European Journal of Public Health最新文献_第5页

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae134

Vasiliy Vlassov

引用次数: 0

An integrated pathway for influenza vaccination across primary and secondary care using a clinical decision support system: model definition and predictive impact analysis. 使用临床决策支持系统在初级和中级医疗机构开展流感疫苗接种的综合路径：模型定义和预测影响分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae137

Maria Lucia Specchia, Flavia Beccia, Maria Gabriella Cacciuttolo, Diego Maria Tona, Matteo Di Pumpo, Martina Porcelli, Alberto Lontano, Valerio Flavio Corona, Patrizia Laurenti, Stefania Boccia, Roberta Pastorino

{"title":"An integrated pathway for influenza vaccination across primary and secondary care using a clinical decision support system: model definition and predictive impact analysis.","authors":"Maria Lucia Specchia, Flavia Beccia, Maria Gabriella Cacciuttolo, Diego Maria Tona, Matteo Di Pumpo, Martina Porcelli, Alberto Lontano, Valerio Flavio Corona, Patrizia Laurenti, Stefania Boccia, Roberta Pastorino","doi":"10.1093/eurpub/ckae137","DOIUrl":"10.1093/eurpub/ckae137","url":null,"abstract":"Influenza is an important public health issue given its significant burden of disease. In Italy, the unsatisfactory coverage rate in people ≥65 years underlines the need to improve the current vaccination pathway. This study aims to define an integrated pathway across primary and secondary care, facilitated by a digital clinical decision support system (CDSS), to enhance vaccination coverage in people ≥65 years by actively recruiting patients in hospitals and administering vaccination. Moreover, the study seeks to gauge the potential epidemiological and economic impact of this approach. The methodology consisted of two main phases: definition of the integrated pathway and CDSS and estimation of the potential epidemiological and economic impact resulting from the implementation of the pathway in the whole Lazio region. Assuming an increase of influenza vaccination coverage from the current rate of 60% to 65% in ≥65 years old population in the Lazio region thanks to the pathway implementation, an increase of 8% in avoided influenza cases, avoided influenza- or pneumonia-related hospitalizations and avoided influenza-related outpatient visits was estimated with a relative increase in savings for hospitalizations and outpatient visits of up to 11.85%. Setting the vaccination coverage at 70%, the impact is doubled. Alongside offering a predictive estimate of the pathway's potential impact, both epidemiological and economic, this project, with its robust methodology, may serve as a scalable and transferable model for enhancing vaccination coverage at national and international level.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1117-1124"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caesarean section and operative vaginal delivery in Estonia and Finland from 1992 to 2016: registry-based study. 1992年至2016年爱沙尼亚和芬兰的剖腹产和阴道手术分娩：基于登记的研究。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae162

Kaire Sildver, Piret Veerus, Mika Gissler, Katrin Lang, Heti Pisarev

{"title":"Caesarean section and operative vaginal delivery in Estonia and Finland from 1992 to 2016: registry-based study.","authors":"Kaire Sildver, Piret Veerus, Mika Gissler, Katrin Lang, Heti Pisarev","doi":"10.1093/eurpub/ckae162","DOIUrl":"10.1093/eurpub/ckae162","url":null,"abstract":"Proportion of normal deliveries is decreasing worldwide. This study analysed operative vaginal deliveries (OVD) and Caesarean sections (CS) with some background factors in Estonia and Finland from 1992 to 2016. Data on all deliveries from 1992 to 2016 were obtained from the Finnish Medical Birth Registry (1 481 160 births) and the Estonian Medical Birth Registry (356 063 births). Time trends were analysed by joinpoint regression, and factors associated with OVD and CS by logistic regression. Odds ratios with 95% CIs were calculated, adjusted for year, maternal age, foetal birthweight, and use of epidural/spinal anaesthesia. One out of four deliveries were operative in Estonia and in Finland by 2016. By 2016, the Estonian CS rate had tripled to 20.9% and the OVD rate had increased by nine times to 5.6%. In Finland, the CS rate increased slightly to 16.4% while the OVD rate nearly doubled to 9.4%. In Estonia, the incidence of OVD was 24% lower (aOR 0.76, 95% Cl 0.74-0.78) and the incidence of CS 9% higher (aOR 1.09, 95% Cl 1.07-1.10) than in Finland. Use of epidural/spinal anaesthesia and foetal birthweight increased the risk of OVD in both countries, maternal age increased the risk of CS in both countries. Even if the CS and OVD rates are different, operative delivery rates may be similar in different countries. Combined analysis of operative deliveries together with background factors gives a better understanding of the trends in birthcare than monitoring CS rates alone.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1205-1209"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are EU member states ready for the European Health Data Space? Lessons learnt on the secondary use of health data from the TEHDAS Joint Action. 欧盟成员国为欧洲健康数据空间做好准备了吗？从 TEHDAS 联合行动中汲取的健康数据二次利用的经验教训。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae160

