SP313INCIDENCE AND DETERMINANTS OF HYPERKALEMIA IN A LARGE NORTH EUROPEAN HEALTHCARE SYSTEM

AimsTo evaluate temporal trends of acute coronary syndromes (ACS) treated via percutaneous coronary intervention (PCI) throughout the COVID-19 outbreak in a European healthcare system affected but not overwhelmed by COVID-19-related pathology.Methods and resultsWe performed a retrospective multicentre analysis of the rates of PCI for the treatment of ACS within the period 2 months pre and post the first confirmed COVID-19 case in Ireland, as well as comparing PCI for ST-elevation myocardial infarction (STEMI) with the corresponding period in 2019. During the 2020 COVID-19 period (29 February–30 April 2020), there was a 24% decline in PCI for overall ACS (incidence rate ratio (IRR) 0.76; 95% CI 0.65 to 0.88; p<0.001), including a 29% reduction in PCI for non-ST-elevation ACS (IRR 0.71; 95% CI 0.57 to 0.88; p=0.002) and an 18% reduction in PCI for STEMI (IRR 0.82; 95% CI 0.67 to 1.01; p=0.061), as compared with the 2020 pre-COVID-19 period (1 January–28 February 2020). A 22% (IRR 0.78; 95% CI 0.65 to 0.93; p=0.005) reduction of PCI for STEMI was seen as compared with the 2019 reference period.ConclusionThis study demonstrates a significant reduction in PCI procedures for the treatment of ACS since the COVID-19 outbreak in Ireland. The reasons for this decline are still unclear but patients need to be encouraged to seek medical attention when cardiac symptoms appear, in order to avoid incremental cardiac morbidity and mortality due to a reduction in coronary revascularisation for the treatment of ACS.

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Study protocol: an evaluation of the effectiveness, experiences and costs of a patient-directed strategy compared with a multi-faceted strategy to implement physical cancer rehabilitation programmes for cancer survivors in a European healthcare system; a controlled before and after study

Implementation Science ◽

10.1186/s13012-015-0312-3 ◽

2015 ◽

Vol 10 (1) ◽

Cited By ~ 4

Author(s):

Charlotte IJsbrandy ◽

Petronella B. Ottevanger ◽

Wim G. Groen ◽

Winald R. Gerritsen ◽

Wim H. van Harten ◽

...

Keyword(s):

Cancer Survivors ◽

Healthcare System ◽

Study Protocol ◽

Cancer Rehabilitation ◽

System A ◽

European Healthcare ◽

Before And After ◽

Before And After Study

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Disparities in European healthcare system approaches to maintaining continuity of medication for non-communicable diseases during the COVID-19 outbreak

The Lancet Regional Health - Europe ◽

10.1016/j.lanepe.2021.100099 ◽

2021 ◽

Vol 4 ◽

pp. 100099

Author(s):

Przemyslaw Kardas ◽

Job Frank Martien van Boven ◽

Hilary Pinnock ◽

Enrica Menditto ◽

Björn Wettermark ◽

...

Keyword(s):

Healthcare System ◽

Communicable Diseases ◽

Non Communicable Diseases ◽

European Healthcare ◽

System Approaches

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Improving The Slovenian Healthcare System By Examining Other European Healthcare Systems

American Journal of Health Sciences (AJHS) ◽

10.19030/ajhs.v3i4.7315 ◽

2012 ◽

Vol 3 (4) ◽

pp. 229-238

Author(s):

Stanka Setnikar Cankar ◽

Veronika Petkovsek

Keyword(s):

Healthcare System ◽

Rapid Development ◽

Healthcare Providers ◽

Public Healthcare ◽

Public And Private ◽

Private Healthcare ◽

Private Expenditure ◽

European Healthcare ◽

The Uk ◽

Organisation Management

This paper focuses improving the Slovenian healthcare system by comparing it with the systems in place in the UK, Denmark, and France. The aim of the paper is to find and present the solutions required if the healthcare system in Slovenia is to be improved. Changes need to be made to the organisation, management, and financing of the Slovenian healthcare system in response to demographic changes and changes to the age structure of the population, the rapid development of new medical technologies, drugs, treatments, and globalisation. The paper outlines the main features of the Slovenian healthcare system and compares the structure of public and private expenditure and resources with the structures in place in the UK, Denmark, and France. Public and private healthcare providers and public-private partnerships in Slovenian healthcare are also presented and compared. An insight is given at the end of the paper into the current state of the Slovenian healthcare system and the required changes, with solutions proposed for improvements and reform. The proposed solutions include redefinition of an insured person’s status, changes to the insurance basis and rates, a redefinition of the basic basket of healthcare rights, the integration and networking of public healthcare institutions, and the separation of public and private healthcare providers.

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