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Saso M, Schutte N, Borg M, Calleja N, Schmidt AE, Peyroteo M, Lapão LV, Fehr A, Thißen M, Courtney M, Bogaert P. COVID-19 health information system assessments in eight European countries: identified gaps, best practices and recommendations. Eur J Public Health 2024; 34:i74-i80. [PMID: 38946443 PMCID: PMC11215322 DOI: 10.1093/eurpub/ckae041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/02/2024] Open
Abstract
BACKGROUND Global threats, such as the coronavirus disease 2019 (COVID-19) pandemic, have highlighted the critical importance of robust and well-functioning health information systems (HIS) in effectively addressing public health emergencies. To enhance the understanding and the functioning of such systems, it is crucial to perform HIS assessments. This article explores key gaps and identifies best practices in the COVID-19 HIS of eight European countries. Furthermore, it provides recommendations to strengthen European systems for better pandemic preparedness. METHODS Assessments were carried out in eight European countries using an adapted version of the WHO support tool to strengthen HIS and the Joint Action on Health Information assessment tool. The assessments took place between January 2022 and April 2023. RESULTS Four main themes emerged regarding the gaps and best practices identified in the various HIS: organizational, technical, legal and resources. The results of these assessments show different approaches implemented by countries to improve their HIS and respond to the demands of the pandemic. CONCLUSIONS It is imperative for countries to draw valuable insights from the COVID-19 pandemic and strengthen their HIS. This involves the adaptation or development of pandemic preparedness plans, strengthening legislative framework for data sharing and privacy protection, promotion of data standards and international definitions and implementation of a unique person identifier. Additionally, countries will have to act in this post-pandemic era and integrate the newly developed systems and innovations into existing structures, maintain and develop trust by citizens through transparent communication and engage in infodemic management and address resource gaps in the workforce.
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Affiliation(s)
- Miriam Saso
- Health Information System Unit, Scientific Directorate of Epidemiology and Public Health, Sciensano, Brussels, Belgium
| | - Nienke Schutte
- Health Information System Unit, Scientific Directorate of Epidemiology and Public Health, Sciensano, Brussels, Belgium
| | | | | | - Andrea E Schmidt
- Department of Climate & Health, Austrian National Public Health Institute (GÖG), Vienna, Austria
| | - Mariana Peyroteo
- CHRC, NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade Nova de Lisboa, Lisboa, Portugal
- UNIDEMI, Department of Mechanical and Industrial Engineering, NOVA School of Science and Technology, Universidade NOVA de Lisboa, Caparica, Portugal
- Laboratório Associado de Sistemas Inteligentes, LASI, Guimarães, Portugal
| | - Luís Velez Lapão
- CHRC, NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade Nova de Lisboa, Lisboa, Portugal
- UNIDEMI, Department of Mechanical and Industrial Engineering, NOVA School of Science and Technology, Universidade NOVA de Lisboa, Caparica, Portugal
- Laboratório Associado de Sistemas Inteligentes, LASI, Guimarães, Portugal
- WHO Collaborating Center on Health Workforce Policy and Planning, Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Lisboa, Portugal
| | - Angela Fehr
- Centre for International Health Protection, Robert Koch Institute, Berlin, Germany
| | - Martin Thißen
- Department for Health Monitoring and Epidemiology, Robert Koch Institute, Berlin, Germany
| | | | - Petronille Bogaert
- Health Information System Unit, Scientific Directorate of Epidemiology and Public Health, Sciensano, Brussels, Belgium
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Schutte N, Bogaert P, Saso M, Van Oyen H. Population health information research infrastructure-from data to public health actions. Eur J Public Health 2024; 34:i1-i2. [PMID: 38946442 PMCID: PMC11215318 DOI: 10.1093/eurpub/ckae077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/02/2024] Open
Affiliation(s)
- Nienke Schutte
- EU Health Information System Unit, Sciensano, Rue Juliette Wytsmanstraat 14, Brussels 1050, Belgium
| | - Petronille Bogaert
- EU Health Information System Unit, Sciensano, Rue Juliette Wytsmanstraat 14, Brussels 1050, Belgium
| | - Miriam Saso
- EU Health Information System Unit, Sciensano, Rue Juliette Wytsmanstraat 14, Brussels 1050, Belgium
| | - Herman Van Oyen
- EU Health Information System Unit, Sciensano, Rue Juliette Wytsmanstraat 14, Brussels 1050, Belgium
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Curioso WH, Coronel-Chucos LG, Oscuvilca-Tapia E. Empowering the digital health workforce in Latin America in the context of the COVID-19 pandemic: the Peruvian case. Inform Health Soc Care 2024; 49:73-82. [PMID: 38349775 DOI: 10.1080/17538157.2024.2315266] [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] [Indexed: 02/15/2024]
Abstract
The COVID-19 pandemic has exposed significant gaps in healthcare access, quality, and the urgent need for enhancing the capacity of digital health human resources, particularly in Latin America. During the pandemic, online courses and telehealth initiatives supported by governmental agencies, the Pan American Health Organization, and other public and private resources, have played a crucial role in meeting training demands. This article discusses the role of capacity building programs in digital health within the context of Latin America, with a specific focus on the Peruvian case. We highlight the development of digital health competencies and related policies, while also describing selected experiences related to capacity building in this field. Additionally, we discuss the pivotal role of collaborative partnerships among institutions and countries, emphasizing the importance of culturally relevant training programs in digital health. These initiatives have the potential to accelerate training and research opportunities in Latin America, drawing on the involvement of government agencies, non-governmental organizations, industry, universities, professional societies, and communities.
