scholarly journals Post-Coronavirus Disease-2019 (COVID-19): Toward a Severe Multi-Level Health Crisis?

2021 ◽  
Vol 9 (4) ◽  
pp. 68
Author(s):  
Abdelaziz Ghanemi ◽  
Mayumi Yoshioka ◽  
Jonny St-Amand
Keyword(s):  
Healthcare System ◽  
Health Problems ◽  
Decision Makers ◽  
Health Crisis ◽  
Multi Level

There were already numerous challenges facing the healthcare system prior to the ongoing coronavirus disease-2019 (COVID-19) pandemic. Although we look forward to ending this pandemic, it is still expected that the healthcare system will face further challenges leading to a multi-level health crisis. Indeed, after the COVID-19 pandemic, there will still be COVID-19 active cases and those left with health problems following COVID-19 infection who will be of a particular impact. In addition, we also have the health problems that either emerged or worsened during COVID-19, especially with the reduced ability of the healthcare system to take care of many non COVID-19 patients during the COVID-19 pandemic. Such expected evolution of the situation highlights the necessity for the decision-makers to consider applying serious reforms and take quick measures to prevent a post-COVID-19 health crisis.

scholarly journals Expert Advisory Groups: Exploring the Sensemaking Proces s During a Public Health C risis R esponse

2018 ◽  
Author(s):  
Iva Seto ◽  
David Johnstone ◽  
Jennifer Campbell-Meier
Keyword(s):  
Public Health ◽  
Decision Makers ◽  
Process Information ◽  
Unexpected Event ◽  
Health Crisis ◽  
Creation Process ◽  
Public Health Crisis ◽  
Advisory Groups ◽  
Expert Advisory ◽  
Meaning Creation

In a public health crisis, experts (such as epidemiologists, public health officers, physicians and virologists) support key decision  makers with advice in a highly dynamic, pressured,  and time-sensitive context. Experts must process information (to provide advice) as quickly as possible, yet this must be balanced with ensuring the information is credible, reliable,  and relevant. When an unexpected event occurs, it may lead to a gap between what is  experienced and what was expected; sensemaking is a meaning creation process which is engaged to fill the gap. This research explores how experts engage in sensemaking during a  public health crisis.

scholarly journals The Cost Effectiveness of Ecotherapy as a Healthcare Intervention, Separating the Wood from the Trees

2021 ◽  
Vol 18 (21) ◽  
pp. 11599
Author(s):  
Sebastian Hinde ◽  
Laura Bojke ◽  
Peter Coventry
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Mental Health Problems ◽  
Health Benefit ◽  
Cost Effective ◽  
Health Problems ◽  
Healthcare Intervention ◽  
Health Crisis ◽  
Patient Pathways ◽  
Common Mental Health Problems

Internationally, shifts to more urbanised populations, and resultant reductions in engagements with nature, have been a contributing factor to the mental health crisis facing many developed and developing countries. While the COVID-19 pandemic reinforced recent trends in many countries to give access to green spaces more weight in political decision making, nature-based activities as a form of intervention for those with mental health problems constitute a very small part of patient pathways of care. Nature-based interventions, such as ecotherapy, are increasingly used as therapeutic solutions for people with common mental health problems. However, there is little data about the potential costs and benefits of ecotherapy, making it difficult to offer robust assessments of its cost-effectiveness. This paper explores the capacity for ecotherapy to be cost-effective as a healthcare intervention. Using a pragmatic scoping review of the literature to understand where the potential costs and health benefit lie, we applied value of information methodology to identify what research is needed to inform future cost-effectiveness assessments. We show that there is the potential for ecotherapy for people with mild to moderate common mental health problems to be cost-effective but significant further research is required. Furthermore, nature-based interventions such as ecotherapy also confer potential social and wider returns on investment, strengthening the case for further research to better inform robust commissioning.

scholarly journals Mediating Effect of Personal Meaning in the Prediction of Life Satisfaction and Mental Health Problems Based on Coronavirus Suffering

2021 ◽  
Vol 12 ◽  
Author(s):  
Gökmen Arslan ◽  
Murat Yıldırım ◽  
Mega M. Leung
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Mediating Effect ◽  
Personal Meaning ◽  
Health Crisis ◽  
Negative Effect ◽  
Health And Well Being

