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Primary care indicators for disease burden, monitoring and surveillance of COVID-19 in 31 European countries: Eurodata Study

Ares-Blanco, S. ; Petrazzuoli, F. LU orcid and Lingner, H. (2024) In European Journal of Public Health 34(2). p.402-410
Abstract
Background: During the COVID-19 pandemic, the majority of patients received ambulatory treatment, highlighting the importance of primary health care (PHC). However, there is limited knowledge regarding PHC workload in Europe during this period. The utilization of COVID-19 PHC indicators could facilitate the efficient monitoring and coordination of the pandemic response. The objective of this study is to describe PHC indicators for disease surveillance and monitoring of COVID-19's impact in Europe. Methods: Descriptive, cross-sectional study employing data obtained through a semi-structured ad hoc questionnaire, which was collectively agreed upon by all participants. The study encompasses PHC settings in 31 European countries from March... (More)
Background: During the COVID-19 pandemic, the majority of patients received ambulatory treatment, highlighting the importance of primary health care (PHC). However, there is limited knowledge regarding PHC workload in Europe during this period. The utilization of COVID-19 PHC indicators could facilitate the efficient monitoring and coordination of the pandemic response. The objective of this study is to describe PHC indicators for disease surveillance and monitoring of COVID-19's impact in Europe. Methods: Descriptive, cross-sectional study employing data obtained through a semi-structured ad hoc questionnaire, which was collectively agreed upon by all participants. The study encompasses PHC settings in 31 European countries from March 2020 to August 2021. Key-informants from each country answered the questionnaire. Main outcome: the identification of any indicator used to describe PHC COVID-19 activity. Results: Out of the 31 countries surveyed, data on PHC information were obtained from 14. The principal indicators were: total number of cases within PHC (Belarus, Cyprus, Italy, Romania and Spain), number of follow-up cases (Croatia, Cyprus, Finland, Spain and Turkey), GP's COVID-19 tests referrals (Poland), proportion of COVID-19 cases among respiratory illnesses consultations (Norway and France), sick leaves issued by GPs (Romania and Spain) and examination and complementary tests (Cyprus). All COVID-19 cases were attended in PHC in Belarus and Italy. Conclusions: The COVID-19 pandemic exposes a crucial deficiency in preparedness for infectious diseases in European health systems highlighting the inconsistent recording of indicators within PHC organizations. PHC standardized indicators and public data accessibility are urgently needed, conforming the foundation for an effective European-level health services response framework against future pandemics. © The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association. (Less)
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author
; and
author collaboration
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cost of Illness, COVID-19, Cross-Sectional Studies, Cyprus, Humans, Pandemics, Primary Health Care, coronavirus disease 2019, cost of illness, cross-sectional study, human, pandemic, primary health care
in
European Journal of Public Health
volume
34
issue
2
pages
9 pages
publisher
Oxford University Press
external identifiers
  • scopus:85189873193
  • pmid:38326993
ISSN
1101-1262
DOI
10.1093/eurpub/ckad224
language
English
LU publication?
yes
id
2529daba-578a-4511-90b5-5655a82bc25b
date added to LUP
2024-04-18 11:04:09
date last changed
2024-04-19 03:00:07
@article{2529daba-578a-4511-90b5-5655a82bc25b,
  abstract     = {{Background: During the COVID-19 pandemic, the majority of patients received ambulatory treatment, highlighting the importance of primary health care (PHC). However, there is limited knowledge regarding PHC workload in Europe during this period. The utilization of COVID-19 PHC indicators could facilitate the efficient monitoring and coordination of the pandemic response. The objective of this study is to describe PHC indicators for disease surveillance and monitoring of COVID-19's impact in Europe. Methods: Descriptive, cross-sectional study employing data obtained through a semi-structured ad hoc questionnaire, which was collectively agreed upon by all participants. The study encompasses PHC settings in 31 European countries from March 2020 to August 2021. Key-informants from each country answered the questionnaire. Main outcome: the identification of any indicator used to describe PHC COVID-19 activity. Results: Out of the 31 countries surveyed, data on PHC information were obtained from 14. The principal indicators were: total number of cases within PHC (Belarus, Cyprus, Italy, Romania and Spain), number of follow-up cases (Croatia, Cyprus, Finland, Spain and Turkey), GP's COVID-19 tests referrals (Poland), proportion of COVID-19 cases among respiratory illnesses consultations (Norway and France), sick leaves issued by GPs (Romania and Spain) and examination and complementary tests (Cyprus). All COVID-19 cases were attended in PHC in Belarus and Italy. Conclusions: The COVID-19 pandemic exposes a crucial deficiency in preparedness for infectious diseases in European health systems highlighting the inconsistent recording of indicators within PHC organizations. PHC standardized indicators and public data accessibility are urgently needed, conforming the foundation for an effective European-level health services response framework against future pandemics. © The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.}},
  author       = {{Ares-Blanco, S. and Petrazzuoli, F. and Lingner, H.}},
  issn         = {{1101-1262}},
  keywords     = {{Cost of Illness; COVID-19; Cross-Sectional Studies; Cyprus; Humans; Pandemics; Primary Health Care; coronavirus disease 2019; cost of illness; cross-sectional study; human; pandemic; primary health care}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{402--410}},
  publisher    = {{Oxford University Press}},
  series       = {{European Journal of Public Health}},
  title        = {{Primary care indicators for disease burden, monitoring and surveillance of COVID-19 in 31 European countries: Eurodata Study}},
  url          = {{http://dx.doi.org/10.1093/eurpub/ckad224}},
  doi          = {{10.1093/eurpub/ckad224}},
  volume       = {{34}},
  year         = {{2024}},
}