1) the importance of building and sustaining relationships, (2) the utility of colearning, coproduction and adaptive capacity, (3) the centrality of theory-driven systems strengthening and (4) reflections on LHS as a framework.


Subject(s)
COVID-19 , Learning Health System , Tuberculosis , Humans , South Africa , Pandemics , Communicable Disease Control
10.
Prehosp Disaster Med ; : 1-17, 2022 Nov 04.
Article in English | MEDLINE | ID: covidwho-2096565

ABSTRACT

INTRODUCTION: Emergency Medical Services (EMS) is a critical part of Disaster Medicine and has the ability to limit morbidity and mortality in a disaster event with sufficient training and experience. Emergency systems in Armenia are in an early stage of development and there is no Emergency Medicine residency training in the country. As a result, EMS physicians are trained in a variety of specialties.Armenia is also a country prone to disasters, and recently, the Armenian EMS system was challenged by two concurrent disasters when the 2020 Nagorno-Karabakh War broke out in the midst of the SARS-CoV-2/coronavirus disease 2019 (COVID-19) pandemic. STUDY OBJECTIVE: This study aims to assess the current state of disaster preparedness of the Armenian EMS system and the effects of the simultaneous pandemic and war on EMS providers. METHODS: This was a cross-sectional study conducted by anonymous survey distributed to physicians still working in the Yerevan EMS system who provided care to war casualties and COVID-19 patients. RESULTS: Survey response rate was 70.6%. Most participants had been a physician (52.1%) or EMS physician (66.7%) for three or less years. The majority were still in residency (64.6%). Experience in battlefield medicine was limited prior to the war, with the majority reporting no experience in treating mass casualties (52.1%), wounds from explosives (52.1%), or performing surgical procedures (52.1%), and many reporting minimal to no experience in treating gunshot wounds (62.5%), severe burns (64.6%), and severe orthopedic injuries (64.6%). Participants had moderate experience in humanitarian medicine prior to war. Greater experience in battlefield medicine was found in participants with more than three years of experience as a physician (z-score -3.26; P value <.01) or as an EMS physician (z-score -2.76; P value <.01) as well as being at least 30 years old (z-score -2.11; P value = .03). Most participants felt they were personally in danger during the war at least sometimes (89.6%). CONCLUSION: Prior to the COVID-19 pandemic and simultaneous 2020 Nagorno-Karabakh War, EMS physicians in Armenia had limited training and experience in Disaster Medicine. This system, and the frontline physicians on whom it relies, was strained by the dual disaster, highlighting the need for Disaster Medicine training in all prehospital medical providers.

12.
African Journal for Physical Activity and Health Sciences ; JOUR:70-80, 28.
Article in English | Africa Wide Information | ID: covidwho-2092126

ABSTRACT

AJOL : The Coronavirus (COVID-19) pandemic has imposed numerous challenges on the already strained South African healthcare system. The impact of the pandemic on biokinetics services has not yet been established. Based on a descriptive and explorative design, an online survey was conducted to evaluate the impact of COVID-19 on biokinetics services and its implications for practice. The online survey included a questionnaire circulated to practicing biokineticists (n=125) in South Africa over a 4-month period (which coincided with the COVID-19 lockdown) using social media platforms (personal Twitter, Facebook and LinkedIn accounts). The questionnaire was designed to explore and describe the impact of the pandemic on biokinetics practices, the use of alternative virtual servicing platforms related to operational aspects and types of patients likely to engage with the virtual platforms. The survey also included a description of the biokineticists' engagement with the digital platform during the pandemic. Findings indicated that 10% of all biokinetics practices were closed permanently as a result of the pandemic. Many of the respondents reported that their patient base was not suited to digital exercise prescription (p=0.011). Awareness of the effects and subsequent implications of COVID-19 pandemic on the biokinetics profession is important as this could inform policy and practice. Evidence-based studies are needed to guide the changing landscape of the profession

13.
Revista de Salud Publica ; JOUR(1), 24.
Article in Spanish | Scopus | ID: covidwho-2091056

ABSTRACT

Primary health care is the central strategy defined by the Pan American Health Organization (PAHO) to achieve the goal of "Health for All" proposed since 1978 by Alma Ata. In the region of the Americas, this strategy has been included within health systems and has been interpreted and adapted to the political, cultural, social and economic contexts of developing countries. In Colombia this setting has been immersed and some regula-tions define and limit it for development in the municipalities. Bogotá has included this position for several years now, and in each change of government it is given a particular connotation according to the proposals of the territorial health plans and the proposals in the development plans, with or not greater emphasis on its postulates. This article shows the approach that is given from primary care in the last periods of government and how it interacts in a pandemic such as the one presented by COVID-19. © 2022, Universidad Nacional de Colombia. All rights reserved.