Irini A Kessissoglou, Shona M Cosgrove, Linda A Abboud, Petronille Bogaert, Michael Peolsson, Neville Calleja

{"title":"Are EU member states ready for the European Health Data Space? Lessons learnt on the secondary use of health data from the TEHDAS Joint Action.","authors":"Irini A Kessissoglou, Shona M Cosgrove, Linda A Abboud, Petronille Bogaert, Michael Peolsson, Neville Calleja","doi":"10.1093/eurpub/ckae160","DOIUrl":"10.1093/eurpub/ckae160","url":null,"abstract":"The proposal for a regulation on the European Health Data Space (EHDS) contains provisions that would significantly change health data management systems in European member states (MS). This article presents results of a country mapping exercise conducted during the Joint Action 'Towards the European Health Data Space' (TEHDAS) in 2022. It presents the state-of-play of health data management systems in 12 MS and their preparedness to comply with the EHDS provisions. The country mapping exercise consisted of virtual or face-to-face semi-structured interviews to a selection of key stakeholders of the health information systems. A semi-quantitative analysis of the reports was conducted and is presented here, focusing on key aspects related to the user journey through the EHDS. This article reveals a heterogenous picture in countries' readiness to comply with the EHDS provisions. There is a need to improve digitalization and quality of health data at source across most countries. Less than half of the countries visited have or are developing a national datasets catalogue. Although the process to access health data varies, researchers can analyse health data in secure processing environments in all countries visited. Most of the countries use a unique personal identifier for health to facilitate data linkage. The study concluded that the current landscape is heterogeneous, and no member state is fully ready yet to comply with the future regulation. However, there is general political will and ongoing efforts to align health data management systems with the provisions in the EHDS legislative proposal.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1102-1108"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To what extent did mortality from COVID-19 in England and Wales differ for migrants compared to non-migrants in 2020 and 2021? A descriptive, observational study. 2020 年和 2021 年，英格兰和威尔士的 COVID-19 死亡率与非移民相比有多大差异？一项描述性观察研究。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae142

Lucinda Hiam, Jon Minton, Rachel Burns, Martin McKee, Robert W Aldridge

{"title":"To what extent did mortality from COVID-19 in England and Wales differ for migrants compared to non-migrants in 2020 and 2021? A descriptive, observational study.","authors":"Lucinda Hiam, Jon Minton, Rachel Burns, Martin McKee, Robert W Aldridge","doi":"10.1093/eurpub/ckae142","DOIUrl":"10.1093/eurpub/ckae142","url":null,"abstract":"Seventeen percent of people living in the UK are migrants. In high-income countries, migrants have been shown to have better all-cause mortality but worse mortality for some specific causes such as infectious diseases. This observational study aims to quantify the extent to which mortality from coronavirus disease 2019 (COVID-19) differed between migrants and non-migrants for the population of England and Wales, 2020-2021. We use Official National Statistics data to compare mortality from COVID-19 in 2020 and 2021 by country/region of birth, expressed as the standardized mortality ratio with those born in England and Wales as the reference population. Migrants from 17 of 19 countries/regions examined had higher mortality from COVID-19 than non-migrants. The highest mortality was those born in Bangladesh (females SMR = 3.39, 95% CIs 3.09-3.71; males 4.41, 95% CIs 4.09-4.75); Pakistan (females 2.73, 95% CIs 2.59-2.89; males 3.02, 95% CIs 2.89-3.14); and the Caribbean (females 2.03, 95% CIs 1.87-2.20; males 2.48, 95% CIs 2.37-2.60). Migrants born in Antarctica and Oceania (females 0.54, 95% CI 0.42-0.40; males 0.71, 95% CI 0.51-0.88), and North and Central America (females 0.95, 95% CI 0.80-1.11; males 0.85, 95% CI 0.72-0.99) had lower mortality than non-migrants. Most migrant populations had higher mortality from COVID-19 than non-migrants in England and Wales. Policy-makers must work to integrate migration status into routine data collection to inform future research and understand the causes of the inequalities seen.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1149-1156"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Loneliness in the Republic of Srpska: advocating for social prescribing. 塞族共和国的孤独：倡导社会处方。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae148

