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1.
BMJ ; 374: n1670, 2021 07 02.
Artigo em Inglês | MEDLINE | ID: mdl-34215624
2.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-48249

RESUMO

Nove grupos prioritários estão incluídos na terceira etapa da campanha de vacinação contra a gripe. Com início nesta quarta-feira (9), essa fase vai incluir pessoas com comorbidades, com deficiência permanente, caminhoneiros, portuários, profissionais das forças de segurança e salvamento, das forças armadas, funcionários do sistema de privação de liberdade e população privada de liberdade.


Assuntos
Pandemias , Vacinação , Influenza Humana/prevenção & controle , Prioridades em Saúde/organização & administração
5.
Scand J Trauma Resusc Emerg Med ; 29(1): 77, 2021 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-34088336

RESUMO

The Nordic countries have differed in their approach as to how much priority for COVID19 vaccine access should be given to health care workers. Two countries decided not to give health care workers highest priority, raising some controversy. The rationale was that those at highest risk of dying needed to come first. However, when it comes to protecting those at the highest risk of dying from COVID19, their needs and vulnerabilities need to be considered more broadly than just in terms of the individual protection that vaccination will afford them. Likewise, when considering whether to prioritize health care workers for the vaccine, their crucial role in keeping the health care system operational, and right to a safe work environment need to be factored in. Below we review several ethical arguments for why frontline health care workers and first responders should receive priority access to the COVID19 vaccine.


Assuntos
Vacinas contra COVID-19/uso terapêutico , COVID-19/prevenção & controle , Socorristas , Pessoal de Saúde , Prioridades em Saúde/ética , Atenção à Saúde , Análise Ética , Humanos , Fatores de Risco , SARS-CoV-2 , Países Escandinavos e Nórdicos , Local de Trabalho
8.
Trials ; 22(1): 415, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34172080

RESUMO

OBJECTIVES: AO Spine REsearch objectives and Common Data Elements for Degenerative Cervical Myelopathy [RECODE-DCM] is a multi-stakeholder consensus process aiming to promote research efficiency in DCM. It aims to establish the top 10 research uncertainties, through a James Lind Alliance Priority Setting Partnership [PSP]. Through a consensus process, research questions are generated and ranked. The inclusion of people with cervical myelopathy [PwCM] is central to the process. We hypothesized that presenting PwCM experience through word cloud generation would stimulate other key stakeholders to generate research questions better aligned with PwCM needs. This protocol outlines our plans to evaluate this as a nested methodological study within our PSP. METHODS: An online poll asked PwCM to submit and vote on words associated with aspects of DCM. After review, a refined word list was re-polled for voting and word submission. Word clouds were generated and an implementation plan for AO Spine RECODE-DCM PSP surveys was subsequently developed. RESULTS: Seventy-nine terms were submitted after the first poll. Eighty-seven refined words were then re-polled (which added a further 39 words). Four word clouds were generated under the categories of diagnosis, management, long-term effects, and other. A 1:1 block randomization protocol to assess word cloud impact on the number and relevance of PSP research questions was generated. CONCLUSIONS: We have shown it is feasible to work with PwCM to generate a tool for the AO Spine RECODE-DCM nested methodological study. Once the survey stage is completed, we will be able to evaluate the impact of the word clouds. Further research will be needed to assess the value of any impact in terms of stimulating a more creative research agenda.


Assuntos
Prioridades em Saúde , Doenças da Medula Espinal , Consenso , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Inquéritos e Questionários , Incerteza
9.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-48202

RESUMO

Pessoas com doenças crônicas neurológicas agora fazem parte do público-alvo da vacinação contra a Covid-19. A inclusão do grupo na lista de comorbidades foi realizada, nesta quinta-feira (20/5), com a atualização do Plano Nacional de Operacionalização da Vacinação contra a Covid-19 (PNO), documento elaborado pelo Ministério da Saúde para orientar a população e os gestores locais sobre o andamento da campanha.


