The European Union’s post-pandemic strategies for public health, economic recovery, and social resilience

Goniewicz, Krzysztof; Khorram-Manesh, Amir; Burkle, Frederick M.; Hertelendy, Attila J.; Goniewicz, Mariusz

doi:10.1016/j.glt.2023.10.003

Cited by 29 publications

(18 citation statements)

References 31 publications

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“…In this post-pandemic context, it is unclear if the diagnosis of ARIs will continue to be a public health priority, although robust testing has been recognized as an essential part of developing a more resilient healthcare system in Europe [ 223 ]. This is concerning, as this review did not find robust evidence of increased use of rapid testing for ARIs in the year following the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

The Role and Value of Professional Rapid Testing of Acute Respiratory Infections (ARIs) in Europe: A Special Focus on the Czech Republic, Poland, and Romania

Drevinek,

Flisiak,

Nemes

et al. 2024

Diagnostics

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This review aims to explore the role of professional diagnostic rapid testing of acute respiratory infections (ARIs), especially COVID-19 and influenza, ensuring proper disease management and treatment in Europe, and particularly in Czech Republic, Poland, and Romania. The paper was constructed based on a review of scientific evidence and national and international policies and recommendations, as well as a process of validation by four experts. The development of new testing technologies, treatment options, and increased awareness of the negative multidimensional impact of ARI profiles transformed differential diagnosis into a tangible and desirable reality. This review covers the following topics: (1) the multidimensional impact of ARIs, (2) ARI rapid diagnostic testing platforms and their value, (3) the policy landscape, (4) challenges and barriers to implementation, and (5) a set of recommendations illustrating a path forward. The findings indicate that rapid diagnostic testing, including at the point of care (POC), can have a positive impact on case management, antimicrobial and antibiotic stewardship, epidemiological surveillance, and decision making. Integrating this strategy will require the commitment of governments and the international and academic communities, especially as we identified room for improvement in the access and expansion of POC rapid testing in the focus countries and the inclusion of rapid testing in relevant policies.

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Section: Discussionmentioning

confidence: 99%

The Role and Value of Professional Rapid Testing of Acute Respiratory Infections (ARIs) in Europe: A Special Focus on the Czech Republic, Poland, and Romania

Drevinek,

Flisiak,

Nemes

et al. 2024

Diagnostics

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“…The study’s findings are a clarion call for health systems to enhance their adaptability and resilience, especially in rural areas where disparities in healthcare access and efficiency became more pronounced during the pandemic [ 43 , 44 ]. The increased hospitalization lengths during the pandemic also prompt a critical evaluation of healthcare processes, aiming to balance care quality with operational efficiency.…”

Section: Discussionmentioning

confidence: 99%

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic

Jojczuk,

Naylor,

Serwin

et al. 2024

JCM

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Introduction: Traumatic injuries are a significant global health concern, with profound medical and socioeconomic impacts. This study explores the patterns of trauma-related hospitalizations in the Lublin Province of Poland, with a particular focus on the periods before and during the COVID-19 pandemic. Aim of the Study: The primary aim of this research was to assess the trends in trauma admissions, the average length of hospital stays, and mortality rates associated with different types of injuries, comparing urban and rural settings over two distinct time periods: 2018–2019 and 2020–2021. Methods: This descriptive study analyzed trauma admission data from 35 hospitals in the Lublin Province, as recorded in the National General Hospital Morbidity Study (NGHMS). Patients were classified based on the International Classification of Diseases Revision 10 (ICD-10) codes. The data were compared for two periods: an 11-week span during the initial COVID-19 lockdown in 2020 and the equivalent period in 2019. Results: The study found a decrease in overall trauma admissions during the pandemic years (11,394 in 2020–2021 compared to 17,773 in 2018–2019). Notably, the average length of hospitalization increased during the pandemic, especially in rural areas (from 3.5 days in 2018–2019 to 5.5 days in 2020–2021 for head injuries). Male patients predominantly suffered from trauma, with a notable rise in female admissions for abdominal injuries during the pandemic. The maximal hospitalization days were higher in rural areas for head and neck injuries during the pandemic. Conclusions: The study highlights significant disparities in trauma care between urban and rural areas and between the pre-pandemic and pandemic periods. It underscores the need for healthcare systems to adapt to changing circumstances, particularly in rural settings, and calls for targeted strategies to address the specific challenges faced in trauma care during public health crises.

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“…24 Sustainable healthcare, in this context, hinges on the ability to uphold ethical standards while navigating complex and often rapidly evolving scenarios. 25,26 Our study highlights the need for sustainable ethical frameworks in emergency medicine, which are essential for ensuring not only the immediate well-being of patients but also the long-term resilience of healthcare systems in an era marked by frequent and unpredictable public health challenges.…”

mentioning

confidence: 93%

Ethical Awareness and Practices Among Emergency Department Personnel in Riyadh’s Tertiary Hospitals: A Cross-Sectional Analysis

Al-Wathinani,

AlHokair,

Almeshari

et al. 2024

RMHP

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Introduction Ethical dilemmas in healthcare, particularly in emergency medical services (EMS), present significant challenges for healthcare workers (HCWs), necessitating a profound understanding of ethics and decision-making. This study assesses the ethical awareness and practices among HCWs in emergency departments of tertiary hospitals in Saudi Arabia, aiming to identify areas of strength and opportunities for improvement. Methods A cross-sectional survey was conducted among 256 HCWs, including physicians, nurses, and administrative staff, in emergency departments across tertiary hospitals in Riyadh, Saudi Arabia. The questionnaire evaluated participants’ knowledge of healthcare ethics, their experiences with ethical dilemmas, and the sources from which they derived their ethical understanding. Results The majority of participants exhibited a commendable level of ethical knowledge and practice, with frequent encounters of ethical or legal issues highlighting the pervasive nature of ethical challenges in emergency healthcare settings. Key sources of ethical knowledge included experiential learning and academic lectures, with a notable emphasis on practical experience. Despite the satisfactory level of ethical awareness, areas requiring further educational focus were identified, emphasizing the need for enhanced ethics training tailored to the emergency medical context. Discussion The findings underline the critical importance of incorporating ethics into the core of healthcare education and ongoing professional development for HCWs. Establishing a culture of continuous ethical dialogue and learning is essential for fostering patient-centered care and making informed ethical decisions in the fast-paced environment of emergency services. The study advocates for revising current ethics training programs to ensure they are comprehensive, relevant, and accessible, preparing HCWs to effectively address both current and future ethical challenges.

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The European Union’s post-pandemic strategies for public health, economic recovery, and social resilience

Cited by 29 publications

References 31 publications

The Role and Value of Professional Rapid Testing of Acute Respiratory Infections (ARIs) in Europe: A Special Focus on the Czech Republic, Poland, and Romania

The Role and Value of Professional Rapid Testing of Acute Respiratory Infections (ARIs) in Europe: A Special Focus on the Czech Republic, Poland, and Romania

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic

Ethical Awareness and Practices Among Emergency Department Personnel in Riyadh’s Tertiary Hospitals: A Cross-Sectional Analysis

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