14.
Rev. salud pública ; 23(3): e205, mayo-jun. 2021. tab, graf
Article in Spanish | WHO COVID, LILACS (Americas) | ID: covidwho-2091054

ABSTRACT

RESUMEN Objetivo Caracterizar, en lo que a ingeniería clínica se refiere, el estado actual de una IPS de nivel II de mediana complejidad del departamento de Norte de Santander (Colombia). Metodología Se recopiló información de referencia sobre la disponibilidad de servicios de salud y los equipos médicos con el fin de determinar necesidades en tecnologías sanitarias basados en el análisis de los datos demográficos y epidemiológico. Resultados En el estudio se encontró que el área de influencia es grande para la poca capacidad instalada con la que cuenta la IPS. Se debe priorizar la adquisición de equipos biomédicos para las enfermedades no transmisibles. Se determinó que existen necesidades en cuanto al equipamiento biomédico y recursos humanos para el oportuno desarrollo de la prestación de los servicios. Discusión Teniendo en cuenta la situación actual de la pandemia ocasionada por el COVID-19, se evidencia que las IPS requieren que estas necesidades sean cubiertas con el fin de evitar un aumento en los casos de infectados y dar una atención oportuna a quienes padezcan esta enfermedad. Por ello se requiere un aumento de la capacidad Instalada de equipos biomédicos y servicios asistenciales. Esta caracterización va a permitirles a las IPS determinar cuáles son las carencias en equipos biomédicos, lo cual se hace fundamental en este momento, cuando se requiere un fortalecimiento de los servicios de salud que se prestan en el país.


ABSTRACT Objective To characterize the current state of the clinical engineering in a medium complexity (level 2) health institution in Norte de Santander, a State of Colombia, South America. Methodology Reference information was collected on the availability of health services and medical equipment to determine needs in health technologies based on the analysis of demographic and epidemiological data. Results The study resulted in that the area of influence is big y this have a little installed capacity, the acquisition of biomedical equipment for non-communicable diseases should be prioritized. It was determined that there are needs in terms of biomedical equipments and human resources for the timely development of the provision of services. Discussion Due to the current situation of the pandemic caused by COVID-19, it is evident that the IPS require that the needs be covered to avoid an increase in the cases of ¡nfected and assist the sick people, for that reason, an increase in the installed capacity of biomedical equipment and healthcare services is required. Finally, according to the economic aspect of the IPS, there are possible limitations for the acquisition of necessary biomedical equipment. This characterization will allow the IPS to determine what are the shortcomings in biomedical equipment, which is essential at this time when a strengthening of the health services provided in the country is required.

16.
BJGP Open ; 2022 Oct 21.
Article in English | MEDLINE | ID: covidwho-2090414

ABSTRACT

BACKGROUND: Changes in primary care provision during the COVID-19 pandemic could have affected patient experience of primary care both positive and negative. AIM: To assess the experiences of patients of primary care during the COVID-19 pandemic. DESIGN & SETTING: A qualitative study of patients from regions with high and low COVID-19 prevalence in the Netherlands. METHOD: A qualitative study using a phenomenological framework was performed among purposively sampled patients. Individual semi-structured interviews were performed and transcribed. Data were thematically analysed by means of an inductive approach. RESULTS: We interviewed 28 patients (13 men and 15 women, age range 27-91 years). After thematic analysis, two main themes emerged: accessibility and continuity of primary care. Changes considered positive during the pandemic regarding accessibility and continuity of primary care included having a quieter practice, having more time for consultations, and the use of remote care for problems with low complexity. However, patients also experienced decreases in both care accessibility and continuity, such as feeling unwelcome, the GP postponing chronic care, or seeing unfamiliar doctors due to care being segregated. CONCLUSIONS: Despite bringing several benefits, patients indicated that the changes to primary care provision during the COVID-19 pandemic could have threatened care accessibility and continuity, which are core values of primary care. These insights can guide primary care provision not only in this and future pandemics but also when implementing permanent changes to care provision in primary care.

17.
Front Reprod Health ; 4: 794477, 2022.
Article in English | MEDLINE | ID: covidwho-2089944

ABSTRACT

This mini review explores the impact of the COVID-19 pandemic on adolescent sexual and reproductive health. We conducted a rapid review of the literature across three databases, with a particular focus on the African continent. Few studies have specifically focused on adolescents in Africa and this paper contributes to this paucity of research. Findings revealed the unintended consequences of the pandemic. Studies across several countries showed that the respective lockdown measures restricted adolescents' access to sexual and reproductive health services. The literature also showed increases in adolescent pregnancies during the lockdown, along with increases in reports of sexual violence against adolescents. We conclude this paper by offering recommendations to address these unintended consequences and potentially improve adolescent sexual and reproductive health in African communities.