Research Problem: The onset of the COVID-19 pandemic has triggered a multi-faceted crisis worldwide. Researchers and health authorities in various parts of the world echoed the dire condition of the public's mental health. This study sought to examine the mediating effect of personal meaning on the association between coronavirus (COVID-19)-related suffering, mental health problems, and life satisfaction. Participants included 231 adults (mean age = 46.65 ± 13.98; 68% female) and completed measures of suffering related to COVID-19, meaning, life satisfaction, and mental health problems online.Results: Findings from mediation analysis showed that suffering had significant associations with personal meaning, mental health, and well-being. Furthermore, personal meaning was significantly associated with adults' mental health and well-being and mediated the negative effect of suffering on mental health and well-being.Discussion: Overall, results from this study indicate that personal meaning is an important promotive factor that may help to understand the negative effect of coronavirus-related suffering on mental health and well-being amid the public health crisis.

scholarly journals The use of innovative payment mechanisms for gene therapies in Europe and the USA

2021 ◽  
Author(s):  
Jesper Jørgensen ◽  
Panos Kefalas
Keyword(s):  
Healthcare System ◽  
Therapeutic Potential ◽  
Decision Makers ◽  
Data Uncertainty ◽  
Supporting Evidence ◽  
Reimbursement Mechanisms ◽  
Gene Therapies ◽  
Payment Schemes ◽  
The Usa

Innovative reimbursement mechanisms have long been considered potential solutions to the data uncertainty associated with one-off, high-value gene therapies that have long-term therapeutic potential, combined with limited supporting evidence at launch. The launches of increasing numbers of such gene therapies in Europe and the USA in the past 5 years provide valuable exemplars of how innovative reimbursement mechanisms are used by healthcare system decision makers in practice. This review details the use of such reimbursement schemes for recently launched gene therapies in key European countries and the USA, and shows that they are more widespread in Europe than in the USA. Although innovative payment schemes are increasingly used across countries, differences in healthcare system structures (e.g., single- vs multi-payer systems) and willingness to pay mean that decision makers in different countries have different incentives to manage uncertainties around long-term, real-world product value.

scholarly journals Mental health problems in the general population during and after the first lockdown phase due to the SARS-Cov-2 pandemic: Rapid review of multi-wave studies

2020 ◽  
Author(s):  
Dirk Richter ◽  
Steffi Riedel-Heller ◽  
Simeon Zuercher
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Rapid Review ◽  
Care Utilization ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Crisis ◽  
General Populations ◽  
The Impact

BackgroundThe SARS-Cov-2 pandemic and the lockdown response have increased mental health problems in general populations compared to pre-pandemic times. The course of mental health problems during and after the first lockdown phase has not yet been reviewed.MethodsWe conducted a rapid review of multi-wave studies in general populations with time points during and after the first lockdown phase. Repeated cross-sectional and longitudinal studies were included. The main outcome assessed was whether indicators of mental health problems have changed during and after the first lockdown phase. The study was registered with PROSPERO No. CRD42020218640Findings23 studies with 56 indicators were included in the qualitative review. Studies that reported data from pre-pandemic assessments through lockdown indicated an increase in mental health problems. During lockdown no uniform trend could be identified. After lockdown mental health problems decreased slightly.InterpretationAs mental health care utilization indicators and data on suicides do not suggest an increase in demand during the first lockdown phase, we regard the increase in mental health problems as general distress that is to be expected during a global health crisis. Several methodological, pandemic-related, response-related and health policy-related factors need to be considered when trying to gain a broader perspective on the impact of the first wave of the pandemic and the first phase of lockdown on general populations’ mental health.

scholarly journals The profundity of mental health during the COVID-19 pandemic

2021 ◽  
Vol 10 (2) ◽  
pp. 104-105
Author(s):  
Avilasha Singh
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
The Future ◽  
Physical Health Problems

Mental health has always been stigmatised and overlooked. Since, anxiety and stress are natural responses while facing a threat of new diseases. Hence, this pandemic has shown us the importance of mental health. During this time there have been many triggers that have caused repercussions in people’s mental health. Mental health crisis is on the rise. So, it is important to be able to tackle mental health problems as effectively as physical health problems, not only now but in the future as well, once and for all.

scholarly journals COVID-19: Emergence of Mental Health Upheaval and Transition in Human Future Perspectives: A Qualitative Study