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Affiliation(s)
- Walter H Curioso
- Vicerrectorado de Investigación, Universidad Continental, Lima, Peru
| | | | - Elsa Oscuvilca-Tapia
- Facultad de Medicina Humana, Universidad Nacional José Faustino Sánchez Carrión, Huacho, Peru
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Zeitlin J, Philibert M, Estupiñán-Romero F, Loghi M, Sakkeus L, Draušnik Ž, Alcaide AR, Durox M, Cap J, Dimnjakovic J, Misins J, Bernal Delgado E, Thissen M, Gissler M. Developing and testing a protocol using a common data model for federated collection and analysis of national perinatal health indicators in Europe. OPEN RESEARCH EUROPE 2023; 3:54. [PMID: 37830050 PMCID: PMC10565425 DOI: 10.12688/openreseurope.15701.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/01/2023] [Indexed: 10/14/2023]
Abstract
Context: International comparisons of the health of mothers and babies provide essential benchmarks for guiding health practice and policy, but statistics are not routinely compiled in a comparable way. These data are especially critical during health emergencies, such as the coronavirus disease (COVID-19) pandemic. The Population Health Information Research Infrastructure (PHIRI) project aimed to promote the exchange of population data in Europe and included a Use Case on perinatal health. Objective: To develop and test a protocol for federated analysis of population birth data in Europe. Methods: The Euro-Peristat network with participants from 31 countries developed a Common Data Model (CDM) and R scripts to exchange and analyse aggregated data on perinatal indicators. Building on recommended Euro-Peristat indicators, complemented by a three-round consensus process, the network specified variables for a CDM and common outputs. The protocol was tested using routine birth data for 2015 to 2020; a survey was conducted assessing data provider experiences and opinions. Results: The CDM included 17 core data items for the testing phase and 18 for a future expanded phase. 28 countries and the four UK nations created individual person-level databases and ran R scripts to produce anonymous aggregate tables. Seven had all core items, 17 had 13-16, while eight had ≤12. Limitations were not having all items in the same database, required for this protocol. Infant death and mode of birth were most frequently missing. Countries took from under a day to several weeks to set up the CDM, after which the protocol was easy and quick to use. Conclusion: This open-source protocol enables rapid production and analysis of perinatal indicators and constitutes a roadmap for a sustainable European information system. It also provides minimum standards for improving national data systems and can be used in other countries to facilitate comparison of perinatal indicators.
