Exploring the accessibility of primary health care data in Europe's COVID-19 response: developing key indicators for managing future pandemics (Eurodata study)

被引：1

作者：

Ares-Blanco, Sara ^{[1
,2
,3
]}

Guisado-Clavero, Marina ^{[4
]}

Lygidakis, Charilaos ^{[5
]}

Fernandez-Garcia, Maria ^{[6
,7
]}

Petek, Davorina ^{[8
,9
]}

Vinker, Shlomo ^{[10
]}

Li, Donald ^{[11
]}

Stadval, Anna ^{[12
]}

Solves, Jose Joaquin Mira ^{[13
]}

Del Rio, Lourdes Ramos ^{[1
]}

Larrondo, Ileana Gefaell ^{[14
,15
]}

Fitzgerald, Louise ^{[16
]}

Adler, Limor ^{[17
]}

Assenova, Radost ^{[18
]}

Bakola, Maria ^{[19
]}

Bayen, Sabine ^{[20
]}

Brutskaya-Stempkovskaya, Elena ^{[21
]}

Busneag, Iliana-Carmen ^{[22
]}

Divjak, Asja Cosic ^{[23
]}

Pena, Maryher Delphin ^{[24
]}

Domeyer, Philippe-Richard ^{[25
]}

Gjorgjievski, Dragan ^{[26
]}

Gomez-Johansson, Mila ^{[27
]}

Hanzevacki, Miroslav ^{[23
]}

Hoffmann, Kathryn ^{[28
]}

Lnbkob, Okcaha ^{[29
]}

Ivanna, Shushman ^{[29
]}

Jandric-Kocic, Marijana ^{[30
]}

Karathanos, Vasilis Trifon ^{[31
]}

Kirkovski, Aleksandar ^{[32
]}

Knezevic, Snezana ^{[33
]}

Korkmaz, Buesra cimen ^{[34
]}

Kostic, Milena ^{[35
]}

Krzton-Krolewiecka, Anna ^{[36
]}

Heleno, Bruno ^{[37
,38
]}

Nessler, Katarzyna ^{[39
]}

Lingner, Heidrun ^{[40
]}

Murauskiene, Liubove ^{[41
]}

Neves, Ana Luisa ^{[42
,43
]}

Lopez, Naldy Parodi ^{[44
,45
]}

Perjes, Abel ^{[46
]}

Petrazzuoli, Ferdinando ^{[47
]}

Petricek, Goranka ^{[23
]}

Sattler, Martin ^{[48
]}

Saurek-Aleksandrovska, Natalija ^{[49
]}

Seifert, Bohumil ^{[50
]}

Serafini, Alicia ^{[51
]}

Sentker, Theresa ^{[52
]}

Tiili, Paula ^{[53
]}

Torzsa, Peter ^{[54
]}

机构：

[1] Federico Montseny Hlth Ctr, Gerencia Asistencial Atenc Primaria, Serv Madrileno Salud, Madrid, Spain

[2] Inst Invest Sanitaria Gregorio Maranon, Madrid, Spain

[3] SemFYC representat EGPRN European Gen Practitione, Madrid, Spain

[4] Invest Support Multidisciplinary Unit Primary Hlt, Madrid, Spain

[5] Inst Belge Finances Publ, Brussels, Belgium

[6] Serv Madrileno Salud, Ctr Salud Navalcarnero, Gerencia Asistencial Atenc Primaria, Madrid, Spain

[7] IdISSC, Madrid, Spain

[8] Univ Ljubljana, Fac Med, Dept Family Med, Ljubljana, Slovenia

[9] EGPRN, Brussels, Belgium

[10] Tel Aviv Univ & WONCA Europe President, Fac Med, Dept Family Med, Tel Aviv, Israel

[11] World Org Family Doctors WONCA president, Brussels, Belgium

[12] World Org Family Doctors WONCA President, Brussels, Belgium

[13] Univ Miguel Hernandez, Elche, Spain

[14] Fdn Invest & Innovac Biosanitaria Atenc Primaria, Madrid, Spain

[15] Red Invest Cronicidad Atenc Primaria & Promoc Sal, Barcelona, Spain

[16] Royal Coll Phys MRCSI, Irish Coll Gen Practice MICGP, Dublin, Ireland

[17] Tel Aviv Univ, Sackler Fac Med, Dept Family Med, Tel Aviv, Israel

[18] Med Univ Plovdiv, Fac Med, Dept Urol & Gen Practice, Plovdiv, Bulgaria

[19] Univ Ioannina, Fac Med, Sch Hlth Sci, Res Unit Gen Med & Primary Hlth Care, Ioannina, Greece