Sonja Stančić, Strahinja Dimitrijević, Dragana Vidović, Arijana Radić

{"title":"Loneliness in the Republic of Srpska: advocating for social prescribing.","authors":"Sonja Stančić, Strahinja Dimitrijević, Dragana Vidović, Arijana Radić","doi":"10.1093/eurpub/ckae148","DOIUrl":"10.1093/eurpub/ckae148","url":null,"abstract":"This study explores the potential implementation of social prescribing in the Republic of Srpska, Bosnia and Herzegovina, where the approach is non-existent, and supporting structures are underdeveloped despite a recognized need for intervention. As social prescribing gains global recognition for improving health, the study investigates its feasibility in an uncharted area. The research assesses the necessity for social prescribing by examining loneliness rates and healthcare utilization in the Republic of Srpska, a region seldom studied in public health literature. Data from 1231 individuals aged 16-86 were collected in May 2021, marking the first initiative to gather information on loneliness and healthcare usage in the country. Loneliness rates in the Republic of Srpska were comparable to the UK. Using a negative binomial model, the study establishes significant links between loneliness, chronic health conditions, age, and healthcare service utilization. Loneliness, chronic health conditions, and age predict the use of general practitioner services. In the 44-54 and 65+ age groups, loneliness predicts accident and emergency service use. Specialist healthcare services are positively predicted by loneliness, having one chronic health condition, and being above 44 years of age. Notably, a COVID-19 diagnosis negatively predicts the use of all healthcare services. Gender and place of residence do not significantly impact healthcare service utilization. The study concludes that observed loneliness rates and correlated healthcare usage patterns in the Republic of Srpska indicate a need for social prescribing. The paper discusses the feasibility of implementing social prescribing in this particular case.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1073-1078"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Employment in low-skilled jobs as trigger and consequence of poor health-a longitudinal perspective from Germany. 从事低技能工作是健康状况不佳的诱因和后果--来自德国的纵向视角。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae157

Arthur Kaboth, Lena Hünefeld, Ralf Himmelreicher

{"title":"Employment in low-skilled jobs as trigger and consequence of poor health-a longitudinal perspective from Germany.","authors":"Arthur Kaboth, Lena Hünefeld, Ralf Himmelreicher","doi":"10.1093/eurpub/ckae157","DOIUrl":"10.1093/eurpub/ckae157","url":null,"abstract":"Despite evidence of correlations between low-skilled jobs and poor health, the longitudinal perspective on this research topic has been neglected in Germany for decades. Therefore, we investigate (i) the causal relationship between accumulated employment in low- or medium-skilled jobs on self-rated health and (ii) the selective association of self-rated health on transitions from medium- to low-skilled jobs. About 26 313 dependent employees and persons aged 25-50 from 2010 to 2020 in the German Socio-Economic Panel were included. Linear fixed-effects models were used to analyse the impact of accumulated employment in low- or medium-skilled jobs on self-rated health. Linear probability models with fixed effects were calculated to identify the effect of self-rated health on transitions between low- and medium-skilled jobs. Accumulated employment in low-skilled jobs impacts self-rated health significantly. There is no confirmation for accumulated employment in medium-skilled jobs concerning health. Poor self-rated health increases the probability of transitioning from medium- to low-skilled jobs but does not impact the reverse transition. Poor self-rated health can push employees into low-skilled jobs. Against the background of extended working lives and preserving the labour force potential, there is a need for action and research concerning employees in low-skilled jobs.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1052-1058"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing public health in times of conflict. 在冲突时期处理公共卫生问题。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae171

