Maria Pilar Astier Peña, Raquel Gómez Bravo, Ileana Gefaell Larrondo, Lourdes Ramos Del Rio, José Joaquin Mira, Snežana Knežević, Aleksandar Kirkovski, Büsra Çimen Korkmaz, Milena Kostić, Anna Krztoń-Królewiecka, Anna Segernäs, Heidrun Lingner, Liubovė Murauskienė, Achim Mortsiefer, Katarzyna Nessler, Nagu Penakacherla, Maria Pencheri, Ábel Perjés, Ferdinando Petrazzuoli, Goranka Petricek, Theresa Sentker, Lucia Palandri, Davorina Petek, Bert Vaes, Oksana Ilkov, Erva Kırkoç Üçüncü, Shlomo Vinker, Radost Assenova, Limor Adler, Maria Bakola, Sherihane Bensemmane, Ludmila Bezdíčková, Sabine Bayen, Jako S Burgers, Carmen Busneag, Georgi Tsigarovski, Asja Cosic Divjak, Philippe-Richard J Domeyer, Louise Fitzgerald, Dragan Gjorgjievski, Bruno Heleno, Kathryn Hoffmann, Marijana Jandrić-Kočić, Ana Luísa Neves, Marina Guisado-Clavero, Sara Ares-Blanco, Thomas Frese
{"title":"通过德尔菲分析确定31个欧洲国家初级卫生保健的基本COVID-19指标：Eurodata eDelphi研究","authors":"Maria Pilar Astier Peña, Raquel Gómez Bravo, Ileana Gefaell Larrondo, Lourdes Ramos Del Rio, José Joaquin Mira, Snežana Knežević, Aleksandar Kirkovski, Büsra Çimen Korkmaz, Milena Kostić, Anna Krztoń-Królewiecka, Anna Segernäs, Heidrun Lingner, Liubovė Murauskienė, Achim Mortsiefer, Katarzyna Nessler, Nagu Penakacherla, Maria Pencheri, Ábel Perjés, Ferdinando Petrazzuoli, Goranka Petricek, Theresa Sentker, Lucia Palandri, Davorina Petek, Bert Vaes, Oksana Ilkov, Erva Kırkoç Üçüncü, Shlomo Vinker, Radost Assenova, Limor Adler, Maria Bakola, Sherihane Bensemmane, Ludmila Bezdíčková, Sabine Bayen, Jako S Burgers, Carmen Busneag, Georgi Tsigarovski, Asja Cosic Divjak, Philippe-Richard J Domeyer, Louise Fitzgerald, Dragan Gjorgjievski, Bruno Heleno, Kathryn Hoffmann, Marijana Jandrić-Kočić, Ana Luísa Neves, Marina Guisado-Clavero, Sara Ares-Blanco, Thomas Frese","doi":"10.1093/eurpub/ckaf051","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has underlined the essential role of primary healthcare (PHC) in epidemiological surveillance and public health decision-making. Across Europe, the integration of electronic health records (EHRs) and the sentinel networks have been pivotal in monitoring COVID-19. However, the lack of standardized PHC indicators for COVID-19 hinders the comparability of data among countries.</p><p><strong>Objective: </strong>To establish a consensus on a set of standardized PHC activity indicators related to the COVID-19 pandemic for 31 countries, enhancing the capability of health authorities to make informed decisions and prepare for future health crises.</p><p><strong>Methods: </strong>A two-round eDelphi study was conducted using a structured web-based survey, following the CREDES guidelines, to achieve consensus among a panel of 164 experts from the Eurodata study. 86 Indicators were selected based on their availability during the current pandemic, with participants rating the relevance and utility of proposed indicators.</p><p><strong>Results: </strong>Of the 22 initial indicators, seven received consensuses for inclusion, while two remained contentious after the second round. The study found significant discrepancies in the awareness of sentinel networks and accessibility to PHC data. The consensus emphasized the necessity for indicators to be standardized, reproducible, and easily extractable from databases, with recommendations for disaggregation by age, sex, and vaccination status.</p><p><strong>Conclusion: </strong>Key COVID-19 indicators for PHC were identified, reflecting a consensus among healthcare professionals. Further cooperation between PHC providers and national public health authorities is warranted both on the national and the international level to harmonized healthcare indicators in response to future health emergencies.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1026-1035"},"PeriodicalIF":3.9000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529254/pdf/","citationCount":"0","resultStr":"{\"title\":\"Identifying essential COVID-19 indicators for primary healthcare through Delphi analysis in 31 European countries: Eurodata eDelphi study.\",\"authors\":\"Maria Pilar Astier Peña, Raquel Gómez Bravo, Ileana Gefaell Larrondo, Lourdes Ramos Del Rio, José Joaquin Mira, Snežana Knežević, Aleksandar Kirkovski, Büsra Çimen Korkmaz, Milena Kostić, Anna Krztoń-Królewiecka, Anna Segernäs, Heidrun Lingner, Liubovė Murauskienė, Achim Mortsiefer, Katarzyna Nessler, Nagu Penakacherla, Maria Pencheri, Ábel Perjés, Ferdinando Petrazzuoli, Goranka Petricek, Theresa Sentker, Lucia Palandri, Davorina Petek, Bert Vaes, Oksana Ilkov, Erva Kırkoç Üçüncü, Shlomo Vinker, Radost Assenova, Limor Adler, Maria Bakola, Sherihane Bensemmane, Ludmila Bezdíčková, Sabine Bayen, Jako S Burgers, Carmen Busneag, Georgi Tsigarovski, Asja Cosic Divjak, Philippe-Richard J Domeyer, Louise Fitzgerald, Dragan Gjorgjievski, Bruno Heleno, Kathryn Hoffmann, Marijana Jandrić-Kočić, Ana Luísa Neves, Marina Guisado-Clavero, Sara Ares-Blanco, Thomas Frese\",\"doi\":\"10.1093/eurpub/ckaf051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The COVID-19 pandemic has underlined the essential role of primary healthcare (PHC) in epidemiological surveillance and public health decision-making. Across Europe, the integration of electronic health records (EHRs) and the sentinel networks have been pivotal in monitoring COVID-19. However, the lack of standardized PHC indicators for COVID-19 hinders the comparability of data among countries.