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Affiliation(s)
- Jennifer Zeitlin
- Université Paris Cité, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical, Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, Paris, 75004, France
| | - Marianne Philibert
- Université Paris Cité, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical, Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, Paris, 75004, France
| | - Francisco Estupiñán-Romero
- Data Sciences for Health Services and Policy Research, Institute for Health Sciences in Aragon (IACS), Zaragoza, Spain
| | - Marzia Loghi
- Directorate for Social Statistics and Welfare, Italian Statistical Institute (ISTAT), Rome, Italy
| | - Luule Sakkeus
- Estonian Institute for Population Studies, Tallin University, Tallin, Estonia
| | | | | | - Mélanie Durox
- Université Paris Cité, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical, Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, Paris, 75004, France
| | - Jan Cap
- National Health Information Center, Bratislava, Slovakia
| | | | - Janis Misins
- Centre for Disease Prevention and Control of Latvia, Riga, Latvia
| | - Enrique Bernal Delgado
- Data Sciences for Health Services and Policy Research, Institute for Health Sciences in Aragon (IACS), Zaragoza, Spain
| | - Martin Thissen
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Mika Gissler
- Department of Knowledge Brokers, THL Finnish Institute for Health and Welfare, Helsinki, Finland
- Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
| | - Euro-Peristat Research Group
- Université Paris Cité, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical, Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, Paris, 75004, France
- Data Sciences for Health Services and Policy Research, Institute for Health Sciences in Aragon (IACS), Zaragoza, Spain
- Directorate for Social Statistics and Welfare, Italian Statistical Institute (ISTAT), Rome, Italy
- Estonian Institute for Population Studies, Tallin University, Tallin, Estonia
- Croatian Institute of Public Health, Zagreb, Croatia
- University of Alcala, Madrid, Spain
- National Health Information Center, Bratislava, Slovakia
- Centre for Disease Prevention and Control of Latvia, Riga, Latvia
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
- Department of Knowledge Brokers, THL Finnish Institute for Health and Welfare, Helsinki, Finland
- Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
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Leslie M, Hansen B, Abboud R, Claussen C, McBrien K, Hu J, Ward R, Aghajafari F. Building a Data Bridge: Policies, Structures, and Governance Integrating Primary Care Into the Public Health Response to COVID-19. Ann Fam Med 2023; 21:4-10. [PMID: 36690483 PMCID: PMC9870644 DOI: 10.1370/afm.2900] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 01/24/2023] Open
Abstract
PURPOSE The effective integration of primary care into public health responses to the COVID-19 pandemic, particularly through data sharing, has received some attention in the literature. However, the specific policies and structures that facilitate this integration are understudied. This paper describes the experiences of clinicians and administrators in Alberta, Canada as they built a data bridge between primary care and public health to improve the province's community-based response to the pandemic. METHODS Fifty-seven semistructured qualitative interviews were conducted with a range of primary care and public health stakeholders working inside the Calgary Health Zone. Interpretive description was used to analyze the interviews. RESULTS SARS-CoV-2 test results produced by the local public laboratory were, initially, only available to central public health clinicians and not independent primary care physicians. This enabled centrally managed contact tracing but meant primary care physicians were unaware of their patients' COVID-19 status and unable to offer in-community follow-up care. Stakeholders from both central public health and independent primary care were able to leverage a policy commitment to the Patient Medical Home (PMH) care model, and a range of existing organizational structures, and governance arrangements to create a data bridge that would span the gap. CONCLUSIONS Primary care systems looking to draw lessons from the data bridge's construction may consider ways to: leverage care model commitments to integration and adjust or create organization and governance structures which actively draw together primary care and non-primary care stakeholders to work on common projects. Such policies and structures develop trusting relationships, open the possibility for champions to emerge, and create the spaces in which integrative improvisation can take place.