Assuntos
Doença Crônica , Prioridades em Saúde , Vacinação , Infecções por Coronavirus
11.
Ann R Coll Surg Engl ; 103(6): 390-394, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-1223791

RESUMO

The COVID-19 pandemic is the most serious health crisis of our time. Global public measures have been enacted to try to prevent healthcare systems from being overwhelmed. The trauma and orthopaedic (T&O) community has overcome challenges in order to continue to deliver acute trauma care to patients and plan for challenges ahead. This review explores the lessons learnt, the priorities and the controversies that the T&O community has faced during the crisis. Historically, the experience of major incidents in T&O has focused on mass casualty events. The current pandemic requires a different approach to resource management in order to create a long-term, system-sustaining model of care alongside a move towards resource balancing and facilitation. Significant limitations in theatre access, anaesthetists and bed capacity have necessitated adaptation. Strategic changes to trauma networks and risk mitigation allowed for ongoing surgical treatment of trauma. Outpatient care was reformed with the uptake of technology. The return to elective surgery requires careful planning, restructuring of elective pathways and risk management. Despite the hope that mass vaccination will lift the pressure on bed capacity and on bleak economic forecasts, the orthopaedic community must readjust its focus to meet the challenge of huge backlogs in elective caseloads before looking to the future with a robust strategy of integrated resilient pathways. The pandemic will provide the impetus for research that defines essential interventions and facilitates the implementation of strategies to overcome current barriers and to prepare for future crises.


Assuntos
COVID-19/epidemiologia , Prioridades em Saúde , Procedimentos Ortopédicos , Ferimentos e Lesões/cirurgia , Procedimentos Cirúrgicos Ambulatórios , Atenção à Saúde/organização & administração , Atenção à Saúde/estatística & dados numéricos , Prioridades em Saúde/organização & administração , Prioridades em Saúde/normas , Humanos , Procedimentos Ortopédicos/estatística & dados numéricos , Traumatologia/organização & administração , Traumatologia/normas
13.
Front Public Health ; 9: 679397, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1241218

RESUMO

The COVID-19 pandemic has had an unprecedented impact on health systems in most countries, and in particular, on the mental health and well-being of health workers on the frontlines of pandemic response efforts. The purpose of this article is to provide an evidence-based overview of the adverse mental health impacts on healthcare workers during times of crisis and other challenging working conditions and to highlight the importance of prioritizing and protecting the mental health and well-being of the healthcare workforce, particularly in the context of the COVID-19 pandemic. First, we provide a broad overview of the elevated risk of stress, burnout, moral injury, depression, trauma, and other mental health challenges among healthcare workers. Second, we consider how public health emergencies exacerbate these concerns, as reflected in emerging research on the negative mental health impacts of the COVID-19 pandemic on healthcare workers. Further, we consider potential approaches for overcoming these threats to mental health by exploring the value of practicing self-care strategies, and implementing evidence based interventions and organizational measures to help protect and support the mental health and well-being of the healthcare workforce. Lastly, we highlight systemic changes to empower healthcare workers and protect their mental health and well-being in the long run, and propose policy recommendations to guide healthcare leaders and health systems in this endeavor. This paper acknowledges the stressors, burdens, and psychological needs of the healthcare workforce across health systems and disciplines, and calls for renewed efforts to mitigate these challenges among those working on the frontlines during public health emergencies such as the COVID-19 pandemic.


Assuntos
COVID-19 , Pandemias , Pessoal de Saúde , Prioridades em Saúde , Humanos , Saúde Mental , Pandemias/prevenção & controle , Saúde Pública , SARS-CoV-2
14.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2021 May 25.
Artigo em Inglês | MEDLINE | ID: covidwho-1238312

RESUMO

PURPOSE: This paper aims to investigate the Portuguese general public views regarding the criteria that should guide critical COVID-19 patients to receive medical devices (ventilators and IUC beds) during the current pandemic context. Based on rationing principles and protocols proposed in ethical and medical literature the authors explore how Portuguese general public evaluates the fairness of five allocation principles: "prognosis", "severity of health condition", "patients age", "instrumental value" (frontline healthcare professionals should be prioritized during the pandemic) and "lottery". DESIGN/METHODOLOGY/APPROACH: An online questionnaire was used to collect data from a sample of 586 Portuguese citizens. Descriptive statistics and non-parametric tests were used to define a hierarchy of prioritization criteria and to test for the association between respondents support to them and their socio-demographic and health characteristics. FINDINGS: Respondents gave top priority to prognosis when faced with absolute scarcity, followed closely by the severity of health condition, patient's age with instrumental value receiving lowest support, on average. However, when the age of the patients was confronted with survival, younger-first principle prevailed over recovery. In a pandemic context, lottery was considered the least fair allocation method. The findings suggest that respondents' opinions are aligned with those of ethicists but are partially in disagreement with the protocol suggested for Portugal. ORIGINALITY/VALUE: This study represents the first attempt to elicit public attitudes towards distributive criteria during a pandemic and, therefore, in a real context where the perception is that life and death decisions have to be made.


