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Article ; Online: Public health impact of the COVID-19 pandemic on the emergency healthcare system.

Stirparo, G / Oradini-Alacreu, A / Migliori, M / Villa, G F / Botteri, M / Fagoni, N / Signorelli, C / Sechi, G M / Zoli, A

Journal of public health (Oxford, England)

2021 Volume 44, Issue 1, Page(s) e149–e152

Abstract: ... disease 2019 (COVID-19) pandemic in 2020. The emergency healthcare system was under deep stress ... throughout the past year due to the admission of COVID-19 patients to the emergency department (ED) and had to be ...

Abstract	Background: The Lombardy region has been the Italian region most affected by the coronavirus disease 2019 (COVID-19) pandemic in 2020. The emergency healthcare system was under deep stress throughout the past year due to the admission of COVID-19 patients to the emergency department (ED) and had to be thoroughly reorganized. Methods: We performed a retrospective descriptive analysis of patients admitted into the ED recorded in the Lombardy online regional portal called EUOL (Emergenza e Urgenza OnLine). We compared the data registered in the EUOL with the patients admitted to the EDs from 1 January 2019 to 31 December 2019 and from 1 January 2020 to 31 December 2020. Results: The number of admissions to the ED decreased by 32.5% in 2020 compared with 2019, reaching the lowest number in March and April. However, the percentage of patients hospitalized after ED significantly increased in 2020 compared with 2019 (P < 0.0001), reflecting the management of patients with a more severe clinical condition. More patients arrived at the ED by ambulance in 2020 (21.7% in 2020 versus 15.1% in 2019; P < 0.0001), particularly during March and April. Conclusions: This analysis showed the importance of monitoring the pandemic's evolution in order to treat more critically ill patients, despite a lower number of patients.
MeSH term(s)	COVID-19/epidemiology ; Delivery of Health Care ; Emergency Service, Hospital ; Humans ; Pandemics ; Public Health ; Retrospective Studies ; SARS-CoV-2
Language	English
Publishing date	2021-06-21
Publishing country	England
Document type	Journal Article
ZDB-ID	2142082-8
ISSN	1741-3850 ; 1741-3842
ISSN (online)	1741-3850
ISSN	1741-3842
DOI	10.1093/pubmed/fdab212
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Book ; Online ; E-Book: Public policy and the impact of COVID-19 in Europe

Tomala, Magdalena / Prokop, Maryana / Kordonska, Aleksandra

economic, political and social dimensions

(Routledge focus on economics and finance)

2022

Abstract: ... effectiveness of the government. The second is the capacity of states and their healthcare systems in times ... This book analyses Europe's COVID-19 response provided by governments and societies, to assess ... of crisis. The third is society's willingness to adhere to emergency measures and to cooperate ...

Author's details	Magdalena Tomala, Maryana Prokop and Aleksandra Kordonska
Series title	Routledge focus on economics and finance
Abstract	"This book analyses Europe's COVID-19 response provided by governments and societies, to assess its influence on the economy from both a short- and long-term perspective. The authors argue that there are three key factors that determine how successful a given country is. The first is the determination and effectiveness of the government. The second is the capacity of states and their healthcare systems in times of crisis. The third is society's willingness to adhere to emergency measures and to cooperate with authorities. The book examines the government policy of EU states during the pandemic; studies the behaviour of EU societies; reveals the influence of the pandemic crisis on the economy of EU states and formulates a successful strategy to counteract the challenges wrought by the pandemic. The book will appeal to scholars and researchers engaged in the fields of economic and political science, global studies and international relations. Furthermore, it will also be addressed to policy makers of European States as it contains a complex analysis of their policy responses and the corresponding impact on European economy and society"--
Keywords	Economic policy ; COVID-19 Pandemic, 2020 ; Emergency management ; European Union countries
Subject code	362.1962414
Language	English
Size	1 online resource (123 pages)
Publisher	Routledge
Publishing place	Abingdon, Oxon ; New York, NY
Document type	Book ; Online ; E-Book
Note	Includes index.
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	1-00-322253-6 ; 1-003-22253-6 ; 1-000-61965-6 ; 1-03-211989-6 ; 978-1-00-322253-8 ; 978-1-003-22253-8 ; 978-1-000-61965-2 ; 978-1-03-211989-2
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Public Health Response Measures for COVID-19 in Kazakhstan.