Charlotte Marchandise, Gauden Galea, Ilmo Keskimäki, Floris Barnhoorn

引用次数: 0

Impact of the use of small-area models on estimation of attributable mortality at a regional level. 使用小区域模型对区域一级可归因死亡率估算的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae104

Julia Rey-Brandariz, María I Santiago-Pérez, Cristina Candal-Pedreira, Leonor Varela-Lema, Alberto Ruano-Ravina, Esther López-Vizcaíno, Carla Guerra-Tort, Jasjit S Ahluwalia, Agustín Montes, Mónica Pérez-Ríos

{"title":"Impact of the use of small-area models on estimation of attributable mortality at a regional level.","authors":"Julia Rey-Brandariz, María I Santiago-Pérez, Cristina Candal-Pedreira, Leonor Varela-Lema, Alberto Ruano-Ravina, Esther López-Vizcaíno, Carla Guerra-Tort, Jasjit S Ahluwalia, Agustín Montes, Mónica Pérez-Ríos","doi":"10.1093/eurpub/ckae104","DOIUrl":"10.1093/eurpub/ckae104","url":null,"abstract":"The objective of this study is to assess the impact of applying prevalences derived from a small-area model at a regional level on smoking-attributable mortality (SAM). A prevalence-dependent method was used to estimate SAM. Prevalences of tobacco use were derived from a small-area model. SAM and population attributable fraction (PAF) estimates were compared against those calculated by pooling data from three national health surveys conducted in Spain (2011-2014-2017). We calculated the relative changes between the two estimates and assessed the width of the 95% CI of the PAF. Applying surveys-based prevalences, tobacco use was estimated to cause 53 825 (95% CI: 53 182-54 342) deaths in Spain in 2017, a figure 3.8% lower obtained with the small-area model prevalences. The lowest relative change was observed in the Castile-La Mancha region (1.1%) and the highest in Navarre (14.1%). The median relative change between regions was higher for women (26.1%), population aged ≥65 years (6.6%), and cardiometabolic diseases (9.0%). The differences between PAF by cause of death were never greater than 2%. Overall, the differences between estimates of SAM, PAF, and confidence interval width are small when using prevalences from both sources. Having these data available by region will allow decision-makers to implement smoking control measures based on more accurate data.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1218-1224"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141436751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients like any others? Providing coverage to undocumented migrants in France: effects on access to care and usual source of care. 病人和其他人一样吗？在法国为无证移民提供保险：对获得医疗服务和通常医疗来源的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae143

Antoine Marsaudon, Florence Jusot, Jérôme Wittwer, Paul Dourgnon

{"title":"Patients like any others? Providing coverage to undocumented migrants in France: effects on access to care and usual source of care.","authors":"Antoine Marsaudon, Florence Jusot, Jérôme Wittwer, Paul Dourgnon","doi":"10.1093/eurpub/ckae143","DOIUrl":"10.1093/eurpub/ckae143","url":null,"abstract":"Medical State Assistance is a French public health insurance programme that allows undocumented migrants (UM) to access primary, secondary, and tertiary care services free of user charge, either premium or out-of-pocket. The objective of this study is to assess the effect of Medical State Assistance on access to healthcare services and on usual source of care (USC). We rely on representative data of 1,223 UM attending places of assistance to vulnerable populations in Paris and in the greater area of Bordeaux (France). In this sample, 51% of UM are covered by Medical State Assistance. We use probit and ordinary least square regressions to model healthcare uses of undocumented migrants. The results show that UM covered by Medical State Assistance are more likely to access outpatient healthcare services (by +22.4 percentage points) and less likely to do so on non-governmental organizations (by -6.7 percentage points) than their eligible but uncovered counterpart. Additionally, covered undocumented migrants made 36.9% more medical visits in outpatient healthcare services and 65.4% fewer visits in non-governmental organizations than eligible but uncovered ones. Moreover, covered UM are also more likely to report that primary care services are their USC, in preference to emergency departments and other outpatient care services. UM covered by Medical State Assistance are more likely to consult in outpatient healthcare services.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1157-1162"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0