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

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

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2020.342 ◽

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.

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