Assuntos
COVID-19/epidemiologia , COVID-19/prevenção & controle , Alocação de Recursos para a Atenção à Saúde , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Opinião Pública , Fatores Etários , Tomada de Decisões , Pessoal de Saúde , Prioridades em Saúde , Humanos , Pandemias , Pneumonia Viral/virologia , Portugal , Prognóstico , SARS-CoV-2 , Índice de Gravidade de Doença , Valores Sociais , Inquéritos e Questionários , Valor da Vida
16.
Glob Heart ; 16(1): 29, 2021 04 27.
Artigo em Inglês | MEDLINE | ID: covidwho-1234889

RESUMO

The current COVID-19 pandemic has challenged health systems and communities globally. As such, several countries have embarked on national COVID-19 vaccination programmes in order to curb spread of the disease. However, at present, there isn't yet enough dosages to enable vaccination of the general population. Different vaccine prioritization strategies are thus being implemented in different communities in order to permit for a systematic vaccination of individuals. Here, on behalf of the World Heart Federation, we emphasize the need for individuals with Cardiovascular disease to be prioritized in national vaccine prioritization programmes as these are high risk individuals.


Assuntos
Vacinas contra COVID-19 , Doenças Cardiovasculares/complicações , Prioridades em Saúde , Vacinas contra COVID-19/provisão & distribuição , Comorbidade , Saúde Global , Humanos , Sociedades Médicas
17.
East Mediterr Health J ; 27(4): 319-320, 2021 Apr 27.
Artigo em Inglês | MEDLINE | ID: covidwho-1218763

RESUMO

The Eastern Mediterranean Region (EMR) is facing extraordinary social and health challenges, aggravated by epidemiologic variations, high morbidity and mortality burden (communicable, noncommunicable, injuries), consequences of emergencies (including current COVID-19 pandemic), conflicts and massive migrant population movements. Research for health is essential for generating necessary evidence, which contributes to sustainable development, economic growth and sound health policy-making. Moreover, research for health that addresses national public health priorities is essential for developing required evidence for explanations that contribute towards health improvement and can assist in best utilization of available resources towards issues that maximize the research impact on population health.


Assuntos
COVID-19 , Prioridades em Saúde , COVID-19/epidemiologia , Humanos , Jordânia/epidemiologia , Região do Mediterrâneo , Paquistão/epidemiologia , Pandemias , SARS-CoV-2
18.
East Mediterr Health J ; 27(4): 319-320, 2021 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-33955526

RESUMO

The Eastern Mediterranean Region (EMR) is facing extraordinary social and health challenges, aggravated by epidemiologic variations, high morbidity and mortality burden (communicable, noncommunicable, injuries), consequences of emergencies (including current COVID-19 pandemic), conflicts and massive migrant population movements. Research for health is essential for generating necessary evidence, which contributes to sustainable development, economic growth and sound health policy-making. Moreover, research for health that addresses national public health priorities is essential for developing required evidence for explanations that contribute towards health improvement and can assist in best utilization of available resources towards issues that maximize the research impact on population health.


Assuntos
COVID-19 , Prioridades em Saúde , COVID-19/epidemiologia , Humanos , Jordânia/epidemiologia , Região do Mediterrâneo , Paquistão/epidemiologia , Pandemias , SARS-CoV-2
20.
Glob Heart ; 16(1): 29, 2021 04 27.
Artigo em Inglês | MEDLINE | ID: mdl-34040942

RESUMO

The current COVID-19 pandemic has challenged health systems and communities globally. As such, several countries have embarked on national COVID-19 vaccination programmes in order to curb spread of the disease. However, at present, there isn't yet enough dosages to enable vaccination of the general population. Different vaccine prioritization strategies are thus being implemented in different communities in order to permit for a systematic vaccination of individuals. Here, on behalf of the World Heart Federation, we emphasize the need for individuals with Cardiovascular disease to be prioritized in national vaccine prioritization programmes as these are high risk individuals.


Assuntos
Vacinas contra COVID-19 , Doenças Cardiovasculares/complicações , Prioridades em Saúde , Vacinas contra COVID-19/provisão & distribuição , Comorbidade , Saúde Global , Humanos , Sociedades Médicas
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