scholarly journals Utilization of health care services before and after media attention about fatal side effects of the AstraZeneca vaccine

2021 ◽  
Author(s):  
Vilde Bergstad Larsen ◽  
Mari Grøsland ◽  
Kjetil Elias Telle ◽  
Karin Magnusson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Side Effects ◽  
Health Care Services ◽  
Comparison Group ◽  
Health Care Use ◽  
Specialist Care ◽  
Care Services ◽  
Primary Health ◽  
Care Workers

Objective: To assess whether utilization of health care services for newly vaccinated health care workers changed after media attention about fatal side effects of the AstraZeneca vaccine on March 11th, 2021, and whether changes differed by age, sex, or occupation. Data sources: We utilized individual-level data on health care use, vaccination, employment, and demographics available in the Norwegian emergency preparedness register BeredtC19. Study design: Using an event-study design with a matched comparison group and multiple time periods, we compared the change in primary and inpatient specialist care use for vaccinated health care workers from 14 days before to 14 days after the information shock on March 11th, 2021. Data collection: Not applicable. Principal findings: Primary health care use rose sharply by 66% (95%CI 60.7 to 71.3) the week following March 11th for those vaccinated with AstraZeneca (n = 87,632), compared with no rise for the unvaccinated comparison group (n = 175,264). Utilization of inpatient care also rose by 20% (95%CI -3.7 to 43.7) in week one and 61% (95%CI 27.1 to 94.9) in week two after March 11th. The sharpest increase in primary health care use was found for women aged 18-44 (83%, 95%CI 76.6 to 89.5) and for cleaners working in the health care sector (103 %, 95%CI 36.1 to 166.9). Conclusions: Health care use was highly affected by the media reports of a few fatal or severe side effects of the AstraZeneca vaccine. Our results suggest that the reports did not only lead vaccinated individuals to contact primary health care more, but also that physicians referred and treated more cases to specialist care because of the new information.

scholarly journals Utilization of health care services before and after media attention about fatal side effects of the AstraZeneca vaccine: a nation-wide register-based event study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vilde Bergstad Larsen ◽  
Mari Grøsland ◽  
Kjetil Telle ◽  
Karin Magnusson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Side Effects ◽  
Health Care Workers ◽  
Health Care Services ◽  
Health Care Use ◽  
Specialist Care ◽  
Media Attention ◽  
Primary Health ◽  
Care Workers

Abstract Background Survey studies have found that vaccinated persons tend to report more side effects after being given information about side effects rather than benefits. However, the impact of high media attention about vaccine-related side effects on the utilization of health care is unknown. We aimed to assess whether utilization of health care services for newly vaccinated health care workers changed after media attention about fatal side effects of the AstraZeneca vaccine on March 11th, 2021, and whether changes differed by age, sex, or occupation. Methods We utilized individual-level data on health care use, vaccination, employment, and demographics available in the Norwegian emergency preparedness register Beredt C19. In all 99,899 health care workers in Norway who were vaccinated with AstraZeneca between February 11th and March 11th, we used an event-study design with a matched comparison group to compare the change in primary and inpatient specialist care use from 14 days before to 14 days after the information shock on March 11th, 2021. Results Primary health care use increased with 8.2 daily consultations per 1000 health care workers (95% CI 7.51 to 8.89) the week following March 11th for those vaccinated with AstraZeneca (n = 99,899), compared with no increase for the unvaccinated comparison group (n = 186,885). Utilization of inpatient care also increased with 0.8 daily hospitalizations per 1000 health care workers (95% CI 0.37 to 1.23) in week two after March 11th. The sharpest increase in daily primary health care use in the first week after March 11th was found for women aged 18–44 (10.6 consultations per 1000, 95% CI 9.52 to 11.68) and for cleaners working in the health care sector (9.8 consultations per 1000, 95% CI 3.41 to 16.19). Conclusions Health care use was higher after the media reports of a few cases of fatal or severe side effects of the AstraZeneca vaccine. Our results suggest that the reports did not only lead vaccinated individuals to contact primary health care more, but also that physicians referred and treated more cases to specialist care after the new information.

scholarly journals Primary health care psychiatry

2008 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
J L Roos
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Health Care Services ◽  
Font Size ◽  
Intensive Training ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Care Workers

<div style="left: 73.788px; top: 351.428px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.886868);" data-canvas-width="406.22999999999996">Much needs to be done to improve psychiatric care in South</div><div style="left: 73.788px; top: 374.757px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.905417);" data-canvas-width="406.16999999999996">Africa. Resources need to be developed, particularly in rural</div><div style="left: 73.788px; top: 398.087px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.914111);" data-canvas-width="406.16999999999985">areas, and psychiatric services need to be better integrated</div><div style="left: 73.788px; top: 421.416px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.855137);" data-canvas-width="406.2899999999999">into primary health care services. This process will include the</div><div style="left: 73.788px; top: 444.746px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.905584);" data-canvas-width="406.24499999999995">intensive training of mental health care workers. If we look at the</div><div style="left: 73.788px; top: 468.075px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.893698);" data-canvas-width="406.27500000000015">training of primary care physicians, their rotation during the 2-year</div><div style="left: 73.788px; top: 491.405px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.9028);" data-canvas-width="406.21500000000003">internship falls short in psychiatry. It is not seen as a mainstream</div><div style="left: 73.788px; top: 514.734px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.886965);" data-canvas-width="406.21500000000015">rotation point like disciplines such as surgery or internal medicine.</div><div style="left: 73.788px; top: 538.064px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.921503);" data-canvas-width="406.26000000000005">This fact, as well as a more student-centred approach and</div><div style="left: 73.788px; top: 561.393px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.923528);" data-canvas-width="406.26">emphasis on self-learning in medical curricula, make the search</div><div style="left: 73.788px; top: 584.723px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.910728);" data-canvas-width="406.20000000000005">for an appropriate prescribed textbook in psychiatry an important</div><div style="left: 73.788px; top: 608.052px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.845747);" data-canvas-width="34.14000000000001">issue.</div>

scholarly journals Career commitment and career entrenchment among Primary Health Care workers

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Luciano Garcia Lourenção ◽  
Jacqueline Flores de Oliveira ◽  
Francisco Rosemiro Guimarães Ximenes Neto ◽  
Carlos Leonardo Figueiredo Cunha ◽  
Sandra Verónica Valenzuela-Suazo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Career Commitment ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Health ◽  
Care Workers

ABSTRACT Objective: Assess levels of career commitment and career entrenchment among Primary Health Care workers. Methods: This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM). Results: Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0]. Conclusion: The highest scores were obtained in Career commitment, showing the workers’ identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.

scholarly journals Portugal's primary health care human resources assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Human Resources ◽  
Health Professional ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

Supporting Young People at School With High Mental Health Needs

2005 ◽  
Vol 15 (2) ◽  
pp. 137-155 ◽  
Author(s):  
Debra Rickwood
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Young People ◽  
School Environment ◽  
Health Care Services ◽  
Mental Health Problems ◽  
School Setting ◽  
Care Services ◽  
Primary Health

AbstractFor young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must work in collaboration with the young people themselves, their families, and other support services within the community, particularly primary health care services, including general practice. The importance of developing effective partnerships and care pathways between schools and the primary health care sector is being increasingly acknowledged, and initiatives such as MindMatters Plus GP have advanced our understanding in this area.

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