scholarly journals The impact of Covid-19 vaccination on the Italian healthcare system: a scenario analysis

2021 ◽  
Author(s):  
Andrea Marcellusi ◽  
Gianluca Fabiano ◽  
Paolo Sciattella ◽  
Massimo Andreoni ◽  
Francesco Saverio Mennini
Keyword(s):  
Healthcare System ◽  
Scenario Analysis ◽  
Hospital Admissions ◽  
National Immunisation ◽  
National Healthcare ◽  
System A ◽  
National Healthcare System ◽  
Primary Prevention Strategy ◽  
Potential Population ◽  
The Impact

Introduction: The objective of this study is to estimate the effects of the national immunisation strategy for Covid-19 in Italy on the national healthcare system. Methods: An epidemiological scenario analysis was developed in order to simulate the impact of the Covid-19 pandemic on the Italian national healthcare system in 2021. Hospitalisations, ICU admissions and death rates were modelled based on 2020 data. We forecast the impact of the introduction of a primary prevention strategy on the national healthcare system by considering vaccine efficacy, availability of doses and potential population coverage over time. Results: In the absence of immunisation, between 57,000 and 63,000 additional deaths are forecast in 2021. Based on the assumptions underlying the two epidemiological scenarios from the 2020 data, our model predicts that cumulative hospital admissions in 2021 will range from 3.4 to 3.9 million. The deployment of vaccine immunisation has the potential to control the evolution of 2021 infections and avoid from 60 to 67 percent of deaths compared to not vaccinating. Conclusions: In order to inform Italian policymakers on delivering a mass vaccination programme, this study highlights and detects some key factors that must be controlled to ensure that immunisation targets will be met in reasonable time.

scholarly journals Telemonitoring in the Covid-19 Era: The Tuscany Region Experience

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 516
Author(s):  
Silvia Panicacci ◽  
Massimiliano Donati ◽  
Alberto Lubrano ◽  
Annamaria Vianello ◽  
Alessio Ruiu ◽  
...  
Keyword(s):  
High Risk ◽  
Healthcare System ◽  
General Practitioners ◽  
Central Italy ◽  
National Healthcare ◽  
National Healthcare System ◽  
Risk Patients ◽  
New Sensors ◽  
The Impact ◽  
Positive Results

Covid-19 has brought many difficulties in the management of infected and high-risk patients. Telemedicine platforms can really help in this situation, since they allow remotely monitoring Covid-19 patients, reducing the risk for the doctors, without decreasing the efficiency of the therapies and while alleviating patients’ mental issues. In this paper, we present the entire architecture and the experience of using the Tel.Te.Covid19 telemedicine platform. Projected for the treatment of chronic diseases, it has been technologically updated for the management of Covid-19 patients with the support of a group of doctors in the territory when the pandemic arrived, introducing new sensors and functionalities (e.g., the familiar use and video calls). In Tuscany (Central Italy), during the first wave of outbreak, a model for enrolling patients was created and tested. Because of the positive results, the latter has been then adopted in the second current wave. The Tel.Te.Covid19 platform has been used by 40 among general practitioners and doctors of continuity care and about 180 symptomatic patients since March 2020. Both patients and doctors have good opinion of the platform, and no hospitalisations or deaths occurred for the monitored patients, reducing also the impact on the National Healthcare System.

scholarly journals Prevalence and risk factors for SARS-CoV-2 infection and seroprevalence among clinical and non-clinical staff in a national healthcare system

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257845
Author(s):  
Moza Alishaq ◽  
Andrew Jeremijenko ◽  
Zeina Al-Kanaani ◽  
Hanaa Nafady-Hego ◽  
Diana H. Jboor ◽  
...  
Keyword(s):  
Healthcare System ◽  
Clinical Staff ◽  
Nasopharyngeal Swab ◽  
Low Grade ◽  
Full Time ◽  
Risk Of Infection ◽  
Antibody Testing ◽  
National Healthcare ◽  
National Healthcare System ◽  
The Impact

Background While many studies have reported the rate and risk of SARS-CoV-2 infection among healthcare workers (HCWs), there are scant data regarding the impact of employment type and job grades upon such risk. Methods We determined the rate of SARS-CoV-2 infection based on a positive nasopharyngeal swab (NPS) PCR among employees of a large national healthcare system. Antibody testing was performed on those who agreed to provide a blood sample. Using logistic regression analysis, we determined the risk of infection (PCR+) associated with demographic characteristics, job family and job grade. Results We identified 35,075 staff (30,849 full-time, 4,226 outsourced) between March 1-October 31, 2020. Among full-time employees, 78.0% had a NPS (11.8% positive). Among outsourced staff, 94.4% had a NPS (31.1% positive). Antibody testing was performed on 33.9% full-time employees (13.0% reactive), and on 39.1% of the outsourced staff (47.0% reactive). PCR-positivity was higher among outsourced staff (31.0% vs. 18.3% in non-clinical and 9.0% in clinical full-time employees) and those in the low-grade vs. mid-grade and high-grade job categories. Male sex (OR 1.88), non-clinical job family (OR 1.21), low-grade job category (OR 3.71) and being an outsourced staff (OR 2.09) were associated with a higher risk of infection. Conclusion HCWs are a diverse population with varying risk of infection. Clinical staff are at a lower risk likely due to increased awareness and infection prevention measures. Risk is higher for those in the lower socioeconomic strata. Infection is more likely to occur in non-healthcare setting than within the healthcare facilities.

REFORMS OF CHINA’S HEALTHCARE SYSTEM AND DEVELOPMENT OF THE MARKET FOR MEDICAL SERVICES DURING THE COVID-19 PANDEMIC

2021 ◽  
pp. 12-32
Author(s):  
Elena Pekhtereva ◽  
Keyword(s):  
United States ◽  
Pharmaceutical Industry ◽  
Chronic Diseases ◽  
Healthcare System ◽  
Chinese Population ◽  
Large Scale ◽  
The United States ◽  
Medical Services ◽  
National Healthcare ◽  
National Healthcare System

The article provides an overview of the state and problems of the healthcare system in China. Since 2009 a large-scale reform of the national healthcare system has been underway, aimed at overcoming the uneven provision of medical services to residents of different regions and different segments of the Chinese population, at reducing the number of chronic diseases and increasing healthcare spendings. Some aspects of the functioning of the medical services market in China, the second largest after the corresponding market in the United States, are also considered. The achievements of the Chinese pharmaceutical industry in the production of vaccines to prevent coronavirus are noted.

A Decision Based Support System Based on GIS Technology

2008 ◽  
pp. 383-390 ◽  
Author(s):  
Vito Albino ◽  
Giuseppe Digregorio ◽  
Guido Sechi
Keyword(s):  
Healthcare System ◽  
Support System ◽  
Healthcare Services ◽  
Continuum Of Care ◽  
Gis Technology ◽  
Continuous Increase ◽  
National Healthcare ◽  
National Healthcare System ◽  
Local Healthcare

The continuous increase of the national expense for the healthcare services, the necessity to adjust the performance of the service of the National Healthcare System to the change of the demand of health coming from the population, and the necessity to evolve towards a logic of integration along a “continuum of care,” push for the reorganization of healthcare services inside the local healthcare district.

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