2020 ◽  
Vol 2 (6) ◽  
pp. 94-100
Author(s):  
Saba Khurshid ◽  
Sidra Mumtaz ◽  
Hafsa Khalil Toor ◽  
Rubina Hanif
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Services ◽  
Mental Health Crisis ◽  
Future Perspectives ◽  
Health Crisis ◽  
Major Transition

The outbreak of COVID-19 pandemic is constantly posing warning and creating mental health crisis among people without any discrimination. Therefore, the current study purpose is to explore mental health upheaval and transition in future perspectives due to COVID-19. Using exploratory study design, semi structure interviews were conducted. Interviews were recorded, transcribed and analyzed by using Thematic Content Analysis. The major themes which were identified showed that COVID-19 is constantly eliciting panic and mental health issues such as anxiety, stress, and depression, fears of death, xenophobia, OCD and uncertainty about future among general population. Results also indicated the major transition in public future perspectives and perception. Concern related to adjustability in life after pandemic is major emerging future concern among Pakistani People. During pandemic outbreak, people are becoming vulnerable to different mental health problems. To overcome these issues successfully, role of mental health professionals cannot be denied. There is strong need to devise activities and strategies which help people to increase resilience and build strong relationships during the period of social distancing. This paper gives a deep insight into mental health problems among general population due to COVID-19 and it also implicates need of psychological services to overcome these issues.

scholarly journals The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review

2022 ◽  
Vol 14 (1) ◽  
pp. e2022012
Author(s):  
Annarita Botta ◽  
Gianmarco Lugli ◽  
Matteo Maria Ottaviani ◽  
Guido Ascione ◽  
Alessandro Bruschi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare System ◽  
Public Healthcare ◽  
Healthcare Provision ◽  
Hub And Spoke ◽  
Medical Specialties ◽  
Health Crisis ◽  
Outbreak Period ◽  
Long Term Impact ◽  
The Impact

Background Italy has been one of the countries most affected by the SARS-CoV-2 pandemic and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a potential long-term impact on patient health care. We investigated the management of non-COVID-19 patients across all medical specialties in Italy. Methods A PRISMA guideline-based systematic review of the literature was performed using PubMed, Embase, and Scopus, restricting the search to the main outbreak period in Italy (from 20 February to 22 June, 2020). We selected articles in English or Italian that detailed changes in the Italian hospital care for non-COVID-19 patients due to the pandemic. Our keywords included all medical specialties in combination with our geographical focus (Italy) and COVID-19. Results Of the 4643 potentially eligible studies identified by the search, 247 studies were included. A decrease in the management of emergencies in non-COVID patients was found together with an increase in mortality. Similarly, non-deferrable conditions met a tendency toward decreased diagnosis. All specialties have been affected by the reorganization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine.   Conclusions Our work highlights the changes taking place in the Italian public healthcare system to tackle the developing health crisis due to the COVID-19 pandemic. The findings of our review may be useful to analyze future directions for the healthcare system in the case of new pandemic scenarios.  

scholarly journals How Do the COVID-19 Prevention Measures Interact With Sustainable Development Goals?

2020 ◽  
Author(s):  
Shima Beigi
Keyword(s):  
Sustainable Development ◽  
Sustainable Development Goals ◽  
Preventive Measures ◽  
Lessons Learned ◽  
Decision Makers ◽  
Prevention Measures ◽  
Health Crisis ◽  
Development Goals ◽  
Staying At Home

Washing hands, social distancing and staying at home are the preventive measures set in place to contain the spread of the COVID-19, a disease caused by SARS-CoV-2. These measures, although straightforward to follow, highlight the tip of an imbalanced socio-economic and socio-technological iceberg. Here, a System Dynamic (SD) model of COVID-19 preventive measures and their correlation with the 17 Sustainable Development Goals (SDGs) is presented. The result demonstrates a better informed view of the COVID-19 vulnerability landscape. This novel qualitative approach refreshes debates on the future of SDGS amid the crisis and provides a powerful mental representation for decision makers to find leverage points that aid in preventing long-term disruptive impacts of this health crisis on people, planet and economy. There is a need for further tailor-made and real-time qualitative and quantitative scientific research to calibrate the criticality of meeting the SDGS targets in different countries according to ongoing lessons learned from this health crisis.

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