scholarly journals School–university knowledge-exchange schemes

2018 ◽  
Vol 2 (1) ◽  
pp. 62-72
Author(s):  
Andrew Morris ◽  
Anna Kristín Sigurðardóttir ◽  
Per H Skoglund ◽  
Tomislav Tudjman
Keyword(s):  
Online Survey ◽  
Knowledge Exchange ◽  
International Study ◽  
European Countries ◽  
Practice Improvement ◽  
Eu Countries ◽  
School Partnership

This article is based on an international study of knowledge-exchange schemes between schools and universities. It describes a number of such schemes in European countries, and offers practical suggestions about factors to be borne in mind when setting up a scheme. It combines the results of an online survey of 13 schemes in 6 EU countries and an analysis of 4 particular schemes in greater depth. The latter include a generic online space, a city-based forum, a university–school partnership and a rural collaboration on a specific issue. Based on these four cases, observations are made about factors that appear to help or hinder the interplay of knowledge exchange and practice improvement. A sequence of stages is suggested to describe the process.

scholarly journals Uptake of biosimilar trastuzumab in Denmark compared with other European countries: a comparative study and discussion of factors influencing implementation and uptake of biosimilars

2021 ◽  
Author(s):  
Samuel Azuz ◽  
Max Newton ◽  
Dorthe Bartels ◽  
Birgitte Klindt Poulsen
Keyword(s):  
Comparative Study ◽  
Market Share ◽  
European Countries ◽  
Sales Volume ◽  
Eu Countries ◽  
Factors Influencing ◽  
European Data ◽  
Similar Strategy ◽  
Rapid Dissemination

Abstract Purpose The aim of this study was to describe the implementation and uptake of biosimilar trastuzumab in Denmark compared with other European countries. Methods European data for usage of trastuzumab was supplied by IQVIA™, using the MIDAS® dataset. A comparison was performed based on market share estimated in sales volume. A separate comparison was undertaken between countries with a full two-fold switch between different biosimilars. Data was collected spanning the time from first registered sales of biosimilar trastuzumab until the 1st quarter of 2020. Results Denmark had the fastest and most thorough uptake of biosimilar trastuzumab compared with other EU countries. After 3 months, the market share of biosimilar trastuzumab had increased to 90% while the second fastest country had a 50% market share after 3 months. Only two other countries had undergone a full second switch between biosimilars, Hungary and Norway. All of the three countries made near complete switches between biosimilars while only Denmark had reduced the use of biooriginator below 10%. Conclusion The implementation of biosimilar trastuzumab in Denmark was rapid and achieved high overall uptake compared with other EU countries. The switch from one biosimilar to another was also achieved quickly and thoroughly. We believe that the rapid dissemination of information and involvement of all stakeholders — administrators, pharmacies, prescribers, nurses, and patients — constitute the backbone of the Danish success. A similar strategy is recommend for biosimilar implementation in other countries.

scholarly journals Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

2021 ◽  
pp. 238008442110119
Author(s):  
M. McNally ◽  
L. Rock ◽  
M. Gillis ◽  
S. Bryan ◽  
C. Boyd ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Return To Work ◽  
Health Care Providers ◽  
Online Survey ◽  
Knowledge Exchange ◽  
Oral Health Care ◽  
Care Providers ◽  
Oral Health Services

Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.

Sustainability reporting in justice systems: a comparative research in two European countries

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Floriana Fusco ◽  
Renato Civitillo ◽  
Paolo Ricci ◽  
Sylwia Morawska ◽  
Katarzyna Pustułka ◽  
...  
Keyword(s):  
Online Survey ◽  
Sustainability Reporting ◽  
European Countries ◽  
Comparative Approach ◽  
Political Debate ◽  
Content Type ◽  
Reporting Practices ◽  
Wide Range ◽  
Current Practices ◽  
Judicial Systems

Purpose That on accountability in public organizations is quite an old debate. Its introduction in judicial systems is, however, still viewed with some suspicion, due to its potential trade-off with independence and impartiality. Nevertheless, the need to respond to the demands for greater transparency and accountability has also pushed judicial organizations to establish a dialogue with a wide range of subjects. This study aims to explore the understanding and the current practices of sustainability reporting currently in place in judicial systems. Design/methodology/approach The study adopts a comparative approach, conducting an online survey in two European countries (Italy and Poland). The survey was built around the research questions and literature and administered between February and March 2020. Specifically, 804 courts were involved, of which 430 are in Italy and 374 in Poland. Findings Findings show that the current practices are still not widespread and there is still a lack of understanding of what sustainability reporting is, and therefore, of what its potential usefulness within the courts could be. Moreover, many differences between the two countries are pointed out, so it is possible to assume that the different cultural and institutional settings influence sustainability reporting practices. Finally, some interesting implications for policymakers are provided. Originality/value Judicial organizations are still poorly investigated in the literature, despite being at the center of a wide public and political debate. Moreover, the international comparative perspective adopted constitutes a further aspect of novelty.

scholarly journals COVID CRISIS AND TOURISM EVOLUTION IN SOME EUROPEAN COUNTRIES: ADAPT TO REALITIES OR REINVENT THE FUTURE?

