Background
COVID-19 became a major public health concern in March 2020. Due to the high rate of hospitalizations for COVID-19 in a short time, health care workers and other involved staff are subjected to a large workload and high emotional distress.
Objective
The objective of this study is to develop a digital tool to provide support resources that might prevent and consider acute stress reactions in health care workers and other support staff due to the COVID-19 pandemic.
Methods
The contents of the digital platform were created through an evidence-based review and consensus conference. The website was built using the Google Blogger tool. The Android version of the app was developed in the Java and XML languages using Android Studio version 3.6, and the iOS version was developed in the Swift language using Xcode version 11.5. The app was evaluated externally by the Andalusian Agency for Healthcare Quality.
Results
We detected the needs and pressing situations of frontline health care workers, and then, we proposed a serial of recommendations and support resources to address them. These resources were redesigned using the feedback received. A website in three different languages (Spanish, English, and Portuguese) and a mobile app were developed with these contents, and the AppSaludable Quality Seal was granted to the app. A specific self-report scale to measure acute stress and additional tools were included to support the health care workforce. This instrument has been used in several Latin American countries and has been adapted considering cultural differences. The resources section of the website was the most visited with 18,516 out of 68,913 (26.9%) visits, and the “Self-Report Acute Stress Scale” was the most visited resource with 6468 out of 18,516 (34.9%) visits.
Conclusions
The Be + against COVID platform (website and app) was developed and launched to offer a pool of recommendations and support resources, which were specifically designed to protect the psychological well-being and the work morale of health care workers. This is an original initiative different from the usual psychological assistance hotlines.
Este trabajo describe la gestión de los recursos humanos y la estrategia de vacunación desde la atención primaria (AP) en doce países europeos en relación con la Pandemia COVID-19. Se ha encontrado que todos los países desarrollaron fórmulas para ampliar el número de efectivos que trabajan en AP. Se incorporaron profesionales para apoyo de los médicos de familia que asumieron tareas bajo la supervisión y coordinación de la medicina de familia. En cuanto a la estrategia vacunal, la Comisión Europea ha tenido un papel crucial en la producción, compra y distribución de las vacunas. La campaña de vacunación ha tenido una participación desigual de la AP según los países ya que la mayor carga se está gestionando desde las direcciones de salud pública de los gobiernos.
Describimos el papel de la Atención Primaria (AP) en doce países europeos en relación con la COVID-19. No existe información oficial a nivel europeo sobre la actividad de AP. Los hallazgos fueron:
Todos los países informaron mediante web y línea telefónica COVID-19 a sus ciudadanos.
El rastreo se realizó a través de Salud Pública mayoritariamente, salvo España, Irlanda y Portugal. La tarea de vigilancia epidemiológica se ha solapado con la asistencial sobrecargando la AP
Las pruebas de detección de infección aguda (PDIA) se realizaron en AP de forma exclusiva en España. En el resto se derivaron a laboratorios externos.
El seguimiento de pacientes ha sido realizado por AP, mayoritariamente no presencial.
La cobertura sanitaria a población vulnerable y a residencias de mayores se ha regulado en todos los países.
Es necesario un plan estratégico para AP en Europa que dé respuesta a los retos planteados.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.