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Affiliation(s)
- Myles Leslie
- School of Public Policy, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Brian Hansen
- Zone Business Unit, Calgary and Area Primary Care Networks, Calgary, Alberta, Canada
| | - Rida Abboud
- Co-RIG Project Consultant, Calgary, Alberta, Canada
| | - Caroline Claussen
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
| | - Kerry McBrien
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Jia Hu
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- 19 to Zero, Toronto, Ontario, Canada
| | - Rick Ward
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Calgary Zone Primary Care Division, Alberta Health Services, Calgary, Alberta, Canada
| | - Fariba Aghajafari
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Tesfa GA, Yehualashet DE, Ewune HA, Zemeskel AG, Kalayou MH, Seboka BT. eHealth Literacy and its Associated Factors Among Health Professionals During the COVID-19 Pandemic in Resource-Limited Settings: Cross-sectional Study. JMIR Form Res 2022; 6:e36206. [PMID: 35737897 PMCID: PMC9285670 DOI: 10.2196/36206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 05/26/2022] [Accepted: 06/08/2022] [Indexed: 11/13/2022] Open
Abstract
Background The COVID-19 pandemic has wreaked havoc on health care systems and governments worldwide. Although eHealth literacy is acknowledged as a critical component of public health, it was overlooked during the pandemic. To assist patients and their families, health professionals should be knowledgeable about online health information resources and capable of evaluating relevant online information. In a resource-constrained situation, the level of eHealth literacy among health professionals is not well documented. Objective The aim of this study was to assess the eHealth literacy level and its associated factors among health professionals working in Amhara regional state teaching hospitals, Ethiopia. Methods A self-administered questionnaire was used in an institutional-based cross-sectional study design. Descriptive statistics were calculated to describe eHealth literacy statements and key variables using SPSS v.24. Bivariable and multivariable logistic regression models were fit to identify factors related to eHealth literacy. Variables with P<.05 were declared to be statistically significant predictors. Results A total of 383 participants completed and returned the questionnaire with a response rate of 90.5%. Health professionals demonstrated a moderate level of eHealth literacy (mean 29.21). Most of the professionals were aware of the available health resources located on the internet, and know how to search and locate these resources. However, they lack the ability to distinguish high-quality health resources from low-quality resources. Factors that were significantly associated with eHealth literacy were computer access, computer knowledge, perceived ease of use, and perceived usefulness of eHealth information resources. Conclusions It is crucial to provide training and support to health care workers on how to find, interpret, and, most importantly, evaluate the quality of health information found on the internet to improve their eHealth literacy level. Further research is needed to explore the role of eHealth literacy in mitigating pandemics in developing countries.
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Affiliation(s)
- Getanew Aschalew Tesfa
- School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia
| | | | - Helen Ali Ewune
- School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia
| | - Addisu Getnet Zemeskel
- Department of Midwifery, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia
| | - Mulugeta Hayelom Kalayou
- Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Wollo, Ethiopia
| | - Binyam Tariku Seboka
- School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia
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Sarmiento-Suárez R, Padron-Monedero A, Bogaert P, Abboud L, Van Oyen H, Tolonen H, Tijhuis M, Seeling S, Haneef R, Zaletel M, Palmieri L, Gallay A, Lapão LV, Nogueira P, Ziese T, Vukovic J, Beja A, Saso M, Noguer-Zambrano I. The InfAct proposal for a sustainable European health information infrastructure on population health: the Distributed Infrastructure on Population Health (DIPoH). Arch Public Health 2022; 80:139. [PMID: 35581661 PMCID: PMC9113621 DOI: 10.1186/s13690-022-00844-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 03/08/2022] [Indexed: 11/20/2022] Open
Abstract
Background In Europe, data on population health is fragmented, difficult to access, project-based and prone to health information inequalities in terms of availability, accessibility and especially in quality between and within countries. This situation is further exacerbated and exposed by the recent COVID-19 pandemic. The Joint Action on Health Information (InfAct) that builds on previous works of the BRIDGE Health project, carried out collaborative action to set up a sustainable infrastructure for health information in the European Union (EU). The aim of this paper is to present InfAct’s proposal for a sustainable research infrastructure, the Distributed Infrastructure on Population Health (DIPoH), which includes the setup of a Health Information Portal on population health to be maintained beyond InfAct’s time span. Methods The strategy for the proposal was based on three components: scientific initiatives and proposals to improve Health Information Systems (HIS), exploration of technical acceptability and feasibility, and finally obtaining high-level political support.. The technical exploration (Technical Dialogues—TD) was assumed by technical experts proposed by the countries, and political guidance was provided by the Assembly of Members (AoM), which gathered representatives from Ministries of Health and Science of EU/EEA countries. The results from the AoM and the TD were integrated in the sustainability plan compiling all the major outputs of InfAct. Results The InfAct sustainability plan was organized in three main sections: a proposal of a new research infrastructure on population health (the DIPoH), new health information tools and innovative proposals for HIS, and a comprehensive capacity building programme. These activities were carried out in InfAct and are being further developed in the Population Health Information Research Infrastructure (PHIRI). PHIRI is a practical rollout of DIPoH facilitating and generating the best available evidence for research on health and wellbeing of populations as impacted by COVID-19. Conclusions The sustainability plan received wide support from Member States and was recognized to have an added value at EU level. Nevertheless, there were several aspects which still need to be considered for the near future such as: (i) a commitment of stable financial and political support by Member States (MSs), (ii) the availability of resources at regional, national and European level to deal with innovations, and (iii) a more direct involvement from EU and international institutions such as the European Centre for Disease Prevention and Control (ECDC), the World Health Organization (WHO) and the Organisation for Economic Cooperation and Development OECD for providing support and sustainable contributions.