2021 ◽  
Author(s):  
Jean Vasile Andrei ◽  
◽  
Mihaela Cristina Drăgoi ◽  
Keyword(s):  
Economic System ◽  
Value Chain ◽  
European Countries ◽  
Economic Sectors ◽  
Health Crisis ◽  
Eu Countries ◽  
Synoptic Analysis ◽  
Tourism Sector ◽  
National Economic ◽  
Multiplicative Effects

The health crisis has exerted a significant pressure on the global economic system, implicitly on the evolution of tourism, value chain creation and supply chains, generating shocks on various national economic sectors. In this context, the objective of the paper is to make a brief synoptic analysis on the evolution of the tourism sector in some EU countries. Two periods of time were considered - before the onset of the pandemic (2018-2019) and during the pandemic (in 2020). The results of the analysis confirm the specific trends of reducing the multiplicative effects that tourism has on the economy as well as the decrease, even contracting of the sector, a phenomenon identified through specific analyzed indicators.

scholarly journals SMALL FARMS IN THE AREA STRUCTURE OF AGRICULTURAL HOLDINGS OF THE EUROPEAN UNION COUNTRIES

2020 ◽  
Vol 19 (1) ◽  
pp. 61-70
Author(s):  
Jacek Strojny
Keyword(s):  
Western Europe ◽  
European Countries ◽  
The European Union ◽  
Small Farm ◽  
Objective Criterion ◽  
The Czech Republic ◽  
Eu Countries ◽  
The North ◽  
Southern European Countries ◽  
Agrarian Structure

In spite of the evolution of the agrarian structure in EU countries (particularly in Western Europe) the problem of small agricultural holdings is still relevant, as this form of farming remains functional. The term ‘small farm’ has an ambiguous character. Thus, the study is based on relatively the most objective criterion for identification of small holdings – farms covering areas below 5 ha. The study employs the statistical method of vector elimination, which enables separation of subgroups with similar, homogeneous agrarian structures from among the studied set. The typology of the agrarian structure by means of the taxonomic technique demonstrates how diverse EU countries are with regard to their small agricultural holdings: Southern European countries, some Central European countries, and other states lying in the north of Europe. Additionally, the structure of small agricultural holdings is distinct in Denmark and in the Czech Republic.

Outcomes of Care Among Patients with Gout in Europe: A cross-sectional survey

2021 ◽  
pp. jrheum.210009
Author(s):  
Ritch te Kampe ◽  
Tim L. Jansen ◽  
Caroline van Durme ◽  
Matthijs Janssen ◽  
Gudula Petersen ◽  
...  
Keyword(s):  
Patient Care ◽  
Online Survey ◽  
European Countries ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Mixed Effect ◽  
Physician Visits ◽  
Country Level ◽  
Current Medication ◽  
Gout Flares

Objective To assess health- and patient-centered outcomes in gout across Europe, and explore patient-, care-, and country-level characteristics associated with these outcomes. Methods Patients with self-reported physician-diagnosed gout from 14 European countries completed an online survey. Multivariable mixed-effect logistic and linear regressions were computed for health outcomes (gout flare recurrence) and patient-centered outcomes (patient satisfaction with current medication, and unaddressed goals), accounting for clustering within countries. The role of patient-, care- and country-level factors was explored. Results 1029 patients, predominantly diagnosed by a general practitioner, participated. One or more gout flares were reported by 70% of patients and ≥3 flares by 32%. Gout patients reported 1.1±1.2 unaddressed goals, and 80% were satisfied with current medication. Patients with ≥3 and ≥1 flares were less likely to be treated with urate-lowering therapy (ULT) [OR:0.52(0.39-0.70) and OR:0.38(0.28-0.53), respectively], but more likely to have regular physician visits [OR:2.40(1.79-3.22) and OR:1.77(1.30- 2.41)]. Three or more gout flares were also associated with lower satisfaction [OR:0.39(0.28-0.56)], and more unaddressed goals [B:0.36(0.19-0.53)]. Notwithstanding, the predicted probability of being satisfied was still between 57% and 75% among patients with ≥3 flares but who were not receiving ULT. Finally, patients from wealthier and Northern European countries more frequently had ≥3 gout flares. Conclusion Across Europe, many gout patients remain untreated despite frequent reported flares. Remarkably, a substantial proportion of them were still satisfied with gout management. A better understanding of patients' satisfaction and its role in physicians' gout management decisions is warranted to improve quality of care and gout outcomes across Europe.

