In the midst of the perfect storm: Swift public health actions needed in order to increase societal safety during the COVID-19 pandemic

Pikoulis, Emmanouil; Puchner, Karl Philipp; Riza, Elena; Kakalou, Eleni; Pavlopoulos, Elias; Tsiamis, Costas; Tokakis, Vassileios; Boustras, Georgios; Terzidis, Agis; Karamagioli, Vasiliki

doi:10.1016/j.ssci.2020.104810

Cited by 10 publications

(5 citation statements)

References 9 publications

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“…System emphasis on hospital-based care models ( Baru, 2020 ), including over-emphasis on hospitals and intensive care units in the pandemic response ( Pikoulis et al. , 2020 )…”

Section: Resultsmentioning

confidence: 99%

“…(2020) observe that the dominant focus on intensive care unit (ICU) admissions in the early stages of the pandemic shifted the focus of policymakers away from other important aspects of COVID-19 care where there is arguably greater opportunity for mitigating suffering and enhancing healthcare equity. To address this, Pikoulis et al. (2020 ) argue that the initial focus on hospitals and ICUs in the pandemic should rapidly give way to attention to and investment in future PHC responsiveness.…”

Section: Resultsmentioning

confidence: 99%

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Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context

Edelman

Marten

Montenegro

et al. 2021

Health Policy and Planning

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Since the Alma Ata Declaration of 1978, countries have varied in their progress towards establishing and sustaining comprehensive primary health care (PHC) and realizing its associated vision of ‘Health for All’. International health emergencies such as the coronavirus-19 (COVID-19) pandemic underscore the importance of PHC in underpinning health equity, including via access to routine essential services and emergency responsiveness. This review synthesizes the current state of knowledge about PHC impacts, implementation enablers and barriers, and knowledge gaps across the three main PHC components as conceptualized in the 2018 Astana Framework. A scoping review design was adopted to summarize evidence from a diverse body of literature with a modification to accommodate four discrete phases of searching, screening and eligibility assessment: a database search in PubMed for PHC-related literature reviews and multi-country analyses (Phase 1); a website search for key global PHC synthesis reports (Phase 2); targeted searches for peer-reviewed literature relating to specific components of PHC (Phase 3) and searches for emerging insights relating to PHC in the COVID-19 context (Phase 4). Evidence from 96 included papers were analysed across deductive themes corresponding to the three main components of PHC. Findings affirm that investments in PHC improve equity and access, healthcare performance, accountability of health systems and health outcomes. Key enablers of PHC implementation include equity-informed financing models, health system and governance frameworks that differentiate multi-sectoral PHC from more discrete service-focussed primary care, and governance mechanisms that strengthen linkages between policymakers, civil society, non-governmental organizations, community-based organizations and private sector entities. Although knowledge about, and experience in, PHC implementation continues to grow, critical knowledge gaps are evident, particularly relating to country-level, context-specific governance, financing, workforce, accountability and service coordination mechanisms. An agenda to guide future country-specific PHC research is outlined.

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“…System emphasis on hospital-based care models ( Baru, 2020 ), including over-emphasis on hospitals and intensive care units in the pandemic response ( Pikoulis et al. , 2020 )…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context

Edelman

Marten

Montenegro

et al. 2021

Health Policy and Planning

View full text Add to dashboard Cite

show abstract

“…Overall, there is a strong need to promote health actions to increase societal safety, safety culture, and safety climate (Clarke, 2019). Socially vulnerable groups should not be neglected in this context as well (Pikoulis et al, 2020), and neurominorities certainly belong to this group. Therefore, the Ability, Motivation, and Opportunity (AMO) framework introduced by Kellner et al (2019) was recently adopted by Szulc et al (2021) to explore the perspective of well-being of neurodivergent employees.…”

Section: Autism and Well-beingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How can the work environment be redesigned to enhance the well-being of individuals with autism?

Tomczak

2022

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PurposeThis article examines the opportunities to create optimal conditions for individuals with autism, to work successfully within the contemporary workplace and improve their well-being. These opportunities arise from digital technology (DT) development, enabling the work environment to be remodeled by providing new possibilities and ways of working. The author discusses both technology-based as well as non-technological accommodations supporting overcoming the workplace challenges faced by employees with autism.Design/methodology/approachA qualitative research was conducted with the use of in-depth interviews with 21 individuals with expertise in the field.FindingsPossible technology-based work environment modifications and non-technological managerial practices facilitating work integration and the long-term well-being of individuals with autism were proposed. These solutions address four main problems: (1) effective communication; (2) time management, task prioritizing, and organization of work; (3) stress management and emotion control; and (4) sensory sensitivity.Practical implicationsProposed solutions include primarily the wide usage of electronic mediated forms of communicating based on non-direct and non-verbal contact; a flexible approach towards work organization; accurate stress monitoring systems; and an individualized approach toward office space arrangements limiting external stimuli.Originality/valueAll this could lead not only to an increase in employment in individuals on the autism spectrum but also influence the improvement of the job performance of already employed. Modifications introduced could improve the long-term well-being of all employees, both with autism and neurotypical ones.

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“… AĞALAR and ÖZTÜRK ENGİN, 2020 , Bruinen de Bruin et al, 2020 , Pikoulis et al, 2020 , Greenhalgh et al, xxxx , Gunal, 2012 , Günal and Pidd, 2010 , Hignett et al, 2021 , Jin et al, 2021 , Perumalla and Seal, 2012 , Sargent, 2015 , World Health Organization, 2020 .…”

Section: Uncited Referencesmentioning

confidence: 99%

Safety assessment for temporary hospitals during the COVID-19 pandemic: A simulation approach

et al. 2022

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Amid the devastating effects caused by the pandemic of the new Coronavirus (COVID-19), health leaders around the world are adding efforts to search efficient and effective responses in the fight against the disease. Conventional health centers, such as hospitals and emergency departments have been registering an increase in demand and atypical patterns due to the high transmissibility of the virus. In this context, the adoption of Temporary Hospitals (THs) is effective in trying to relieve conventional hospitals and direct efforts in the treatment of suspected and positive patients for COVID-19. However, some requirements should be considered regarding the processes performed by THs to maintain the health and safety of patients and staff. Based on the literature, we evaluated aspects related to patient safety in THs, especially linked to biosafety of medical facilities, and patient transport and visit. We highlight the analysis of flows and layouts, hospital cleaning and patient care. We described two case studies to demonstrate the proposed approach. As result, simulation tests improved safety metrics, such as waiting time for procedures, movement intensity in each area, length of stay and TH capacity. We conclude that the approach allows us to provide better THs that prevent cross-contamination, provide suitable care, and meet the demand.

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In the midst of the perfect storm: Swift public health actions needed in order to increase societal safety during the COVID-19 pandemic

Cited by 10 publications

References 9 publications

Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context

Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context

How can the work environment be redesigned to enhance the well-being of individuals with autism?

Safety assessment for temporary hospitals during the COVID-19 pandemic: A simulation approach

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