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This mixed-methods study investigated the effects of the COVID-19 pandemic on Patient and Family Advisory Councils (PFACs) within children’s hospitals in the United States. Specifically, the study sought to understand how PFACs adapted operations as a result of the COVID-19 pandemic, how patient and family advisors (PFAs) were engaged in the response to COVID-19, and the intersection of the COVID-19 pandemic with PFAC diversity, equity, and inclusion. The study consisted of a survey distributed to 228 children’s hospitals, with a 73% response rate, and in-depth interviews with selected survey respondents (n=12). While COVID-19 temporarily disrupted PFAC operations and forced rapid adaptations, most children’s hospital PFACs transitioned successfully to virtual meetings, with 86% reporting that their PFAC met at least once from March to December 2020 and 84% indicating that their PFAC planned to meet as frequently or more frequently than before the pandemic. The majority of respondents (72%) reported that attendance at virtual PFAC meetings was the same as or better than with in-person meetings. Interview participants reported benefits associated with virtual meetings, including the potential ability to recruit and engage PFAs who better reflected the diversity of the patients and families served by the hospitals. Children’s hospitals are well-positioned to be leaders in the field, contributing to the development of new approaches, lessons learned, and best practices moving forward. This is especially true as hospitals continue to navigate the evolving realities of the COVID-19 pandemic, and as PFACs address challenges associated with maintaining diverse, equitable, and inclusive councils. © The Author(s), 2022.
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BACKGROUND: Due to the corona pandemic and also to the new competence-oriented catalogue of learning objectives in medicine and the master plan for medical studies 2020, the development of digital and practical teaching concepts has experienced a great increase in importance. AIM OF THE WORK: As a result of this development, it was an important task to establish this combination and incorporate it into the curricular teaching process. MATERIAL AND METHODS: The "Toolkit dermatology" was established, which was sent to a total of more than 650 students at German university dermatology clinics. Using educational films, the students were able to practice their skills. In a further development, the toolkit was combined with classroom lectures and the students were asked to evaluate the toolkit online. RESULTS: The vast majority of students (95-100%) clearly stated that the toolkit helped them to develop their practical skills. Some of them were in fact motivated to complete a clinical traineeship/practical tertial year in dermatology (21-88%). The combination of toolkit and subsequent classroom teaching was also rated very positively (82.2%), as this hybrid mode of teaching provided a better understanding. DISCUSSION: Digital teaching formats as part of the concept of blended learning, i.e. the combination of virtual and analogue teaching formats, are becoming increasingly more important. Solutions for the disadvantages, such as the lack of real interaction and suitable examination formats, still remain to be found; however, the toolkit project demonstrates that hands-on and digital teaching can lead to high student motivation as well as a high educational standard.
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Dermatologia , Estudantes de Medicina , Humanos , Dermatologia/educação , Aprendizagem , MotivaçãoRESUMO
The aim of this work is to provide a new mathematical model that studies transmission dynamics of Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The model captures the dynamics of the disease taking into consideration some measures and is represented by a system of nonlinear ordinary differential equations including seven classes, which are susceptible class (S), exposed class (E), asymptomatic infected class (A), severely infected class (V), hospitalized class (H), hospitalized class but in ICU (C) and recovered class (R). We prove positivity and boundedness of solutions, compute the basic reproduction number, and investigate asymptotic stability properties of the proposed model. As a consequence, dynamical properties of the model are established fully and some mitigation and prevention measures of COVID-19 outbreaks are also suggested. Furthermore, the model is fitted to COVID-19 confirmed cases in South Africa during the Omicron wave from November 27, 2021 to January 20, 2022 which helped determine the model parameters value for our numerical simulation. A set of numerical experiments using real data is conducted to support and illustrate the theoretical findings. Numerical simulation results show that fast waning of infection-induced immunity can increase the occurrence of outbreaks.
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Purpose: This research aims to provide empirical evidence on the impact of digital literacy on behavioural intention regarding using technology for distribution of higher education. Design, Methodology, and Approach: Quantitative analysis was carried out using Covariance-Based Structural Equation Model with data collected from 901 students who fully experienced 2-year study online at different universities in Vietnam. The structural model was built with digital literacy as the primary indicator and other variables were included based on modified version of Unified Theory of Acceptance and Use of Technology (UTAUT2) by adopting performance expectancy, effort expectancy, social influence, habit, and hedonic motivation variables specifically for education sector. Self-efficacy was added to eliminate possible bias in technology acceptance. Results: From the results of model estimation, digital literacy presented positive impact on the online distribution of higher education in Vietnam. The mediating effects of various indicators such as performance expectancy, effort expectancy, social influence, habit, hedonic motivation, and self-efficacy are significantly determined by research model. Conclusion: The higher level of digital literacy of the students, the more likely that they will use technology in higher education study, especially online learning. Additionally, the mediating effects of indicators from the UTAUT2 theoretical model were also evident to be positively significant. © Copyright: The Author(s) This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://Creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Introduction. According to the WHO Strategic Plan, five out of six geographical regions were expected to achieve measles elimination by 2020, among which is the Western Pacific Region (WPR), which includes the Socialist Republic of Vietnam (VNM). In 2019, 14 156 measles cases were detected in Vietnam, which significantly exceeds the level required to achieve its elimination (less than 1 case per 1 million population). Analyzing the causes of the ongoing measles virus circulation in diverse global regions is very important. It is also important to assess a potential impact on the measles incidence due to anti-epidemic measures aimed at combating the COVID-19 pandemic. This research is devoted to revealation measles cases in South Vietnam within the period covering January 2020 to March 2021. Materials and methods. 799 samples of blood sera obtained from different territories of South Vietnam in 2020-2021 were examined for IgM antibodies against measles virus using the Anti-Measles Virus ELISA (IgM) test system (Euroimmun, Germany). The presence of IgM measles virus antibodies in the blood serum was assessed as an acute measles infection. Results. The measles virus was actively circulating in South Vietnam in the first months of 2020. Residents of large cities and industrial centers were mainly involved in the epidemic process. Measles spread mainly among unvaccinated (71.58%) subjects, or who was unaware of vaccinations (25.48%), but also among those who were vaccinated (2.12%) and revaccinated (0.64%). The absolute majority of cases (71%) affected children under the age of three, with a predominance of those at the first year of life. Among the latter, 48% were children aged 7-9 months old. In March-April 2020, there was a sharp decrease in the number of measles cases in South Vietnam, down to a sporadic level (from May 2020 to March 2021). This is probably due to the anti-epidemic measures that were carried out in the VNM in order to limit the spread of COVID-19. Consequently, after the restrictions are lifted, we can expect an increase in the measles incidence in VNM.
