scholarly journals Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic?

2020 ◽  
pp. 1-8
Author(s):  
Anya P.G.F. Vieira-Meyer ◽  
Maíra B. Coutinho ◽  
Helena P.G. Santos ◽  
Maria V. Saintrain ◽  
George T. de M. Candeiro
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Personal Protective Equipment ◽  
Dental Treatment ◽  
Technological Development ◽  
Protective Equipment ◽  
Online Questionnaire ◽  
Dental Procedures ◽  
Secondary Health Care ◽  
Care System

ABSTRACT Objective: To investigate knowledge and practice of Brazilian public primary and secondary health care dentists during the coronavirus disease (COVID-19) pandemic. Methods: An online questionnaire with sociodemographic and COVID-19 knowledge questions was used. Results: A total of 4048 dentists working in the Brazilian public primary and secondary health care system were investigated; 4024 (99.41%) believe that COVID-19 can be transmitted through dental procedures. A fair level of COVID-19 symptoms knowledge by these dentists was observed (3.76±1.27 of 6.00), as well as the skepticism in personal protective equipment (3382; 83.55%) and biosafety procedures (3278; 80.98%) used as an efficient form of COVID-19 transmission prevention. Country region, performance of social distancing, dental specialty, the use of personal protective equipment, and biosafety preventive measures influenced the likelihood of dentists to perform dental treatment, either elective or urgent, during the COVID-19 pandemic. Conclusion: The need of extra preventive barriers for dental treatment may bring an extra financial stress in the Brazilian public primary and secondary health care system, as well as in the patient-dentist relationship, which may have to be reframed. Internationally accepted public guideline policies regarding dental treatment safety, as well as the technological development of preventive tools, are needed to deal with the challenges brought by COVID-19.

scholarly journals The impact of the COVID-19 pandemic on Polish orthopedics, in particular on the level of stress among orthopedic surgeons and the education process

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257289
Author(s):  
Łukasz Kołodziej ◽  
Dawid Ciechanowicz ◽  
Hubert Rola ◽  
Szymon Wołyński ◽  
Hanna Wawrzyniak ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Personal Protective Equipment ◽  
Negative Impact ◽  
Protective Equipment ◽  
Orthopedic Surgeons ◽  
Number Of Patients ◽  
The Impact ◽  
Care System

The Coronovirus Disease 2019 –(COVID-19) pandemic had a significant impact on the health care system and medical staff around the world. The orthopedic units were also subject to new restrictions and regulations. Therefore, the aim of our research was to assess how the COVID-19 pandemic affected orthopedic wards in the last year in Poland. We created an online survey, which was sent to 273 members of the Polish Society of Orthopedics and Traumatology. The survey contained 51 questions and was divided into main sections: Preparedness, Training, Stress, Reduction, Awareness. A total of 80 responses to the survey were obtained. In Preparedness section the vast majority of respondents (90%) replied, that they used personal protective equipment during the pandemic, however only 50% of the respondents indicated that their facility received a sufficient amount of personal protective equipment. Most of the respondents indicated that the pandemic negatively affected the quality of training of future orthopedists (69.4%) and that pandemic has had a negative impact on their operating skills (66,7%). In Reduction section most of the doctors indicated that the number of patients hospitalized in their departments decreased by 20–60% (61,2% respondents), while the number of operations performed decreased by 60–100% (60% respondents). The negative impact of pandemic on education was noticeable especially in the group of young orthopedic surgeons: 0–5 years of work experience (p = 0,029). Among the respondents, the level of stress increased over the last year from 4.8 to 6.9 (p <0.001). The greatest increase in the level of stress was observed among orthopedists working in country hospitals (p = 0,03). In section Awareness 36,3% of respondents feel well or very well informed about the latest Covid-19 regulations. In addition, most doctors (82.6%) believe that the Polish health care system was not well prepared to fight the pandemic and that the regulations applied so far are not sufficient to effectively fight the pandemic (66.2%). The COVID-19 pandemic has impact on orthopedics departments in Poland and negatively affected the quality of training of orthopedic surgeons and the level of stress.

scholarly journals A study on the knowledge, attitude & perspectives of final year students of bachelor of pharmacy programme in Malaysian Universities towards the implementation of the separation of drug prescribing & dispensing activity in Malaysia

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Santhanathan S Rajendram ◽  
Muhamad Danial Muhamad Hamdan
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Public And Private ◽  
Institutions Of Higher Learning ◽  
Highly Sensitive ◽  
The Government ◽  
Care System