Battakova, Zhamilya / Imasheva, Bagdat / Slazhneva, Tatyana / Imashev, Marat / Beloussov, Vyacheslav / Pignatelli, Massimo / Tursynkhan, Aigerim / Askarov, Albert / Abdrakhmanova, Shynar / Adayeva, Assel / Akimbayeva, Anara / Suleimanova, Natalya

Disaster medicine and public health preparedness

2023 Volume 17, Page(s) e524

Abstract: ... impact of the pandemic on health systems, social services, and economic activities. Developed set ... in the Republic of Kazakhstan. The first cases of coronavirus disease 2019 (COVID-19) in Kazakhstan were detected ... on March 13, 2020, among people who arrived from Germany. After declaring the state of emergency ...

Abstract	The article describes measures developed to counter the spread of coronavirus infection in the Republic of Kazakhstan. The first cases of coronavirus disease 2019 (COVID-19) in Kazakhstan were detected on March 13, 2020, among people who arrived from Germany. After declaring the state of emergency in the country, the Ministry of Healthcare of the Republic of Kazakhstan began to formulate and implement a comprehensive package of measures aimed at slowing down and stopping the transmission of infection, preventing outbreaks, ensuring optimal care for all patients, especially the seriously ill, minimizing the negative impact of the pandemic on health systems, social services, and economic activities. Developed set of restrictive measures was approved by the Country Office of Word Health Organization (WHO) in Kazakhstan, being later adapted by the European Union (EU) countries and applied in Kyrgyzstan. In addition, article identifies Kazakhstan's experience in creating epidemiological surveillance systems, studying virus mutations, and the clinical aspects of dealing with it to combat the infection. It also indicates the impact of the epidemic on health-care workers and the development of measures to protect them, strengthening infection prevention, and control in medical organizations.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Public Health ; Kazakhstan/epidemiology ; Delivery of Health Care ; Pandemics/prevention & control
Language	English
Publishing date	2023-11-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2023.181
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Article: [Development and applications of digital public health].

Han, Y T / Lyu, J / Yu, C Q / Li, L M

Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi

2022 Volume 43, Issue 6, Page(s) 791–797

Abstract: ... in the prevention and control of infectious diseases, greatly enhancing the capacity of public health system ... undergoing a digital transformation. The COVID-19 pandemic has accelerated the wide use of digital technology ... Rapidly upgraded digital technology has impacted all walks of life, and public health field is also ...

Abstract	Rapidly upgraded digital technology has impacted all walks of life, and public health field is also undergoing a digital transformation. The COVID-19 pandemic has accelerated the wide use of digital technology in the prevention and control of infectious diseases, greatly enhancing the capacity of public health system in emergency response and routine disease prevention and control. This article summarizes the definition of digital public health, applications of digital technology in the prevention and control of infectious diseases and chronic non-communicable diseases, as well as in public health surveillance, discusses the challenges in the development of digital public health and introduces the eight principles for digital transformation of public health proposed by the Pan American Health Organization.
MeSH term(s)	COVID-19 ; Delivery of Health Care ; Humans ; Pandemics/prevention & control ; Public Health ; Public Health Surveillance
Language	Chinese
Publishing date	2022-06-20
Publishing country	China
Document type	Journal Article
ZDB-ID	645026-x
ISSN	0254-6450
ISSN	0254-6450
DOI	10.3760/cma.j.cn112338-20220314-00184
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Article ; Online: Precision public-health intervention for care coordination: a real-world study.

Andrade, Andre Q / Calabretto, Jean-Pierre / Pratt, Nicole L / Kalisch-Ellett, Lisa M / Le Blanc, Vanessa T / Roughead, Elizabeth E

The British journal of general practice : the journal of the Royal College of General Practitioners

2023 Volume 73, Issue 728, Page(s) e220–e230

Abstract: ... 19 pandemic, and sent to GPs either digitally to the clinical practice software system or in the post ... appointments during the COVID-19 pandemic than interventions delivered by post.: Design and setting: Real ... the first weeks of COVID-19 social distancing restrictions in Australia. GPs received digital messaging ...