</p><p><strong>Objective: </strong>To establish a consensus on a set of standardized PHC activity indicators related to the COVID-19 pandemic for 31 countries, enhancing the capability of health authorities to make informed decisions and prepare for future health crises.</p><p><strong>Methods: </strong>A two-round eDelphi study was conducted using a structured web-based survey, following the CREDES guidelines, to achieve consensus among a panel of 164 experts from the Eurodata study. 86 Indicators were selected based on their availability during the current pandemic, with participants rating the relevance and utility of proposed indicators.</p><p><strong>Results: </strong>Of the 22 initial indicators, seven received consensuses for inclusion, while two remained contentious after the second round. The study found significant discrepancies in the awareness of sentinel networks and accessibility to PHC data. The consensus emphasized the necessity for indicators to be standardized, reproducible, and easily extractable from databases, with recommendations for disaggregation by age, sex, and vaccination status.</p><p><strong>Conclusion: </strong>Key COVID-19 indicators for PHC were identified, reflecting a consensus among healthcare professionals. Further cooperation between PHC providers and national public health authorities is warranted both on the national and the international level to harmonized healthcare indicators in response to future health emergencies.</p>\",\"PeriodicalId\":12059,\"journal\":{\"name\":\"European Journal of Public Health\",\"volume\":\" \",\"pages\":\"1026-1035\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529254/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/eurpub/ckaf051\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/eurpub/ckaf051","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Identifying essential COVID-19 indicators for primary healthcare through Delphi analysis in 31 European countries: Eurodata eDelphi study.
Background: The COVID-19 pandemic has underlined the essential role of primary healthcare (PHC) in epidemiological surveillance and public health decision-making. Across Europe, the integration of electronic health records (EHRs) and the sentinel networks have been pivotal in monitoring COVID-19. However, the lack of standardized PHC indicators for COVID-19 hinders the comparability of data among countries.
Objective: To establish a consensus on a set of standardized PHC activity indicators related to the COVID-19 pandemic for 31 countries, enhancing the capability of health authorities to make informed decisions and prepare for future health crises.
Methods: A two-round eDelphi study was conducted using a structured web-based survey, following the CREDES guidelines, to achieve consensus among a panel of 164 experts from the Eurodata study. 86 Indicators were selected based on their availability during the current pandemic, with participants rating the relevance and utility of proposed indicators.
Results: Of the 22 initial indicators, seven received consensuses for inclusion, while two remained contentious after the second round. The study found significant discrepancies in the awareness of sentinel networks and accessibility to PHC data. The consensus emphasized the necessity for indicators to be standardized, reproducible, and easily extractable from databases, with recommendations for disaggregation by age, sex, and vaccination status.
Conclusion: Key COVID-19 indicators for PHC were identified, reflecting a consensus among healthcare professionals. Further cooperation between PHC providers and national public health authorities is warranted both on the national and the international level to harmonized healthcare indicators in response to future health emergencies.
期刊介绍：
The European Journal of Public Health (EJPH) is a multidisciplinary journal aimed at attracting contributions from epidemiology, health services research, health economics, social sciences, management sciences, ethics and law, environmental health sciences, and other disciplines of relevance to public health. The journal provides a forum for discussion and debate of current international public health issues, with a focus on the European Region. Bi-monthly issues contain peer-reviewed original articles, editorials, commentaries, book reviews, news, letters to the editor, announcements of events, and various other features.
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