18.
Community Dent Health ; 2022 Oct 25.
Article in English | MEDLINE | ID: covidwho-2089548

ABSTRACT

INTRODUCTION: A key aspect of the public health response to COVID-19 in Scotland was enhanced community surveillance, including testing in dental settings. Across Scotland, dental settings offered patients over 5-years-old the opportunity to participate in community surveillance of COVID-19. METHODS: A Health Inequalities Impact Assessment (HIIA) was conducted to understand the differential impacts the programme would have on the population and to improve the accessibility of the programme. HIIA is a tool to allow the assessment, understanding, and mitigation of impacts on people of a proposed policy or practice. It fulfils an organisational duty to meet the requirements of the Equality Act and Fairer Scotland Duty. The HIIA was conducted rapidly in parallel with the programme development. An action research approach included an online workshop, consultation, review of population data and a literature search. RESULTS: Adjustments were required to improve the programme's accessibility. Stakeholders, including dental teams from across Scotland were involved in the consultation and brought their front-line experience in different settings. Common issues identified included digital literacy and access, language and cultural barriers to participation, and issues relating to the implications of a positive COVID-19 result. Literature indicated limited evidence on the acceptability, accessibility, and equity of asymptomatic COVID-19 surveillance. CONCLUSION: This HIIA was conducted during the COVID-19 pandemic. As an example of good practice in tackling inequalities in access to programmes it should represent the benchmark for other similar initiatives.

19.
Inquiry ; 59: 469580221133002, 2022.
Article in English | MEDLINE | ID: covidwho-2089047

ABSTRACT

Gaps between medical needs and health services accessibility are defined as unmet medical needs (UMN). Previous studies assessing UMNs during the coronavirus disease 2019 (COVID-19) pandemic did not account for factors such as the type of medical insurance or chronic disease. Therefore, this study investigated various factors, including medical insurance and chronic diseases, affecting self-reported UMN during the pandemic in Daejeon Metropolitan City, South Korea. This cross-sectional study was conducted using Daejeon Metropolitan City Health Surveys data from 2020. The weighted prevalence of UMN was estimated among participants (n = 1494) aged ≥18 years, while chi-squared and logistic models were used to assess the association between UMN and participant characteristics. The prevalence of UMN was 6.4% (n = 97). Female sex and low education levels were significantly associated with reporting UMN. Medical aid beneficiaries were less likely to report UMN than adults with National Health Programs coverage. Participants with chronic diseases, such as hypertension and arthritis, and those with depression, were more likely to report UMN than adults without these conditions. The findings highlight the need for targeted efforts to decrease UMN in the COVID-19 pandemic, especially for women and individuals with low education levels. The results also indicate that high-risk disease groups should be targeted with additional enabling services to support the management of chronic conditions.


Subject(s)
COVID-19 , Adult , Humans , Female , Adolescent , Cross-Sectional Studies , COVID-19/epidemiology , Pandemics , Chronic Disease , Health Services Accessibility , Health Services Needs and Demand
20.
Lupus Sci Med ; 9(1)2022 Oct.
Article in English | MEDLINE | ID: covidwho-2088871

ABSTRACT

OBJECTIVE: We conducted an international survey of patients with SLE to assess their access, preference and trust in various health information sources pre-COVID-19 and during the COVID-19 pandemic. METHODS: Patients with SLE were recruited from 18 observational cohorts, and patients self-reporting SLE were recruited through five advocacy organisations. Respondents completed an online survey from June 2020 to December 2021 regarding the sources of health information they accessed in the 12 months preceding (pre-11 March 2020) and during (post-11 March 2020) the pandemic. Multivariable logistic regressions assessed factors associated with accessing news and social media post-11 March 2020, and self-reporting negative impacts from health information accessed through these sources. RESULTS: Surveys were completed by 2111 respondents; 92.8% were female, 76.6% had postsecondary education, mean (SD) age was 48.8 (14.0) years. Lupus specialists and family physicians were the most preferred sources pre-11 March 2020 and post-11 March 2020, yet were accessed less frequently (specialists: 78.5% pre vs 70.2% post, difference -8.3%, 95% CI -10.2% to -6.5%; family physicians: 57.1% pre vs 50.0% post, difference -7.1%, 95% CI -9.2% to -5.0%), while news (53.2% pre vs 62.1% post, difference 8.9%, 95% CI 6.7% to 11.0%) and social media (38.2% pre vs 40.6% post, difference 2.4%, 95% CI 0.7% to 4.2%) were accessed more frequently post-11 March 2020 vs pre-11 March 2020. 17.2% of respondents reported negative impacts from information accessed through news/social media. Those outside Canada, older respondents or with postsecondary education were more likely to access news media. Those in Asia, Latin America or younger respondents were more likely to access social media. Those in Asia, older respondents, males or with postsecondary education in Canada, Asia or the USA were less likely to be negatively impacted. CONCLUSIONS: Physicians, the most preferred and trusted sources, were accessed less frequently, while news and social media, less trusted sources, were accessed more frequently post-11 March 2020 vs pre-11 March 2020. Increasing accessibility to physicians, in person and virtually, may help reduce the consequences of accessing misinformation/disinformation.


Subject(s)
COVID-19 , Lupus Erythematosus, Systemic , Social Media , Male , Humans , Female , Middle Aged , COVID-19/epidemiology , Pandemics , Lupus Erythematosus, Systemic/epidemiology , Mass Media
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