The Use of COVID-19 Mobile Apps in Connecting Patients with Primary Healthcare in 30 Countries: Eurodata Study

被引：0

作者：

Gomez-Bravo, Raquel ^{[1
,2
]}

Ares-Blanco, Sara ^{[3
,4
,5
]}

Larrondo, Ileana Gefaell ^{[6
,7
]}

Del Rio, Lourdes Ramos ^{[3
]}

Adler, Limor ^{[8
]}

Assenova, Radost ^{[9
]}

Bakola, Maria ^{[10
]}

Bayen, Sabine ^{[11
]}

Brutskaya-Stempkovskaya, Elena ^{[12
]}

Busneag, Iliana-Carmen ^{[13
]}

Divjak, Asja Cosic ^{[14
]}

Pena, Maryher Delphin ^{[15
]}

Domeyer, Philippe-Richard ^{[16
]}

Feldmane, Sabine ^{[17
]}

Fitzgerald, Louise ^{[18
]}

Gjorgjievski, Dragan ^{[19
]}

Gomez-Johansson, Mila ^{[20
]}

Hanzevacki, Miroslav ^{[21
,22
]}

Ilkov, Oksana ^{[23
]}

Ivanna, Shushman ^{[23
]}

Jandric-Kocic, Marijana ^{[24
]}

Karathanos, Vasilis Trifon ^{[25
,26
]}

Ucuncu, Erva ^{[27
]}

Kirkovski, Aleksandar ^{[28
]}

Knezevic, Snezana ^{[29
]}

Korkmaz, Buesra Cimen ^{[30
]}

Kostic, Milena ^{[31
]}

Krzton-Krolewiecka, Anna ^{[32
]}

Kozlovska, Liga ^{[33
,34
]}

Lingner, Heidrun ^{[35
]}

Murauskiene, Liubove ^{[36
]}

Nessler, Katarzyna ^{[37
]}

Lopez, Naldy Parodi ^{[38
]}

Perjes, Abel ^{[39
]}

Petek, Davorina ^{[40
]}

Petrazzuoli, Ferdinando ^{[41
]}

Petricek, Goranka ^{[21
]}

Sattler, Martin ^{[42
]}

Seifert, Bohumil ^{[43
]}

Serafini, Alice ^{[44
]}

Sentker, Theresa ^{[35
]}

Ticmane, Gunta ^{[33
,34
]}

Tiili, Paula ^{[45
,46
]}

Torzsa, Peter ^{[39
]}

Valtonen, Kirsi ^{[45
]}

Vaes, Bert ^{[47
]}

Vinker, Shlomo ^{[8
]}

Neves, Ana Luisa ^{[48
]}

Guisado-Clavero, Marina ^{[49
]}

Astier-Pena, Maria Pilar ^{[50
]}

机构：

[1] Ctr Hosp Neuropsychiat, CHNP, 43 Ave Allies, L-9002 Ettelbruck, Luxembourg

[2] Univ Luxembourg, Inst Hlth & Behav, Dept Behav & Cognit Sci, Res Grp Selfregulat & Hlth, Campus Belval,Maison Sci Humaines 11,Porte Sci, L-4366 Esch Sur Alzette, Luxembourg

[3] Serv Madrileno Salud, Federica Montseny Hlth Ctr, Gerencia Asistencial Atenc Primaria, Ave Albufera 285, Madrid 28038, Spain

[4] Univ Rey Juan Carlos, Sch Hlth Sci, Med Specialties & Publ Hlth, Avda Atenas S N, Alcorcon 28922, Spain

[5] Inst Invest Sanitaria Gregorio Maranon, Calle Dr Esquerdo 46, Madrid 28007, Spain

[6] Fdn Invest & Innovac Biosanit Atenc Primaria FIIB, Madrid 28003, Spain

[7] Res Network Chron Primary Care & Hlth Promot RICA, Madrid 28029, Spain

[8] Tel Aviv Univ, Fac Med, Dept Family Med, IL-6997801 Tel Aviv, Israel

[9] Med Univ Plovdiv, Fac Med, Dept Gen & Clin Pathol, Plovdiv 4000, Bulgaria

[10] Univ Ioannina, Fac Med, Sch Hlth Sci, Res Unit Gen Med & Primary Hlth Care, Ioannina 45110, Greece

[11] Univ Lille Nord France, Fac Henri Warembourg, Dept Med Gen, F-59045 Lille, France

[12] Belarusian State Med Univ, Gen Med Dept, Minsk 220116, BELARUS

[13] Spiru Haret Univ, Fac Phys Educ & Sport, Kinet Therapy & Special Motricity, Bucharest 030045, Romania

[14] Hlth Ctr Zagreb Ctr, Zagreb 10000, Croatia

[15] Hop Robert Schuman, Dept Geriatr Med, L-1130 Luxembourg, Luxembourg

[16] Hellen Open Univ, Sch Social Sci, Patras 26335, Greece

[17] Riga Stradins Univ, Fac Med, Dept Family Med, LV-1007 Riga, Latvia

[18] Royal Coll Phys MRCSI, Irish Coll Gen Practice MICGP, Dublin D02 YN77, Ireland

[19] Univ Skopje, Ctr Family Med, Skopje 1000, North Macedonia

[20] Capio Kvillebacken Hlth Ctr, S-41722 Gothenburg, Sweden

[21] Univ Zagreb, Sch Med, Dept Family Med, Andrija Stampar Sch Publ Hlth, Zagreb 10000, Croatia

