Portuguese Journal of Public Health最新文献

{"title":"Communication and Marketing Management in Patient Safety within Healthcare Organizations: A Scoping Review.","authors":"Maria Diniz Nogueira, Ana Marinho Diniz, Cláudia Tartaglia Reis, Susana Ramos, Paulo Sousa","doi":"10.1159/000546355","DOIUrl":"10.1159/000546355","url":null,"abstract":"<p><strong>Introduction: </strong>Patient safety (PS) is a fundamental pillar of healthcare quality. The effective dissemination of information and knowledge management regarding PS is essential to foster safe practices. Despite significant progress in recent years, gaps remain in how knowledge and information on PS are managed and disseminated across healthcare organizations.</p><p><strong>Objective: </strong>The aim of this study was to map the scientific evidence concerning knowledge management strategies and the dissemination of information related to PS, as implemented by healthcare organizations for healthcare professionals.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology. Searches were performed in Portuguese, English, and Spanish, with no time limitations, across databases including PubMed, Scopus, and Web of Science, as well as grey literature sources such as NOVA Discovery (EBSCO) and selected institutional websites. The review was reported in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines.</p><p><strong>Results: </strong>Of the 247 publications identified, 16 were included. Three principal strategies for PS-related knowledge management emerged: acquisition, dissemination, and mediation. Continuous training and the adoption of innovative educational methodologies were found to enhance knowledge acquisition. Digital platforms and health marketing tools facilitated dissemination. Knowledge mediation was supported by strategic leadership, informal networks, and interdisciplinary partnerships involving risk managers, clinical leaders, and subject matter experts.</p><p><strong>Discussion: </strong>Knowledge management strategies demonstrated potential to strengthen PS, with continuous training, organizational culture, and innovation standing out in knowledge acquisition. Dissemination was effective through digital platforms and marketing, while mediation relied on leaders and managers. Challenges remain, such as validating the impact and updating the content. Future research should assess the impact of these strategies on clinical practice, including the perspectives of patients and carers.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":" ","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12194300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electronic Transfusion Safety System: Characterization of Patient Safety Incidents.","authors":"Marta Haro, Susana Ramos, Teresa Magalhães","doi":"10.1159/000543841","DOIUrl":"10.1159/000543841","url":null,"abstract":"<p><strong>Introduction: </strong>The healthcare system is complex and dynamic, and the implementation of information technology is seen as an important aid to patient safety. Data reveal that 1 in every 10 patients in developed countries is affected by a clinical error. The transfusion process involves several stakeholders and multiple stages with various critical points within the hospital. This study aims to understand patient safety incidents caused by failures in the Electronic Transfusion Safety System (ETSS) based on barcode technology in a hospital setting, from storage to the administration of blood components to the patient.</p><p><strong>Methods: </strong>A retrospective study spanning 3 years (2021-2023) with a mixed-methods approach was chosen. A Focus Group with six experts was conducted, and 136 reports from the anonymized incident reporting database with the typology \"Blood and Blood Products\" from a hospital in Lisbon were analyzed.</p><p><strong>Results: </strong>The ETSS diagram using barcodes allowed for the identification and description of all stages and their stakeholders. The critical points identified were patient identification, multiple relabeling, and transportation. A higher incidence rate of near-miss events was observed during sample collection and prescription.</p><p><strong>Discussion: </strong>This ETSS is hybrid, meaning that it has both human and technological components. Since 96% of the incidents did not cause harm to the patient, error detection and prevention mechanisms are being activated. This study has demonstrated the importance of IT in the transfusion process, as well as the relevance of continuous investment and the involvement of all stakeholders for a better patient safety environment.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":" ","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of High-Intensity Interval Training vs. Moderate-Intensity Continuous Training on Quality of Life and Mental Health in Post-Myocardial Infarction Patients: A Randomized Controlled Trial.","authors":"Catarina Gonçalves, Armando Raimundo, Ana Abreu, João Pais, Jorge Bravo","doi":"10.1159/000545049","DOIUrl":"10.1159/000545049","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate the effects of two exercise-based programs over a short-term 6-week period, compared to a control group (no exercise program), on the quality of life (QoL) and mental health of patients with myocardial infarction (MI).</p><p><strong>Methods: </strong>In this randomized controlled trial, 72 patients with MI were individually randomized (1:1:1) into three groups: HIIT, MICT, and control. Both training programs consisted of 6 weeks of supervised treadmill exercise, three sessions per week. MICT was performed at ≈70-75% of peak heart rate (HR), while HIIT was performed at ≈85-95% of HRpeak. The control group followed standard medical recommendations. Outcome measures included assessments of QoL (SF-36) and anxiety and depression (HADS).