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Affiliation(s)
- Rodrigo Sarmiento-Suárez
- National School of Public Health. Instituto de Salud Carlos III, Avenida Monforte de Lemos 5, 28029, Madrid, Spain. .,Medicine School, University of Applied and Environmental Sciences, Calle 222 #55-37, Bogota, Colombia.
| | - Alicia Padron-Monedero
- National School of Public Health. Instituto de Salud Carlos III, Avenida Monforte de Lemos 5, 28029, Madrid, Spain
| | - Petronille Bogaert
- Scientific Institute of Public Health, SciensanoRue Juliette, Wytsmanstraat 14, 1050, Brussels, Belgium
| | - Linda Abboud
- Scientific Institute of Public Health, SciensanoRue Juliette, Wytsmanstraat 14, 1050, Brussels, Belgium
| | - Herman Van Oyen
- Scientific Institute of Public Health, SciensanoRue Juliette, Wytsmanstraat 14, 1050, Brussels, Belgium
| | - Hanna Tolonen
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Mannerheimintie 166, 00271, Helsinki, Finland
| | - Mariken Tijhuis
- National Institute for Public Health and the Environment RIVM, 3720 BA, Bilthoven, Netherlands
| | - Stefanie Seeling
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Straße 62-66, Berlin, Germany
| | - Romana Haneef
- Santé Publique France, 12 Rue du Val d'Osne, Allée Vacassy, 94410, Saint-Maurice, France
| | - Metka Zaletel
- National Institute of Public Health, Trubarjeva 2, 1000, Ljubljana, Slovenia
| | - Luigi Palmieri
- Department of Cardiovascular, Endocrine-Metabolic Diseases and Aging, Istituto Superiore Di Sanità (ISS), Via Giano della Bella, 34, 00161, Rome, Italy
| | - Anne Gallay
- Santé Publique France, 12 Rue du Val d'Osne, Allée Vacassy, 94410, Saint-Maurice, France
| | - Luís Velez Lapão
- Instituto de Higiene E Medicina Tropical, Universidade NOVA de Lisboa, R. da Junqueira 100, 1349-008, Lisboa, Portugal
| | - Paulo Nogueira
- Instituto de Medicina Preventiva E Saúde Pública, Faculdade de Medicina da Universidade de Lisboa, 1649-028, Lisboa, Portugal
| | - Thomas Ziese
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Straße 62-66, Berlin, Germany
| | - Jakov Vukovic
- Croatian Institute of Public Health, Rockefeller str 7, 10000, Zagreb, Croatia
| | - André Beja
- Instituto de Higiene E Medicina Tropical, Universidade NOVA de Lisboa, R. da Junqueira 100, 1349-008, Lisboa, Portugal
| | - Miriam Saso
- Scientific Institute of Public Health, SciensanoRue Juliette, Wytsmanstraat 14, 1050, Brussels, Belgium
| | - Isabel Noguer-Zambrano
- National School of Public Health. Instituto de Salud Carlos III, Avenida Monforte de Lemos 5, 28029, Madrid, Spain
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Feteira-Santos R, Camarinha C, de Araújo Nobre M, Elias C, Bacelar-Nicolau L, Silva Costa A, Furtado C, Nogueira PJ. Improving morbidity information in Portugal: evidence from data linkage of COVID-19 cases surveillance and mortality systems. Int J Med Inform 2022; 163:104763. [PMID: 35461149 PMCID: PMC9012514 DOI: 10.1016/j.ijmedinf.2022.104763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 03/11/2022] [Accepted: 04/10/2022] [Indexed: 12/17/2022]
Affiliation(s)
- Rodrigo Feteira-Santos
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Área Disciplinar Autónoma de Bioestatística (Laboratório de Biomatemática), Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.
