Covid‐19 has already taught us that the greatest public health challenges of our generation will show no respect for national boundaries, will impact lives and health of people of all nations, and will affect economies and quality of life in unprecedented ways. The types of rapid learning envisioned to address Covid‐19 and future public health crises require a systems approach that enables sharing of data and lessons learned at scale. Agreement on a systems approach augmented by technology and standards will be foundational to making such learning meaningful and to ensuring its scientific integrity. With this purpose in mind, a group of individuals from Spain, Italy, and the United States have formed a transatlantic collaboration, with the aim of generating a proposed comprehensive standards‐based systems approach and data‐driven framework for collection, management, and analysis of high‐quality data. This framework will inform decisions in managing clinical responses and social measures to overcome the Covid‐19 global pandemic and to prepare for future public health crises. We first argue that standardized data of the type now common in global regulated clinical research is the essential fuel that will power a global system for addressing (and preventing) current and future pandemics. We then present a blueprint for a system that will put these data to use in driving a range of key decisions. In the context of this system, we describe and categorize the specific types of data the system will require for different purposes and document the standards currently in use for each of these categories in the three nations participating in this work. In so doing, we anticipate some of the challenges to harmonizing these data but also suggest opportunities for further global standardization and harmonization. While we have scaled this transnational effort to three nations, we hope to stimulate an international dialogue with a culmination of realizing such a system.

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Palabras clave: Abusos sexuales. Adicción. Dependencia afectiva. Mujer. Violencia de género. Abstract. The social alarm generated in recent years caused by the diffusion in the mass media of many cases of gender violence has caused a growing interest by this problem. This fact has stimulated the research, preventive programs and not always fortunate intervention, national plans, strategies and legislations directed to solve this problem. Gender violence is a well-known fact but with large lacks as the incidence of violence and abuses among the collective one of addicted women. The aim of this work was to investigate the reality of the gender violence on addicted women to facilitate to plan strategies that undertake the violence and its consequences of the more efficient actions and in the breast of the processing of the addiction. The methodology was to review the results of the European investigations developed by the drug addictions studies group and gender identity with populations of addicted women since 1998 to 2004. Bibliographical data of studies with the same population are revised in which different types of maltreatment are analyzed. The outcomes showed that the incidence of maltreatment is higher compared with the general female population. Some factors are commented, like submission behaviour and the psychological consequences of sex abuse during the infancy. Also maintenance of the violence on the addict is observed that is initiated in the infancy to continue being an adult suffering violence by hand of its couple or of relatives and acquaintances. Finally some guidelines for the approach of gender violence on addicted women inside the processing of its addiction are recommended.

Today, social and healthcare systems at a global level are facing constant challenges dictated by an increasing mismatch between the demand for care services and the supply of human and economic resources. Such a situation has been exacerbated in the past two years by the Covid-19 pandemic. This has led to an increase in the leverage of digitalisation, which has proved to be a crucial tool for the development and application of new organisational models at both hospital and territorial levels, thus addressing the various criticalities already present in the system. In this sense, the Virtual Hospital has emerged as a potential model for increasing effectiveness and efficiency in delivering sociomedical services. Starting from these premises, an EFTE ( estimate, feedback, talk, estimate) approach was used to acquire an expert consensus within a multidisciplinary panel of academics and healthcare managers of the Veneto Region in Italy. This article reports the expert opinion on the possible application of the Virtual Hospital model in the national context, starting from the existing international evidence and good practices, highlighting the potential advantages and barriers to its implementation. Furthermore, the article analyses the most relevant areas of investment for the development of intangible assets and the acquisition of tangible assets necessary for its implementation.

Résumé De nombreuses études effectuées dans plusieurs pays d’Europe ont démontré que la toxicomanie aujourd’hui touche davantage les femmes que les hommes. Des services d’assistance ont été mis en place pour aider notamment les jeunes femmes toxicomanes avec des enfants à charge, qui souffrent plus que les hommes de ne plus correspondre au modèle traditionnel du rôle de mère dans la société. La famille d’origine est très souvent « responsable » de l’usage des drogues de ces jeunes femmes qui ont, pour la plupart, subi des abus de violence psychique et/ou physique durant leur enfance. Les jeunes mères tendent à reproduire le modèle parental avec leurs enfants et/ou partenaire. L’aide qu’elles doivent recevoir a pour but d’augmenter l’estime de soi, l’autonomie et la prise de conscience afin de briser définitivement la tendance à répéter des situations sociales déséquilibrées. Le réseau des services sociaux devra s’améliorer au travers des compétences des différents experts en question (aussi bien au niveau thérapeutique que judiciaire), ceci afin de trouver des solutions appropriées pour le bien-être, à part égale, du couple mère-enfant et leur insertion progressive dans un contexte social « normal ».