Abstract	Background: Health emergencies disproportionally affect vulnerable populations. Digital tools can help primary care providers find, and reach, the right patients. Aim: To evaluate whether digital interventions delivered directly to GPs' clinical software were more effective at promoting primary care appointments during the COVID-19 pandemic than interventions delivered by post. Design and setting: Real-world, non-randomised, interventional study involving GP practices in all Australian states. Method: Intervention material was developed to promote care coordination for vulnerable older veterans during the COVID-19 pandemic, and sent to GPs either digitally to the clinical practice software system or in the post. The intervention material included patient-specific information sent to GPs to support care coordination, and education material sent via post to veterans identified in the administrative claims database. To evaluate the impact of intervention delivery modalities on outcomes, the time to first appointment with the primary GP was measured; a Cox proportional hazards model was used, adjusting for differences and accounting for pre-intervention appointment numbers. Results: The intervention took place in April 2020, during the first weeks of COVID-19 social distancing restrictions in Australia. GPs received digital messaging for 51 052 veterans and postal messaging for 26 859 veterans. The digital group was associated with earlier appointments (adjusted hazard ratio 1.38 [1.34 to 1.41]). Conclusion: Data-driven digital solutions can promote care coordination at scale during national emergencies, opening up new perspectives for precision public-health initiatives.
MeSH term(s)	Humans ; Emergencies ; Pandemics ; Australia/epidemiology ; COVID-19/epidemiology ; Databases, Factual
Language	English
Publishing date	2023-02-23
Publishing country	England
Document type	Clinical Trial ; Journal Article
ZDB-ID	1043148-2
ISSN	1478-5242 ; 0035-8797 ; 0960-1643
ISSN (online)	1478-5242
ISSN	0035-8797 ; 0960-1643
DOI	10.3399/BJGP.2022.0067
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Article ; Online: Top 10 public health challenges to track in 2023

Don Eliseo Lucero‐Prisno III / Deborah Oluwaseun Shomuyiwa / M. B. N. Kouwenhoven / Thinley Dorji / Goodness Ogeyi Odey / Adriana Viola Miranda / Isaac Olushola Ogunkola / Yusuff Adebayo Adebisi / Junjie Huang / Lin Xu / Joseph Christian Obnial / Aminath Huda / Sarawut Thepanondh / Manuel Millar Dayrit / Salvador B. Evardone / M. D. Lamawansa / Samrawit Solomon Ethiopia / Lydia Aziato / Philip Baba Adongo /

Mohamed Hindolo Samai / Fernando B. Garcia Jr / Joselito F. Villaruz / Indika Mahesh Karunathilake / Hao Li / Patrick Alain Azanza / Ian Findlay / Martin C. S. Wong

Public Health Challenges, Vol 2, Iss 2, Pp n/a-n/a (2023)

Shifting focus beyond a global pandemic

2023

Abstract: Abstract The year 2022 saw COVID‐19 as the primary public health concern, with vaccine rollout and ... and innovative health interventions and practices. To achieve universal healthcare targets for 2030 ... sustainable interventions that effectively reduce health disparities and improve health system responsiveness ...

Abstract	Abstract The year 2022 saw COVID‐19 as the primary public health concern, with vaccine rollout and mandates at the forefront. Other viral infectious diseases, such as Monkeypox and Ebola, emerged as public health concerns. Climate change and political conflicts significantly impacted global health, increasing the demand for humanitarian assistance and protection. In 2023, it remains crucial to identify global and public health priority areas to coordinate and implement effective solutions. Through discussions with public health practitioners and researchers, we have identified key priority areas for 2023, namely, health systems, the mental health crisis, substance abuse, infectious diseases, malnutrition and food insecurity, sexual and reproductive health challenges, environmental pollution, the climate crisis, cancer, and diabetes. These priority areas highlight shared concerns that should be addressed to facilitate proactive and innovative health interventions and practices. To achieve universal healthcare targets for 2030, prioritization, financial investment, international cooperation, and collaboration in addressing these global health challenges are crucial. This requires coordination among public health decision‐makers, the private health sector, and opinion leaders to implement country‐specific healthcare financing and food security measures. Research, scientific knowledge, and technical capacities must be leveraged to produce sustainable interventions that effectively reduce health disparities and improve health system responsiveness to prevent these challenges from progressing to public health emergencies.
Keywords	global health ; health challenges ; health priorities ; public health ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2023-06-01T00:00:00Z
Publisher	Wiley
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: 'You just don't feel like your work goes recognised': healthcare worker experiences of tension related to public discourse around the COVID-19 pandemic.