| | - Catarina Camarinha
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Miguel de Araújo Nobre
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Clínica Universitária de Estomatologia, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Cecília Elias
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Unidade de Saúde Pública Francisco George, ACES Lisboa Norte, Administração Regional de Saúde de Lisboa e Vale do Tejo. Largo Professor Arnaldo Sampaio, 1500-559 Lisboa, Portugal
| | - Leonor Bacelar-Nicolau
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Área Disciplinar Autónoma de Bioestatística (Laboratório de Biomatemática), Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Andreia Silva Costa
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; CIDNUR - Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa, Escola Superior de Enfermagem de Lisboa. Avenida Professor Egas Moniz, 1600-190 Lisboa, Portugal; CRC-W-Católica Research Centre for Psychological, Family and Social Wellbeing, Universidade Católica Portuguesa. Palma de Cima, 1649-023 Lisboa, Portugal
| | - Cristina Furtado
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto Nacional de Saúde Doutor Ricardo Jorge. Av. Padre Cruz, 1600-560 Lisboa, Portugal
| | - Paulo Jorge Nogueira
- EPI Task-Force FMUL, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Área Disciplinar Autónoma de Bioestatística (Laboratório de Biomatemática), Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal; Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa. Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
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Wang Q, Hou L, Hong JC, Yang X, Zhang M. Impact of Face-Recognition-Based Access Control System on College Students' Sense of School Identity and Belonging During COVID-19 Pandemic. Front Psychol 2022; 13:808189. [PMID: 35250739 PMCID: PMC8889067 DOI: 10.3389/fpsyg.2022.808189] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 01/28/2022] [Indexed: 11/23/2022] Open
Abstract
In the context of coronavirus pandemic (COVID-19), the face-recognition-based access control system (FACS) has been intensively adopted to protect students’ and teachers’ health and safety in school. However, the impact of FACS, as a new technology, on students’ attitude toward accepting FACS has remained unknown from the psychological halo effect. Drawn on “halo effect” theory where psychological effects affect the sense of social identity and belonging, the present study explored college students’ sense of school identity and belonging in using FACS during COVID-19 based on the technology acceptance model (TAM). Data collected from 391 college students was analyzed using SEM to verify the relationship among perceived usefulness (PU), perceived ease of use (PEU), intention to use (IU), school identity, and school belonging. The results show that PU and PEU can positively predict IU, and consequentially can positively predict school identity and school belonging. Our study expands the application of halo effect theory to study FACS acceptance based on TAM, and provides strong evidence to support the effect of school FACS during the pandemic. The findings of this study also suggest that FACS acceptance can enhance students’ sense of school identity and belonging.
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Affiliation(s)
- Qiang Wang
- College of Elementary Education and College of Education, Capital Normal University, Beijing, China
| | - Lan Hou
- College of Elementary Education and College of Education, Capital Normal University, Beijing, China
| | - Jon-Chao Hong
- Institute for Research Excellence in Learning Sciences, National Taiwan Normal University, Taipei, Taiwan
| | - Xiantong Yang
- Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Mengmeng Zhang
- School of Education, Minzu University of China, Beijing, China
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10
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Identifying common enablers and barriers in European health information systems. Health Policy 2021; 125:1517-1526. [PMID: 34666917 DOI: 10.1016/j.healthpol.2021.09.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Revised: 09/17/2021] [Accepted: 09/19/2021] [Indexed: 11/22/2022]
Abstract
European countries possess unique health information systems (HISs) and face similar health system challenges. Investigating common enablers and barriers across Europe pinpoint where HISs need improvements to address these challenges. This study aims to identify common enablers and barriers for optimal functioning of HISs across the European Union and associated countries, and to interpret what this means for the further development of HISs in Europe. A qualitative thematic analysis was carried out based on nine countries HISs assessments. Two main observations are made. Firstly, regardless of the differences between HISs, each HIS had its strengths and weaknesses and often the same barriers and enablers arose. Secondly, barriers were identified in all HIS areas. The five most important barriers are (i) fragmentation of data sources, limited accessibility, use and re-use of data, (ii) barriers in the implementation of EHR-systems, (iii) governance issues related to unclear responsibilities, discontinuous financing and weak intra- and inter-sectorial collaboration, (iv) legal gaps and General Data Protection Regulation (mis)interpretation, and (v) limited skilled staff. The enablers identified in this study lead to potential solutions to address these. Solutions can be implemented by national initiatives, but there is considerable added value in a joint European approach. Several international initiatives provide opportunities to improve HISs, but these need to be strengthened and better geared towards tackling the identified barriers.
