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Golna C, Markakis IA, Tzavara C, Golnas P, Ntokou A, Souliotis K. Screening and early detection of communicable diseases on board cruise ships: An assessment of passengers' preferences on technical solutions. Travel Med Infect Dis 2024; 60:102729. [PMID: 38821331 DOI: 10.1016/j.tmaid.2024.102729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 04/24/2024] [Accepted: 05/28/2024] [Indexed: 06/02/2024]
Abstract
BACKGROUND Implementing technological solutions to screen for and detect early the most prevalent communicable diseases on cruise ships is contingent on, among others, willingness of passengers to accept use of such solutions. METHOD We surveyed passenger preferences to record their willingness to accept technological solutions for screening and early detection of communicable diseases on cruise ships. Self-reported sociodemographic characteristics, use of technology and acceptance of solutions were recorded anonymously in paper format. Multiple logistic regression analyses investigated the association of demographic and other characteristics with willingness and barriers/concerns of passengers to endorse proposed solutions. RESULTS Of a total of 1344 passengers on two successive cruises on board CELESTYAL OLYMPIA, 336 (1 every 4) participated in the survey. The vast majority of passengers (92.3 %, n = 310) agreed with at least one solution. Passengers showed lower levels of acceptance for more personalized solutions, such as use of wearable devices (45.5 %) and monitoring with cameras (64.0 %), whereas they were more receptive to less personally invasive solutions, such as integration of cabins with air purifiers (89.6 %) and air quality sensors (80.4 %). Age, self-employment status, educational level, and fear of contacting a communicable disease were significantly correlated with passengers' willingness to adopt proposed solutions. CONCLUSIONS To successfully integrate screening and early detection technological solutions in cruise ships, it is imperative that targeted awareness and education interventions are implemented on passengers to strengthen understanding and acceptance of such solutions and assuage concerns around monitoring and handling of personal health data.
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Affiliation(s)
| | | | | | | | | | - Kyriakos Souliotis
- Health Policy Institute, Maroussi, Greece; University of Peloponnese, School of Social and Political Sciences, Corinth, Greece.
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Yew SQ, Trivedi D, Adanan NIH, Chew BH. Facilitators and barriers of digital health technologies implementation in hospital settings in lower-income and middle-income countries since the COVID-19 pandemic: a scoping review protocol. BMJ Open 2024; 14:e078508. [PMID: 38296272 PMCID: PMC10831434 DOI: 10.1136/bmjopen-2023-078508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 01/17/2024] [Indexed: 02/03/2024] Open
Abstract
INTRODUCTION The implementation of digital health technologies (DHTs) in hospitals worldwide has been uneven since the COVID-19 pandemic. Ambiguity in defining the landscape of DHTs adds to the complexity of this process. To address these challenges, this scoping review aims to identify the facilitators and barriers of implementing DHTs in hospitals in lower-income and middle-income countries (LMIC) since COVID-19, describe the DHTs that have been adopted in hospital settings in LMIC during this period, and develop a comprehensive classification framework to define the landscape of DHTs implemented in LMIC. METHODS AND ANALYSIS We will conduct a systematic search in PubMed, Scopus, Web of Science and grey literature. Descriptive statistics will be used to report the characteristics of included studies. The facilitators and barriers to DHTs implementation, gathered from both quantitative and qualitative data, will be synthesised using a parallel-results convergent synthesis design. A thematic analysis, employing an inductive approach, will be conducted to categorise these facilitators and barriers into coherent themes. Additionally, we will identify and categorise all available DHTs based on their equipment types and methods of operation to develop an innovative classification framework. ETHICS AND DISSEMINATION Formal ethical approval is not required, as primary data collection is not involved in this study. The findings will be disseminated through peer-reviewed publications, conference presentations and meetings with key stakeholders and partners in the field of digital health.