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Purpose Community health is placed under the limelight during the COVID-19 crisis, providing a unique context for investigating citizens' health-privacy tradeoff in accepting social surveillance technology. To elucidate this tradeoff dilemma, an extended privacy calculus framework integrated with the Health Belief Model, legislative protection, and individual collectivism was examined using the case of national contact-tracing apps. Design/methodology/approach The hypotheses were tested through PLS-SEM analysis with data collected from a survey on Bluezone - a national app in Vietnam. Findings The results indicated the negative impact of privacy concerns, which was offset by the positive effect of perceived benefits in using contact-tracing apps. The effect size of perceived benefits on usage frequency was twice as large as that of privacy concerns. Individual collectivism was revealed as a mitigator of the tradeoff dilemma, as it was positively associated with perceived benefits, whereas legislative protection had no such role. Citizens may perceive legislation protection as invalid when the technologies are developed, implemented, and monitored by the authorities. Originality/value The theoretical contributions lie in the extension of the privacy calculus model as well as its application in the context of mobile health apps and surveillance technology. The study empirically corroborated that the privacy calculus theory holds when technologies move along the pervasiveness spectrum. This study also provided actionable insights for policymakers and developers who advocate the mass acceptance of national contact-tracing apps.
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Introduction. According to the WHO Strategic Plan, five out of six geographical regions were expected to achieve measles elimination by 2020, among which is the Western Pacific Region (WPR), which includes the Social-ist Republic of Vietnam (VNM). In 2019, 14 156 measles cases were detected in Vietnam, which significantly exceeds the level required to achieve its elimination (less than 1 case per 1 million population). Analyzing the causes of the ongoing measles virus circulation in diverse global regions is very important. It is also important to assess a potential impact on the measles incidence due to anti-epidemic measures aimed at combating the COVID-19 pandemic. This research is devoted to revealation measles cases in South Vietnam within the period covering January 2020 to March 2021. Materials and methods. 799 samples of blood sera obtained from different territories of South Vietnam in 2020-2021 were examined for IgM antibodies against measles virus using the Anti-Measles Virus ELISA (IgM) test system (Euro-immun, Germany). The presence of IgM measles virus antibodies in the blood serum was assessed as an acute measles infection. Results. The measles virus was actively circulating in South Vietnam in the first months of 2020. Residents of large cities and industrial centers were mainly involved in the epidemic process. Measles spread mainly among unvaccinated (71.58%) subjects, or who was unaware of vaccinations (25.48%), but also among those who were vaccinated (2.12%) and revaccinated (0.64%). The absolute majority of cases (71%) affected children under the age of three, with a predominance of those at the first year of life. Among the latter, 48% were children aged 7-9 months old. In March-April 2020, there was a sharp decrease in the number of measles cases in South Vietnam, down to a sporadic level (from May 2020 to March 2021). This is probably due to the anti-epidemic measures that were carried out in the VNM in order to limit the spread of COVID-19. Consequently, after the restrictions are lifted, we can expect an increase in the measles incidence in VNM.
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The coronavirus disease (COVID-19) pandemic has impacted the economy, livelihood, and physical and mental well-being of people worldwide. This study aimed to compare the mental health status during the pandemic in the general population of seven middle income countries (MICs) in Asia (China, Iran, Malaysia, Pakistan, Philippines, Thailand, and Vietnam). All the countries used the Impact of Event Scale-Revised (IES-R) and Depression, Anxiety and Stress Scale (DASS-21) to measure mental health. There were 4479 Asians completed the questionnaire with demographic characteristics, physical symptoms and health service utilization, contact history, knowledge and concern, precautionary measure, and rated their mental health with the IES-R and DASS-21. Descriptive statistics, One-Way analysis of variance (ANOVA), and linear regression were used to identify protective and risk factors associated with mental health parameters. There were significant differences in IES-R and DASS-21 scores between 7 MICs (p<0.05). Thailand had all the highest scores of IES-R, DASS-21 stress, anxiety, and depression scores whereas Vietnam had all the lowest scores. The risk factors for adverse mental health during the COVID-19 pandemic include age <30 years, high education background, single and separated status, discrimination by other countries and contact with people with COVID-19 (p<0.05). The protective factors for mental health include male gender, staying with children or more than 6 people in the same household, employment, confidence in doctors, high perceived likelihood of survival, and spending less time on health information (p<0.05). This comparative study among 7 MICs enhanced the understanding of metal health in the general population during the COVID-19 pandemic.
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This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medica