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11
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Negro-Calduch E, Azzopardi-Muscat N, Nitzan D, Pebody R, Jorgensen P, Novillo-Ortiz D. Health Information Systems in the COVID-19 Pandemic: A Short Survey of Experiences and Lessons Learned From the European Region. Front Public Health 2021; 9:676838. [PMID: 34650946 PMCID: PMC8505771 DOI: 10.3389/fpubh.2021.676838] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Accepted: 09/02/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: The COVID-19 crisis provides an opportunity to reflect on what worked during the pandemic, what could have been done differently, and what innovations should become part of an enhanced health information system in the future. Methods: An online qualitative survey was designed and administered online in November 2020 to all the 37 Member States that are part of the WHO European Health Information Initiative and the WHO Central Asian Republics Information Network. Results: Nineteen countries responded to the survey (Austria, Belgium, Croatia, Czech Republic, Finland, Greece, Iceland, Ireland, Israel, Italy, Kazakhstan, Latvia, Lithuania, Romania, Russian Federation, Sweden, Turkey, United Kingdom, and Uzbekistan). The COVID-19 pandemic required health information systems (HIS) to rapidly adapt to identify, collect, store, manage, and transmit accurate and timely COVID-19 related data. HIS stakeholders have been put to the test, and valuable experience has been gained. Despite critical gaps such as under-resourced public health services, obsolete health information technologies, and lack of interoperability, most countries believed that their information systems had worked reasonably well in addressing the needs arising during the COVID-19 pandemic. Conclusion: Strong enabling environments and advanced and digitized health information systems are vital to controlling epidemics. Sustainable finance and government support are required for the continued implementation and enhancement of HIS. It is important to promote digital solutions beyond the COVID-19 pandemic. Now is the time to discuss potential solutions to obtain timely, accurate, and reliable health information and steer policy-making while protecting privacy rights and meeting the highest ethical standards.
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Affiliation(s)
- Elsa Negro-Calduch
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark
| | | | - Dorit Nitzan
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark
| | - Richard Pebody
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark
| | - Pernille Jorgensen
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark
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12
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Schmidt AE, Merkur S, Haindl A, Gerkens S, Gandré C, Or Z, Groenewegen P, Kroneman M, de Jong J, Albreht T, Vracko P, Mantwill S, Hernández-Quevedo C, Quentin W, Webb E, Winkelmann J. Tackling the COVID-19 pandemic: Initial responses in 2020 in selected social health insurance countries in Europe ☆. Health Policy 2021; 126:476-484. [PMID: 34627633 PMCID: PMC9187505 DOI: 10.1016/j.healthpol.2021.09.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2021] [Revised: 09/14/2021] [Accepted: 09/24/2021] [Indexed: 11/26/2022]
Abstract
Countries with social health insurance (SHI) systems display some common defining characteristics - pluralism of actors and strong medical associations - that, in dealing with crisis times, may allow for common learnings. This paper analyses health system responses during the COVID-19 pandemic in eight countries representative of SHI systems in Europe (Austria, Belgium, France, Germany, Luxembourg, the Netherlands, Slovenia and Switzerland). Data collection and analysis builds on the methodology and content in the COVID-19 Health System Response Monitor (HSRM) up to November 2020. We find that SHI funds were, in general, neither foreseen as major stakeholders in crisis management, nor were they represented in crisis management teams. Further, responsibilities in some countries shifted from SHI funds to federal governments. The overall organisation and governance of SHI systems shaped how countries responded to the challenges of the pandemic. For instance, coordinated ambulatory care often helped avoid overburdening hospitals. Decentralisation among local authorities may however represent challenges with the coordination of policies, i.e. coordination costs. At the same time, bottom-up self-organisation of ambulatory care providers is supported by decentralised structures. Providers also increasingly used teleconsultations, which may remain part of standard practice. It is recommended to involve SHI funds actively in crisis management and in preparing for future crisis to increase health system resilience.