Timmins, George Thomas / Bandini, Julia I / Ahluwalia, Sangeeta C / Bialas, Armenda / Meredith, Lisa S / Gidengil, Courtney

BMJ leader

2024

Abstract: Objectives: To understand the impact of public discourse and reaction around the COVID-19 pandemic ... with COVID-19 in acute care settings at two health systems in the Western USA. Interviews were conducted ... on healthcare worker (HCW) experiences and well-being caring for patients with COVID-19.: Methods ...

Abstract	Objectives: To understand the impact of public discourse and reaction around the COVID-19 pandemic on healthcare worker (HCW) experiences and well-being caring for patients with COVID-19. Methods: We conducted 60 min in-depth interviews with 11 physicians and 12 nurses who were providing care to patients with COVID-19 in acute care settings at two health systems in the Western USA. Interviews were conducted in Spring-Summer 2022 using a semi-structured interview protocol that guided respondents through different stages of the pandemic. Results: Three themes emerged from the data around providing care in the unique social context of the COVID-19 pandemic including: (1) public polarisation and disagreement with science; (2) feelings of hope and optimism during the pandemic and (3) the compounded strain of providing care within this unique social context of the pandemic. Conclusions: To prepare for future pandemics, improved public health communications and social-emotional supports for HCWs are critical to ameliorate the physical and emotional impacts related to the social context of modern US pandemic response.
Language	English
Publishing date	2024-03-29
Publishing country	England
Document type	Journal Article
ISSN	2398-631X
ISSN (online)	2398-631X
DOI	10.1136/leader-2024-000983
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Article ; Online: Public health emergency and psychological distress among healthcare workers: a scoping review.

Palmer, Jennifer / Ku, Michael / Wang, Hao / Crosse, Kien / Bennett, Alexandria / Lee, Esther / Simmons, Alexander / Duffy, Lauren / Montanaro, Jessie / Bazaid, Khalid

BMC public health

2022 Volume 22, Issue 1, Page(s) 1396

Abstract: ... The current COVID-19 pandemic has already shown to have had significant impact on the mental health ... of mental health interventions at the organizational level for healthcare workers during or after a public health ... job, frontline healthcare workers are at a higher risk of adverse effects to their mental health ...

Abstract	Background: Pandemics and natural disasters are immensely stressful events for frontline healthcare workers, as they provide patient care to a population undergoing the impacts of the disaster while experiencing such impacts to their personal lives themselves. With increased stressors to an already demanding job, frontline healthcare workers are at a higher risk of adverse effects to their mental health. The current COVID-19 pandemic has already shown to have had significant impact on the mental health of healthcare workers with increased rates of burnout, anxiety and depression. There is already literature showing the utility of individual programs at improving mental health, however, interventions at the organizational level are not well explored. This scoping review aims to provide an overview and determine the utility of a systematic review of the current body of literature assessing the effectiveness of mental health interventions at the organizational level for healthcare workers during or after a public health emergency. Methods: Electronic databases such as Medline on OVID, CENTRAL, PsycINFO on OVID and Embase on OVID were searched. A targeted search of the grey literature was conducted to identify any non-indexed studies. The population, concept and context approach was used to develop the eligibility criteria. Articles were included if (1) they assessed the impact of interventions to improve wellbeing or reduce the distress on healthcare personnel, first responders or military actively providing medical care; (2) provided quantitative or qualitative data with clearly defined outcomes that focused on established mental health indicators or qualitative descriptions on distress and wellbeing, validated scales and workplace indicators; (3) focused on organizational level interventions that occurred in a public health crisis. Results: The literature search resulted in 4007 citations and 115 potentially relevant full-text papers. All except 5 were excluded. There were four review articles and one experimental study. There were no other unpublished reports that warranted inclusion. Conclusions: There is a distinct lack of research examining organizational interventions addressing mental resilience and well-being in healthcare workers in disaster settings. A systematic review in this area would be low yield. There is a clear need for further research in this area.
MeSH term(s)	COVID-19/epidemiology ; Health Personnel/psychology ; Humans ; Pandemics ; Psychological Distress ; Public Health
Language	English
Publishing date	2022-07-20
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-022-13761-1
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Article: The Public Health Governance of the COVID-19 Pandemic: A Bibliometric Analysis.