</p><p><strong>Results: </strong>In the exercise groups, 6 out of the 8 SF-36 dimensions showed a significant improvement after 6 weeks. The HIIT group exhibited noteworthy enhancements in physical functioning (<i>p</i> = 0.022) and general health dimensions (<i>p</i> = 0.015) compared to the MICT group. Baseline anxiety and depression scores, albeit modestly elevated, substantially decreased following the 6-week exercise interventions in both exercise groups, exhibiting statistical significance compared to the control group (<i>p</i> < 0.001). No significant differences were found between the HIIT and MICT in terms of mental health.</p><p><strong>Conclusion: </strong>Both exercise programs were equally effective in improving QoL and mental health in MI patients. However, the HIIT group showed greater improvements in physical functioning and general health dimensions than the MICT group. Our findings emphasize that abstaining from exercise-based post-MI programs correlates with lower QoL, and higher anxiety and depression scores. This underscores the significance of implementing exercise-based rehabilitation strategies to optimize the recovery and well-being of patients with MI.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":" ","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Data from Routine Primary Healthcare: Opportunities and Threats for Obesity Epidemiological Research.","authors":"Berta Valente, Mónica Rodrigues, João Pedro Ramos, Ana Azevedo","doi":"10.1159/000545337","DOIUrl":"https://doi.org/10.1159/000545337","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Socioeconomic Determinants in Children's Health.","authors":"Tânia Russo, João Pereira","doi":"10.1159/000545167","DOIUrl":"https://doi.org/10.1159/000545167","url":null,"abstract":"<p><p>After many years of being portrayed as a major achievement of the health service, child health in Portugal has recently come under scrutiny after an increase in infant deaths. Commentators have pointed to unequal access to healthcare and poorly monitored pregnancies of migrant mothers as possible causes. In this context, we revisit the socioeconomic determinants of children's health, reflecting on how various factors such as parental income and education, immigration, ethnicity, and social policies exert their influence on child health. Socioeconomic determinants have long been recognised, but their importance is often overlooked in the field of child health. The authors discuss theoretical approaches such as the worlds of influence framework proposed by UNICEF and consider various pathways through which socioeconomic determinants shape children's health, namely, the so-called material, psychological, behavioural, and structural pathways. The authors then move on to consider the empirical literature, drawing attention to factors such as life course, socioeconomic disadvantage, deprived neighbourhoods, poverty and income, household and family characteristics, parental education, ethnic diversity, and immigration. Finally, policy implications are considered, with the authors arguing that a multisectoral and coordinated approach, embracing both social and public health interventions, is required. Guaranteeing universal access to services that promote healthy early child development - including early childcare and education and efforts to reduce childhood poverty - is central to promoting equity. Classic public health policies, such as health surveillance and prevention programs, especially targeted at the preconception period, gestation, and childhood, are also important. In geographical areas with a strong immigrant presence, specific programs designed to facilitate integration should be available. If we are to improve child health and make sure that none are left behind, we need to focus attention on a broad range of socioeconomic determinants.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advocacy for Health and Health Equity: A Call to Public Health Professionals.","authors":"Ana Rita Goes","doi":"10.1159/000545038","DOIUrl":"10.1159/000545038","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"43 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Health Organization's Well-Being Index - WHO-5: Psychometric Performance of the Portuguese Version for Adolescents.","authors":"Paula Saraiva Carvalho, Miguel Vieira Martins, Isabel Azevedo, Ricardo Rodrigues, Sofia Ferreira","doi":"10.1159/000543728","DOIUrl":"10.1159/000543728","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization's Well-Being Index (WHO-5) is a five-item scale designed to measure psychological well-being and is considered effective in detecting depressive symptoms. This scale was translated and validated in more than 30 languages and is used in clinical practice and research worldwide. In Portugal, validation of this scale has yet to be done. This study aimed to analyse the psychometric performance of the WHO-5 scale in the setting of a Portuguese adolescent population.</p><p><strong>Methods: </strong>An observational cross-sectional survey-based study was carried out to assess the emotional state of adolescents resorting to the WHO-5 scale. A sample of 1,916 elementary and secondary school students from grades 7-12 was used.</p><p><strong>Results: </strong>The WHO-5 median score was 17 [14-20], and the best scores were found in males (<i>p</i> < 0.001), in those with no health issues (<i>p</i> < 0.001), those who slept well (<i>p</i> < 0.001), those who practiced sports (<i>p</i> < 0.001), and those who had no difficulties making friends (<i>p</i> < 0.001). Results from the answers to the WHO-5 questionnaire showed good internal consistency with a Cronbach alpha value of 0.80, and a confirmatory factor analysis supported the unidimensional structure of the questionnaire, which was consistent with a valid scale for the study sample.