scholarly journals ACTION-IO as a platform to understand differences in perceptions, attitudes, and behaviors of people with obesity and physicians across countries – the Israeli experience

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Dror Dicker ◽  
Batya Kornboim ◽  
Rakefet Bachrach ◽  
Naim Shehadeh ◽  
Shani Potesman-Yona ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Online Survey ◽  
International Study ◽  
Direct Patient Care ◽  
Link Type ◽  
Full Responsibility ◽  
Medical Need ◽  
Treatment Of Obesity ◽  
Israeli Experience

Abstract Background Obesity is a highly prevalent, complex, and chronic relapsing disease with a considerable unmet medical need. We aimed to identify perceptions, attitudes, behaviors, and barriers to effective obesity treatment among people with obesity (PwO) and physicians in Israel. Methods The ACTION-IO study was an online survey conducted in 11 countries, including Israel. Findings from the Israeli cohort are reported here. Israeli respondents were PwO (body mass index of ≥30 kg/m2 based on self-reported height and weight) and physicians primarily in direct patient care. Results In total, 750 PwO and 169 physicians completed the survey in Israel. Although most PwO (70%) and physicians (95%) perceived obesity as a chronic disease, the majority of PwO assumed full responsibility for their own weight loss (88%) compared with only 19% of physicians who placed the responsibility for weight loss on their patients with obesity. Many PwO (62%) and physicians (73%) agreed that a complete change in lifestyle would be required for PwO to lose weight and felt that treatment of obesity should be a team effort between different healthcare professionals (HCPs; 80 and 90%, respectively). Dietitians were considered by 82% of physicians to be the most effective professionals in helping PwO achieve their weight loss goals. Many PwO (69%) liked that their HCP initiated weight management discussions and 68% of those who had not previously discussed their weight would like their HCP to initiate the conversation. However, among PwO who had discussed their weight with an HCP, 59% considered the discussions to be a little helpful or not at all helpful. The beliefs that patients have little interest in or motivation for losing weight were identified by physicians as the main reasons (71 and 70%, respectively) for not initiating weight management discussions. Conclusions In line with the ACTION-IO international study, our Israeli dataset reveals a need to improve awareness, primarily among physicians, on the physiologic basis and clinical management of obesity, including how to approach weight and weight management discussions during patient consultations. Trial registration Registered at ClinicalTrials.gov, NCT03584191. Data first posted on ClinicalTrials.gov: 12 July 2018 - ‘Retrospectively registered’.

scholarly journals Delivery of Global Cancer Care: An International Study of Medical Oncology Workload

2018 ◽  
pp. 1-11 ◽  
Author(s):  
Adam Fundytus ◽  
Richard Sullivan ◽  
Verna Vanderpuye ◽  
Bostjan Seruga ◽  
Gilberto Lopes ◽  
...  
Keyword(s):  
Online Survey ◽  
Medical Oncology ◽  
International Study ◽  
Median Number ◽  
Models Of Care ◽  
Annual Number ◽  
Case Volume ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries

Background To our knowledge, there is no literature that has described medical oncology (MO) workload in the global context. Here, we report results of an international study of global MO workload. Methods An online survey was distributed through a snowball method via national oncology societies to chemotherapy-prescribing physicians in 65 countries. Countries were classified into low- or low-middle–income countries (LMICs), upper-middle–income countries (UMICs), and high-income countries (HICs) on the basis of World Bank criteria. Workload was measured as the annual number of new consultations provided to patients with cancer per oncologist. Results A total of 1,115 physicians completed the survey: 13% (147 of 1,115) from LMICs, 17% (186 of 1,115) from UMICs, and 70% (782 of 1,115) from HICs. Eighty percent (897 of 1,115) of respondents were medical oncologists, 10% (109 of 1,115) were clinical oncologists, and 10% (109 of 1,115) were other. The median number of annual consults per oncologist was 175 (interquartile range, 75 to 275); 13% (140 of 1,103) saw ≥ 500 new patients in a year. Annual case volume in LMICs (median consults, 425; 40% of respondents seeing > 500 consults) was substantially higher than in UMICs (median consults, 175; 14% > 500) and HICs (median consults, 175; 7% > 500; P < .001). Among LMICs, UMICs, and HICs, median working days per week were 6, 5, and 5, respectively ( P < .001). The highest annual case volumes per oncologist were in Pakistan (median consults, 950; 73% > 500 consults), India (median consults, 475; 43% > 500), and Turkey (median consults, 475; 27% > 500). Conclusion There is substantial global variation in medical oncology case volumes and clinical workload; this is most striking among LMICs, where huge deficits exist. Additional work is needed, particularly detailed country-level mapping, to quantify activity-based global MO practice and workload to inform training needs and the design of new pathways and models of care.

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