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Affiliation(s)
- Andrea E Schmidt
- Austrian National Public Health Institute, Stubenring 6, 1010 Vienna, Austria.
| | - Sherry Merkur
- European Observatory on Health Systems and Policies, London School of Economics and Political Science, Houghton Street, London WC2A 2AE, United Kingdom.
| | - Anita Haindl
- Austrian National Public Health Institute, Stubenring 6, 1010 Vienna, Austria.
| | - Sophie Gerkens
- Belgian Health Care Knowledge Centre (KCE), Boulevard du Jardin Botanique 55, 1000 Brussels, Belgium.
| | - Coralie Gandré
- Institute of Research and Information in Health Economics, IRDES.
| | - Zeynep Or
- Institute of Research and Information in Health Economics, IRDES.
| | | | | | - Judith de Jong
- Nivel, Otterstraat 118, 3513 CR Utrecht, The Netherlands; Department of Health Services Research, Maastricht University, Duboisdomein 30, 6229GT, Maastricht, the Netherlands.
| | - Tit Albreht
- National Institute of Public Health, Trubarjeva 2, SI-1000 Ljubljana, Slovenia; Department of Public Health, Faculty of Medicine, Ljubljana, Slovenia.
| | - Pia Vracko
- National Institute of Public Health, Trubarjeva 2, SI-1000 Ljubljana, Slovenia.
| | - Sarah Mantwill
- University of Lucerne, Department of Health Sciences and Medicine, Frohburgstrasse 3, P.O. Box 4466, CH-6002 Lucerne, Switzerland.
| | - Cristina Hernández-Quevedo
- European Observatory on Health Systems and Policies, London School of Economics and Political Science, Houghton Street, London WC2A 2AE, United Kingdom.
| | - Wilm Quentin
- Department of Health Care Management, Berlin University of Technology, Str. des 17. Juni 135, 10623 Berlin, Germany.
| | - Erin Webb
- Department of Health Care Management, Berlin University of Technology, Str. des 17. Juni 135, 10623 Berlin, Germany.
| | - Juliane Winkelmann
- Department of Health Care Management, Berlin University of Technology, Str. des 17. Juni 135, 10623 Berlin, Germany.
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Ye B, Hu J, Xiao G, Zhang Y, Liu M, Wang X, Yang Q, Xia F. Access to Epidemic Information and Life Satisfaction under the Period of COVID-19: the Mediating Role of Perceived Stress and the Moderating Role of Friendship Quality. APPLIED RESEARCH IN QUALITY OF LIFE 2021; 17:1227-1245. [PMID: 34226843 PMCID: PMC8245917 DOI: 10.1007/s11482-021-09957-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Accepted: 05/20/2021] [Indexed: 06/13/2023]
Abstract
The present study mainly focused on college students amidst the COVID-19 outbreak and aimed to develop and examine a moderated mediation model between access to epidemic information and life satisfaction. Friendship quality as a moderator, and perceived stress as a mediator. A sample of 1032 college students participated in this study and completed questionnaires regarding access to epidemic information, perceived stress, friendship quality, and life satisfaction. Findings indicated that 1) access to epidemic information was strongly related to life satisfaction; 2) perceived stress acts as a mediator in the positive relationship between access to epidemic information and life satisfaction; 3) friendship quality moderated the relationship between access to epidemic information and perceived stress as well as perceived stress and life satisfaction, and such that there was a stronger association between access to epidemic information and perceived stress for college students with high friendship quality. But the relationship between perceived stress and life satisfaction became weaker for college students with high friendship quality. The results illuminate the mechanism to theoretical and practical implications for improving college students' life satisfaction during the pandemic.
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Affiliation(s)
- Baojuan Ye
- Center of Mental Health Education and Research, School of Psychology, Jiangxi Normal University, 99 Ziyang Aven ue, Nanchang, 330022 China
| | - Jing Hu
- Center of Mental Health Education and Research, School of Psychology, Jiangxi Normal University, 99 Ziyang Aven ue, Nanchang, 330022 China
| | - Gensen Xiao
- University High School, 4771 Campus Dr, Irvine, CA 92612 USA
| | - Yanzhen Zhang
- Department of Psychology, University of California, Riverside, Riverside, CA, 900 University Ave, Riverside, CA 92521 USA
| | - Mingfan Liu
- Center of Mental Health Education and Research, School of Psychology, Jiangxi Normal University, 99 Ziyang Aven ue, Nanchang, 330022 China
| | - Xinqiang Wang
- Center of Mental Health Education and Research, School of Psychology, Jiangxi Normal University, 99 Ziyang Aven ue, Nanchang, 330022 China
| | - Qiang Yang
- School of Education, Jiangxi Normal University, 99 Ziyang Avenue, Nanchang, 330022 China
| | - Fei Xia
- School of Education, Jiangxi Normal University, 99 Ziyang Avenue, Nanchang, 330022 China
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