</p><p><strong>Conclusion: </strong>This study showed that the Portuguese version of the WHO-5 can assess psychological well-being in adolescents. The WHO-5 is a simple and readily useable scale that can be applied in routine consultations for screening the emotional state of adolescents and early detection of signs of mental health problems.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"43 1","pages":"38-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Cancer Knowledge among Health Students in Portugal.","authors":"Ana Barros, Madalena Pereiro, Rita Espanha","doi":"10.1159/000542196","DOIUrl":"10.1159/000542196","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer is the second leading cause of death worldwide and its incidence has been increasing. It is estimated that almost half of all cancer cases could be prevented by lifestyles changes. Cancer knowledge may be key to addressing this growing trend. This study focused on health students and its primary objective was to evaluate students' knowledge and perceptions about cancer.</p><p><strong>Methods: </strong>In this study, the tool \"Students Knowledge and Perceptions about Cancer\" was used to retrieve quantitative data about students' knowledge. Their perceptions were evaluated using a Likert scale that ranged from \"Don't know\" to \"Know almost everything.\" This tool was shared on LinkedIn and Facebook, making the sampling method non-probabilistic.</p><p><strong>Results and discussion: </strong>From a sample of 170 health students, 72.4% (123) got more than half of the questions right. Lung cancer is the topic with lower knowledge. Overall, there seems to be a positive statistically significant correlation between students' knowledge and their perceptions about their knowledge (<i>p</i> ≤ 0.05). Despite the satisfactory levels of general knowledge about cancer, there should be more campaigns that are appealing to students that emphasise prevention as a mean to reduce cancer incidence. There is still work to be done to have more awareness among health students, especially regarding risk behaviours and screenings related to cancer. New studies with more representative samples should be conducted.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"43 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DisConnect: Characterisation of Screen Use and Perception of Health Problems in Students from Aveiro, Portugal - A Cross-Sectional Study.","authors":"Fábio Sousa Gomes, José Chen-Xu, Cristina Conceição, Fátima Claro, Emídio Abrantes, Dulce Seabra","doi":"10.1159/000542198","DOIUrl":"10.1159/000542198","url":null,"abstract":"<p><strong>Introduction: </strong>Digitalisation has made technologies an important vehicle for development and learning, especially for children and young people. However, multiple risks of excessive or inappropriate use have been described. This study aimed to characterise the use of screens in young Portuguese students and the association with perceived health problems in the Aveiro municipality.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between September 2019 and April 2020 on students enrolled in schools in the Aveiro municipality of Portugal through a questionnaire applied to 4th, 6th, and 8th graders. A descriptive analysis characterised the screen use, while logistic regressions were utilised to assess association with perceived health outcomes.</p><p><strong>Results: </strong>Four of the 989 students who responded to the questionnaire (0.4%) reported not using any screen device. Around 57% of students reported not taking any device to school. Screen time spent during weekdays was associated with higher reduction in physical activity (adjOR = 2.54, <i>p</i> = 0.019). Receiving a device between 0 and 5 years old showed positive association with body pain (adjOR = 1.62, <i>p</i> = 0.034), and using screens at school was associated with more problems at home (adjOR = 2.04, <i>p</i> = 0.01). Screen use during meals and having screens in the bedroom during sleep were consistently associated with a more negative perception of health outcomes.</p><p><strong>Discussion: </strong>Literature points to a multitude of possible health consequences regarding inadequate or excessive screen use, but most data are based on small samples and a limited number of observations. This is one of the first studies describing screen use among young schoolgoers in Portugal and the first using a big representative sample of Aveiro students. Our study gives some insight on the screen habits of young people in Portugal and demonstrates that some habits can have impact on important aspects such as physical activity, body pain, and family dynamics.</p><p><strong>Conclusion: </strong>Screen use and screen habits have important consequences in multiple aspects of health. Systematic data collection on screen use and its impact on health, including mental health, among schoolgoers is essential, particularly to understand long-term effects and allow effective prevention strategies.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"43 1","pages":"14-25"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health as a Polysemic Construct? Revisiting the Debate about University Students' Unmet Needs.","authors":"Manuel Gonçalves-Pereira","doi":"10.1159/000542629","DOIUrl":"10.1159/000542629","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"42 3","pages":"165-168"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}