Yang, Keng / Qi, Hanying

Healthcare (Basel, Switzerland)

2022 Volume 10, Issue 2

Abstract: The 2019 global outbreak of COVID-19 has had a huge impact on public health governance systems ... documents and co-cited references. It summarises the global responses to COVID-19, including public health ... interventions and a range of supporting policies based on the features and impacts of the COVID-19 pandemic ...

Abstract	The 2019 global outbreak of COVID-19 has had a huge impact on public health governance systems around the world. In response, numerous scholars have conducted research on public health governance in the context of the COVID-19 pandemic. This paper provides a bibliometric analysis of 1437 documents retrieved from the Web of Science (WoS) core collection database, with 49,695 references. It analyses the research directions, countries of publications, core journals, leading authors and institutions and important publications. The paper also summarises research trends by analysing the co-occurrence of keywords, frequently cited documents and co-cited references. It summarises the global responses to COVID-19, including public health interventions and a range of supporting policies based on the features and impacts of the COVID-19 pandemic. The paper provides comprehensive literary support and clear lines of research for future studies on the governance or regulation of public health emergencies.
Language	English
Publishing date	2022-02-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare10020299
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Article ; Online: The Role of Public Health Emergency Management in Biodefense: A COVID-19 Case Study.

Houser, Ryan Scott

Disaster medicine and public health preparedness

2022 Volume 17, Page(s) e185

Abstract: Introduction: The emergence of the COVID-19 pandemic has had significant impact on human lives ... the applicability of public health emergency management principles to the biodefense structure. A mixed method was ... federal funds and the role of public health emergency management in the evolving landscape of biothreats ...

Abstract	Introduction: The emergence of the COVID-19 pandemic has had significant impact on human lives as well as economic and social stability. The United States has a complicated history with biosecurity as policy making, biodefense activities, and government transparency have historically been in contention. The terror attacks of September 11, 2001 uncovered various weaknesses in the national public health infrastructure that have persisted into the current pandemic. Methods: This study explores the biodefense and public health preparedness landscape for trends in federal support and capacity building. It also investigates the applicability of public health emergency management principles to the biodefense structure. A mixed method was utilized in this study to investigate the qualitative and quantitative factors of the research inquiry. Braun and Clarke's six phase framework for thematic analysis will assist with defining the important information from a review of the literature. The concurrent triangulation design permits that use of qualitative and quantitative data to more accurately define and analyze the relationship among the variables of interest. Results: The results included the identification of 8 common themes of failure during the COVID-19 response: (1) accountable leadership, (2) statutory authorities and policies, (3) inter-agency coordination, (4) coherent data system for situational awareness, (5) strategic national stockpile and supply chain, (6) testing and surveillance, (7) health care system surge capacity and resilience, and (8) federal funds and the role of public health emergency management in the evolving landscape of biothreats, both intentional and natural. Discussion: To counter the increasing biothreats, the United States must invest in revamping the biodefense infrastructure to mimic and support public health emergency preparedness initiatives which will increase our resilience to various biothreats.
MeSH term(s)	Humans ; United States ; COVID-19/epidemiology ; COVID-19/therapy ; Public Health ; Pandemics/prevention & control ; Civil Defense ; Strategic Stockpile
Language	English
Publishing date	2022-05-02
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2022.113
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