[20] Univ Lille, Dept Gen Practice, Lille, France

[21] Belarusian State Med Univ, Gen Med Dept, Minsk, BELARUS

[22] Spiru Haret Univ, Occupat Hlth Expert, Bucharest, Romania

[23] Univ Zagreb, Hlth Ctr Zagreb West, Dept Family Med, Zagreb, Croatia

[24] Hop Robert Schuman, Dept Geriatr Med, Luxembourg, Luxembourg

[25] Hellen Open Univ, Sch Social Sci, Patras, Greece

[26] Univ Skopje, Ctr Family Med, Skopje, North Macedonia

[27] Capio Kvillebacken Hlth Ctr, Gothenburg, Sweden

[28] Med Univ Vienna, Gen Practice & Primary Care, Vienna, Austria

[29] Uzhgorod Natl Univ, Med Fac 2, Dept Family Med & Outpatient Care, Uzhgorod, Ukraine

[30] Hlth Ctr Krupana Uni, Republ Srpska, Bosanska Kupra, Bosnia & Herceg

[31] Univ Ioannina Greece, Fac Hlth Sci, Med Dept, Med Educ Unit, Larnax, Cyprus

[32] Ss Cyril & Methodius Univ, Fac Med, Skopje, North Macedonia

[33] Hlth Ctr Kraljevo, Kraljevo, Serbia

[34] Van Gurpinar Dist Publ Hosp, Istambul, Turkiye

[35] Dr Dorde Kovacevic Hlth Ctr, Belgrade, Serbia

[36] Andrzej Frycz Modrzewski Krakow Univ, Dept Family Med, Krakow, Poland

[37] Univ Nova Lisboa, Comprehens Hlth Res Ctr, NOVA Med Sch, Lisbon, Portugal

[38] Reg Hlth Adm Lisbon & Tagus Valley, USF Conchas, Lisbon, Portugal

[39] UJCM Uniwersytet Jagiellonski Coll Med, Dept Family Med, Krakow, Poland

[40] Hannover Med Sch, Ctr Publ Hlth & Healthcare, Hannover, OE, Germany

[41] Vilnius Univ, Inst Hlth Sci, Fac Med, Dept Publ Hlth, Vilnius, Lithuania

[42] Imperial Coll London, London, England

[43] Univ Porto, Fac Med, Porto, Portugal

[44] Narhalsan Kungshojd Hlth Ctr, Gothenburg, Sweden

[45] Sahlgrens Univ Hosp, Dept Clin Pharmacol, Gothenburg, Sweden

[46] Univ Semmelweis, Dept Family Med, Budapest, Hungary

[47] Lund Univ, Ctr Primary Hlth Care Res, Dept Clin Sci Malmo, Malmo, Sweden

[48] European Parliament, Luxembourg, Luxembourg

[49] PZU Femilihelt, Skopje, North Macedonia

[50] Charles Univ Prague, Inst Gen Practice, Fac Med 1, Prague, Czech Republic

来源：

BMC PRIMARY CARE | 2024年 / 25卷 / 01期

关键词：

COVID-19; Epidemiological monitoring; Primary health care; Health information systems; Europe; Health system plan;

D O I：

10.1186/s12875-024-02413-5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background Primary Health Care (PHC) plays a crucial role in managing the COVID-19 pandemic, with only 8% of cases requiring hospitalization. However, PHC COVID-19 data often goes unnoticed on European government dashboards and in media discussions. This project aims to examine official information on PHC patient care during the COVID-19 pandemic in Europe, with specific objectives: (1) Describe PHC's clinical pathways for acute COVID-19 cases, including long-term care facilities, (2) Describe PHC COVID-19 pandemic indicators, (3) Develop COVID-19 PHC activity indicators, (4) Explain PHC's role in vaccination strategies, and (5) Create a PHC contingency plan for future pandemics.Methods A mixed-method study will employ two online questionnaires to gather retrospective PHC data on COVID-19 management and PHC involvement in vaccination strategies. Validation will occur through focus group discussions with medical and public health (PH) experts. A two-wave Delphi survey will establish a European PHC indicators dashboard for future pandemics. Additionally, a coordinated health system action plan involving PHC, secondary care, and PH will be devised to address future pandemic scenarios. Analysis: Quantitative data will be analysed using STATA v16.0 for descriptive and multivariate analyses. Qualitative data will be collected through peer-reviewed questionnaires and content analysis of focus group discussions. A Delphi survey and multiple focus groups will be employed to achieve consensus on PHC indicators and a common European health system response plan for future pandemics. The Eurodata research group involving researchers from 28 European countries support the development.Discussion While PHC manages most COVID-19 acute cases, data remains limited in many European countries. This study collects data from numerous countries, offering a comprehensive perspective on PHC's role during the pandemic in Europe. It pioneers the development of a PHC dashboard and health system plan for pandemics in Europe. These results may prove invaluable in future pandemics. However, data may have biases due to key informants' involvement and may not fully represent all European GP practices. PHC has a significant role in the management of the COVID-19 pandemic, as most of the cases are mild or moderate and only 8% needed hospitalization. However, PHC COVID-19 activity data is invisible on governments' daily dashboards in Europe, often overlooked in media and public debates.

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