Dispensing separation in Malaysia has been a widely discussed topic among the medical fraternity. It is a highly sensitive topic as it involves both professional and economic considerations for doctors, pharmacists, and the general public. There has been no decision made thus far but the discussion is ongoing, making a study on this topic very relevant. The subjects of this study, final year students of Bachelor of Pharmacy Programme in Malaysian universities, are chosen to reflect their awareness, preparedness, and knowledge on dispensing separation, which will affect their future in the pharmacy profession. The study was conducted among all 20 Public and Private Institutions of Higher Learning recognized by the Pharmacy Board, Malaysia. This was a cross-sectional study design, and data was collected using a convenience sampling method. The research instrument was an online questionnaire. The first part of the questionnaire covers the demographic information about the respondent, like name, age, gender, and institution. The second part covers the knowledge, awareness and perspectives of respondents towards the implementation of the separation of prescribing and dispensing activities in Malaysia. The final part of the survey focuses on suggestions or problems arising. There were 126 respondents to the survey, way above the 96 respondents needed to make the survey valid. The majority of them are aware of and understand the dispensing separation. Most of them agree that the government should legalize the dispensing separation activities as they believe pharmacists are more knowledgeable and better equipped to dispense drugs. The majority of them believe by implementing dispensing separation, the health care system will be better optimized, and the service will be better. They also believe that patients can accept and adapt to the role of the pharmacist in dispensing medication. The majority of them also agree that the price of medicine will be lowered by the implementation of dispensing separation. Based on the study, these students who are future pharmacists are very knowledgeable on the dispensing separation issue. They believe strongly that the implementation of dispensing separation in Malaysia will bring more beneficial changes to the health care system. The patients will also benefit from this. With such a positive attitude, the implementation of dispensing separation in Malaysia could be imminent  

scholarly journals PHP30 THE IMPLICATIONS OF THE USE OF TUBE FEEDING IN THE UK SECONDARY HEALTH CARE SYSTEM

2003 ◽  
Vol 6 (6) ◽  
pp. 720-721
Author(s):  
I Girod ◽  
F Pang ◽  
A Saleh ◽  
J Edington
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Tube Feeding ◽  
Secondary Health Care ◽  
The Uk ◽  
Care System

scholarly journals The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanie Ahmadi ◽  
Alireza Ebrahimi ◽  
Farhad Ghorbani
Keyword(s):  
Personal Protective Equipment ◽  
Dental Health ◽  
Protective Equipment ◽  
Dental Practice ◽  
Online Questionnaire ◽  
Dental Services ◽  
Emergency Procedures ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
The Impact

Abstract Background The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), besides the fact that dental procedures commonly generate blood and saliva droplets that could lead to the contagion have resulted in the closure of many dental clinics. In the present study, we aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic on dental practice by conducting an online questionnaire among the Iranian dental practitioners and finding their perspectives on the subject. Methods This report is based on a questionnaire that was conducted among Iranian dentists. The survey included questions that evaluate the dentists’ perceptions and attitudes toward the COVID-19 pandemic and its effect on their personal life, financial status, and the quality of dental services for patients. Results Overall, 240 dentists contributed to this study (214 general dentists and 26 specialists). The majority of the participants (n = 170, 70%) did not perform non-emergency procedures during the pandemic. The dental practitioners have suggested several strategies to decrease the risk of contagion, such as reducing treatment sessions (n = 90, 37%), strict triage of patients (n = 156, 64%), and using personal protective equipment (n = 108, 45%). However, most of the dentists (n = 210, 87%) had problems, providing personal protective equipment during the pandemic. Moreover, 97% (n = 234) of the participants reported that they encountered a decrease in their financial income since the eruption of the pandemic. Conclusion Dental health care workers are at the highest risk of contracting COVID-19. Thus, dental practitioners ought to execute the standard protocols more cautiously during the pandemic. They could also lower their work hours and limit dental procedures to emergency treatments to reduce the risk of COVID-19 transmission. Besides, the public organizations should provide proper equipment for the dental practitioners to decrease the risk of contagion.

Co-ordination of Diabetes Care in the Primary and the Secondary Health Care System in Denmark

1994 ◽  
Vol 11 (1) ◽  
pp. 123-125 ◽  
Author(s):  
N. de F. Olivarius ◽  
T. Lauritzen ◽  
H. Beck-Nielsen ◽  
J. Fog ◽  
C.E. Mogensen ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Diabetes Care ◽  
Secondary Health Care ◽  
Care System

scholarly journals A model to estimate demand for personal protective equipment for Ontario acute care hospitals during the COVID-19 pandemic

2020 ◽  
Author(s):  
Kali A Barrett ◽  
Yoshiko Nakamachi ◽  
Terra Ierasts ◽  
Yasin Khan ◽  
Stephen Mac ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
New York ◽  
Acute Care ◽  
Health Care System ◽  
Personal Protective Equipment ◽  
Acute Care Hospitals ◽  
Protective Equipment ◽  
Healthcare Resources ◽  
Health Measures