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Affiliation(s)
- Sheng Qian Yew
- Department of Public Health Medicine, Universiti Kebangsaan Malaysia Fakulti Perubatan, Cheras, Federal Territory of Kual, Malaysia
| | - Daksha Trivedi
- Centre for Research in Public Health and Community Care, University of Hertfordshire, Hertfordshire, UK
| | | | - Boon How Chew
- Department of Family Medicine, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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Rotulo A, Kondilis E, Thwe T, Gautam S, Torcu Ö, Vera-Montoya M, Marjan S, Gazi MI, Putri AS, Hasan RB, Mone FH, Rodríguez-Castillo K, Tabassum A, Parcharidi Z, Sharma B, Islam F, Amoo B, Lemke L, Gallo V. Mind the gap: Data availability, accessibility, transparency, and credibility during the COVID-19 pandemic, an international comparative appraisal. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001148. [PMID: 37083552 PMCID: PMC10120928 DOI: 10.1371/journal.pgph.0001148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 03/28/2023] [Indexed: 04/22/2023]
Abstract
Data transparency has played a key role in this pandemic. The aim of this paper is to map COVID-19 data availability and accessibility, and to rate their transparency and credibility in selected countries, by the source of information. This is used to identify knowledge gaps, and to analyse policy implications. The availability of a number of COVID-19 metrics (incidence, mortality, number of people tested, test positive rate, number of patients hospitalised, number of patients discharged, the proportion of population who received at least one vaccine, the proportion of population fully vaccinated) was ascertained from selected countries for the full population, and for few of stratification variables (age, sex, ethnicity, socio-economic status) and subgroups (residents in nursing homes, inmates, students, healthcare and social workers, and residents in refugee camps). Nine countries were included: Bangladesh, Indonesia, Iran, Nigeria, Turkey, Panama, Greece, the UK, and the Netherlands. All countries reported periodically most of COVID-19 metrics on the total population. Data were more frequently broken down by age, sex, and region than by ethnic group or socio-economic status. Data on COVID-19 is partially available for special groups. This exercise highlighted the importance of a transparent and detailed reporting of COVID-19 related variables. The more data is publicly available the more transparency, accountability, and democratisation of the research process is enabled, allowing a sound evidence-based analysis of the consequences of health policies.
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Affiliation(s)
- Arianna Rotulo
- Department of Sustainable Health, Campus Fryslân, University of Groningen, Leeuwarden, The Netherlands
| | - Elias Kondilis
- School of Medicine, Aristoteles University, Thessaloniki, Greece
| | - Thaint Thwe
- Department of Health Sciences, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
- Graduate School of Medical Sciences, University of Groningen, Groningen, the Netherlands
| | - Sanju Gautam
- Department of Public Health, Faculty of Health Science, University of Southern Denmark, Odense, Denmark
| | - Özgün Torcu
- Faculty of Medicine, Ege University, Izmir, Türkiye
| | | | - Sharika Marjan
- Department of Global Health, University of Bergen, Bergen, Norway
| | - Md Ismail Gazi
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | - Alifa Syamantha Putri
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Cibinong, Indonesia
| | - Rubyath Binte Hasan
- Chittagong Veterinary and Animal Sciences University, Chittagong, Bangladesh
| | - Fabia Hannan Mone
- Department of Paediatrics, Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh
- Department of Public Health, Independent University, Dhaka, Bangladesh
- Institute of Social Welfare & Research, University of Dhaka, Dhaka, Bangladesh
| | | | - Arifa Tabassum
- Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Zoi Parcharidi
- School of Medicine, Aristoteles University, Thessaloniki, Greece
| | | | - Fahmida Islam
- Department of Public Health, North South University, Dhaka, Bangladesh
| | | | - Lea Lemke
- Bachelor degree in Global Responsibility and Leadership, Campus Fryslân, University of Groningen, Leeuwarden, The Netherlands
| | - Valentina Gallo
- Department of Sustainable Health, Campus Fryslân, University of Groningen, Leeuwarden, The Netherlands
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