[22] Hlth Ctr Zagreb West, Zagreb 10000, Croatia

[23] Uzhgorod Natl Univ, Med Fac, Dept Family Med & Outpatient Care, Narodna Sq 3, UA-88000 Uzhgorod, Transcarpathian, Ukraine

[24] Hlth Ctr Krupa Na Uni, Krupa Na Uni 79227, Bosnia & Herceg

[25] Univ Ioannina, Med Dept, Med Educ Unit, Lab Hyg & Epidemiol,Fac Hlth Sci, Ioannina 45110, Greece

[26] Gen Hlth Syst GHS Cyprus, CY-6037 Larnax, Cyprus

[27] Prof Dr Cemil Tascioglu City Hosp, Dept Family Med, TR-34384 Istanbul, Turkiye

[28] Ss Cyril & Methodius Univ Skopje, Fac Med, Skopje 1000, North Macedonia

[29] Acad Appl Studies Polytech, Dept Med Sci, Belgrade 11000, Serbia

[30] Van Gurpinar Dist Publ Hosp, TR-65900 Gurpinar, Turkiye

[31] Hlth Ctr Dr Dorde Kovacevic, Lazarevac 11550, Serbia

[32] Andrzej Frycz Modrzewski Krakow Univ, Dept Family Med, PL-30705 Krakow, Poland

[33] Riga Stradins Univ, Dept Family Med, LV-1007 Riga, Latvia

[34] Rural Family Doctors Associat Latvia, LV-4501 Balvi, Latvia

[35] Hannover Med Sch, Ctr Publ Hlth & Healthcare, Med Sociol, D-30625 Hannover, Germany

[36] Vilnius Univ, Inst Hlth Sci, Fac Med, Dept Publ Hlth, LT-03101 Vilnius, Lithuania

[37] Uniwersytet Jagiellonski Coll Med UJCM, Dept Family Med, PL-31061 Krakow, Poland

[38] Univ Gothenburg, Sahlgrenska Acad, Dept Pharmacol, S-40530 Gothenburg, Sweden

[39] Semmelweis Univ, Dept Family Med, H-1085 Budapest, Hungary

[40] Univ Ljubljana, Fac Med, Dept Family Med, Vrazov Trg 2, Ljubljana 1000, Slovenia

[41] Lund Univ, Ctr Primary Hlth Care Res, Dept Clin Sci Malmo, S-22100 Malmo, Sweden

[42] European Parliament, L-2929 Luxembourg, Luxembourg

[43] Charles Univ Prague, Inst Gen Practice, Fac Med 1, Albertov 7, Prague 11000, Czech Republic

[44] Univ Modena & Reggio Emilia, Azienda Unit Sanit Locale Modena, Lab EduCare, I-41121 Reggio Emilia, Italy

[45] Cty Vantaa & Kerava, Wellbeing Serv, Communicable Dis & Infect Control Unit, POB 341, Vantaa 01301, Finland

[46] Univ Helsinki, Fac Med, POB 63, Helsinki 00014, Finland

[47] Katholieke Univ Leuven, Dept Publ Hlth & Primary Care, B-3000 Leuven, Belgium

[48] Imperial Coll London, Dept Primary Care & Publ Hlth, London SW7 2AZ, England

[49] Invest Support Multidisciplinary Unit Primary Car, Madrid 28035, Spain

[50] Univ Zaragoza, Univ Hlth Ctr, SALUD Serv Aragones Salud, Andres Vicente 42, Zaragoza 50009, Spain

来源：

HEALTHCARE | 2024年 / 12卷 / 14期

关键词：

app; COVID-19; e-health; health information interoperability; primary healthcare;

D O I：

10.3390/healthcare12141420

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: The COVID-19 pandemic has necessitated changes in European healthcare systems, with a significant proportion of COVID-19 cases being managed on an outpatient basis in primary healthcare (PHC). To alleviate the burden on healthcare facilities, many European countries developed contact-tracing apps and symptom checkers to identify potential cases. As the pandemic evolved, the European Union introduced the Digital COVID-19 Certificate for travel, which relies on vaccination, recent recovery, or negative test results. However, the integration between these apps and PHC has not been thoroughly explored in Europe. Objective: To describe if governmental COVID-19 apps allowed COVID-19 patients to connect with PHC through their apps in Europe and to examine how the Digital COVID-19 Certificate was obtained. Methodology: Design and setting: Retrospective descriptive study in PHC in 30 European countries. An ad hoc, semi-structured questionnaire was developed to collect country-specific data on primary healthcare activity during the COVID-19 pandemic and the use of information technology tools to support medical care from 15 March 2020 to 31 August 2021. Key informants belong to the WONCA Europe network (World Organization of Family Doctors). The data were collected from relevant and reliable official sources, such as governmental websites and guidelines. Main outcome measures: Patient's first contact with health system, governmental COVID-19 app (name and function), Digital COVID-19 Certification, COVID-19 app connection with PHC. Results: Primary care was the first point of care for suspected COVID-19 patients in 28 countries, and 24 countries developed apps to complement classical medical care. The most frequently developed app was for tracing COVID-19 cases (24 countries), followed by the Digital COVID-19 Certificate app (17 countries). Bulgaria, Italy, Serbia, North Macedonia, and Romania had interoperability between PHC and COVID-19 apps, and Poland and Romania's apps considered social needs. Conclusions: COVID-19 apps were widely created during the first pandemic year. Contact tracing was the most frequent function found in the registered apps. Connection with PHC was scarcely developed. In future pandemics, connections between health system levels should be guaranteed to develop and implement effective strategies for managing diseases.

引用

页数：18

共 28 条

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