In addition to instituting public health measures for COVID-19, managing healthcare resources is important for outcomes. The experiences in Italy and New York have shown that personal protective equipment (PPE) shortages can cause increased morbidity and mortality. We demonstrate a method to predict PPE demand across a health care system.

scholarly journals Health Care Reform in the United States and the Russia Federation: 1990-2015

2016 ◽  
Vol 5 (2) ◽  
pp. 29
Author(s):  
Olga V. Filatova ◽  
David Andrew Schultz
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Reform ◽  
Health Care System ◽  
Russian Federation ◽  
Technological Development ◽  
Care Delivery ◽  
The United States ◽  
The Russian Federation ◽  
Care System

<p>What constitutes adequate medical care and how to deliver it is a problem states across the world confront as they face similar problems of rising costs, access, changing demographics, quality of service, and technological development. This article compares health care reform in the United States and the Russian Federation between 1990 and 2015. The Russian Federation begin this period with a process of rebuilding a health care system out of the previous centralized state-run Soviet system whereas the United States sought to change a health care system largely privately run and which separated health care delivery from health care insurance. Yet, despite differences these two countries and their health care systems have, they show interesting parallels, convergences, and lessons in terms of how reform occurs. In particular, this article demonstrates how both the American and Russian reforms have tried to use market incentives and the shifting to individuals some responsibility to contain costs, the use of government and non-governmental actors to provide health care and insurance, and various levels of centralization and decentralization of select services in order to address cost, quality, and access issues.</p>

scholarly journals How did general practices organize care during the COVID-19 pandemic: the protocol of the cross-sectional PRICOV-19 study in 38 countries

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
E. Van Poel ◽  
P. Vanden Bussche ◽  
Z. Klemenc-Ketis ◽  
S. Willems
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Multilevel Models ◽  
Patient Flow ◽  
Health Care Systems ◽  
National Policy ◽  
Online Questionnaire ◽  
Design Data ◽  
Cross Sectional ◽  
Care System

Abstract Background General practitioners (GPs) play a crucial role in the fight against the COVID-19 pandemic as the first point of contact for possibly infected patients and are responsible for short and long-term follow-up care of the majority of COVID-19 patients. Nonetheless, they experience many barriers to fulfilling this role. The PRICOV-19 study investigates how GP practices in 38 countries are organized during the COVID-19 pandemic to guarantee safe, effective, patient-centered, and equitable care. Also, the shift in roles and tasks and the wellbeing of staff members is researched. Finally, PRICOV-19 aims to study the association with practice- and health care system characteristics. It is expected that both characteristics of the GP practice and health care system features are associated with how GP practices can cope with these challenges. This paper describes the protocol of the study. Methods Using a cross-sectional design, data are collected through an online questionnaire sent to GP practices in 37 European countries and Israel. The questionnaire is developed in multiple phases, including a pilot study in Belgium. The final version includes 53 items divided into six sections: patient flow (including appointments, triage, and management for routine care); infection prevention; information processing; communication; collaboration and self-care; and practice and participant characteristics. In the countries where data collection is already finished, between 13 and 636 GP practices per country participated in the study. Questionnaire data are linked with OECD and HSMR data regarding national policy responses to the pandemic and analyzed using multilevel models considering the system- and practice-level. Discussion To the best of our knowledge, the PRICOV-19 study is the largest and most comprehensive study that examines how GP practices function during the COVID-19 pandemic. Its results can significantly contribute to better preparedness of primary health care systems across Europe for future major outbreaks of infectious diseases.

scholarly journals Awareness, knowledge and attitude toward secondary health care system: survey of physicians in Kosovo

2019 ◽  
Vol 18 (2) ◽  
pp. 288-293
Author(s):  
Albiona Rashiti ◽  
Leonora Svarça ◽  
Afërdita Kurti ◽  
Premtim Rashiti
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Management ◽  
New Technology ◽  
Medical Science ◽  
Relevant Information ◽  
Cross Sectional ◽  
Services Delivery ◽  
Secondary Health Care ◽  
Care System

Objective: To assess knowledge, awareness and attitude among hospital physicians from Kosovo toward current situation of Health Care System (HCS) especially Secondary Health Care (SHC) in Kosovo. Methods: In this cross-sectional study, anonymous questionnaire were delivered to three regional hospitals in Kosovo. The main outcome measures were physician’s awareness of the management of secondary health care institutions, awareness and use of new technology for improving health care in second level and their suggestions for further improvement. Results: Results are divided into three main categories: I. Relevant information on the knowledge of the health care system, were respondents had valuable information and insight; II. Relevant information on suggested improvements, in which respondents gave their proposals regarding workplace and inter managerial relations and III. Relevant information on continues education possibilities for medical staff. Conclusions: In conclusion there is a need to prioritize proper cooperation between primary, secondary, and third level of health institutions, in terms of entire health management in order to increase the quality of health services delivery, in line with western standards. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.288-293

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