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Training of employers and employees in workplace health promotion in Bulgaria – 7-year experience
AbstractIssueHealth of working population is a question of present interest because of a number of reasons: aging workforce, globalization of the labour market, new and increasing risks at working environment etc. Workplace Health Promotion (WHP) become increasingly relevant field of action for public health improvement all over the world. According to the Bulgarian legislation annual trainings on health and safety at work are obligatory for employers and employees.DescriptionBy this paper 7-year experience in training of employers and employees in WHP was shared. Generally, 9 employers/organizations and 120 employees in t...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Managers ’ experience-based understanding of capacity to work in workers with common mental disorders
ConclusionsThis study shows managers' experience-based understanding of CMDs in workers as severe changes and reductions of employees' capacities needed for occupational functioning. These findings add to the understanding of the construction of the capacity at the workplace. A deeper understanding of reduced work capacity is also needed to adapt workplaces and our findings can facilitate work accommodations for employees with CMDs.Key messagesThis study adds a manager perspective to the increasing knowledge about how capacity to work is influenced by CMD.This study shows that managers experience that CMD in workers severe...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Health status and labour force participation among older workers: a growth curve analysis
ConclusionsOur findings contribute to the debate about the importance of older workers' health in the context of working life extension.Key messagesAll occupational groups become more heterogenous in terms of health status with increasing age, however working hours of manual workers seem to be more dependent on their health status.Manual workers experience a stronger effect of health on working hours and that this effect increases over time, therefore prevention of ill health may be particularly beneficial in manual workers. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Disability benefit application in Switzerland: An analysis of linked administrative and survey data
ConclusionsThis study confirmed limited European evidence suggesting that DB application is more than a health-related phenomenon. However, it presented a less consistent picture on the role of marginalisation in DB application.Key messagesOne of the main contributions of this study stems from the promising and innovative method of linking detailed survey information to highly reliable administrative records.As such, the study not only offered novel results but also demonstrated the potential of the dataset for public health research. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Evaluation of Mixed reality in undergraduate nursing education. A systematic review
ConclusionsMixed reality is a very recent technique in nursing education. It is necessary to carry out well-designed studies of adequate size to evaluate in which contexts it is effective.Key messagesMixed reality is an emerging technology in education, but very few evaluations have been conducted.It is necessary to carry out well-designed studies to evaluateif Mixed reality it is effective in nursing education. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Can hospitals impact users ’ experience? Application of an evaluation tool to enhance Design for All
ConclusionsThe analysis of the hospitals demonstrated that the tool can evaluate spaces and DfA outcomes along dimensions of health and well-being. The system can be used to identify critical aspects and suggest design strategies, defining priorities for interventions. Further research directions will consider applications in different hospitals to ensure the tool scalability and application to new building projects.Key messagesThe evaluation tool enhances Public Health by measuring hospital quality in terms of Design for All and user needs.The tool can be applied in the decision-making process during design and renovation...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Delivering health and social services
AbstractDual delivery of COVID-19 and non-COVID-19 services proved to be the core challenge of the service delivery response. Health systems responded by implementing strategies to manage a surge in demand for both health and social services, while continuing to provide other necessary health care services. These involved adapting or transforming patient care approaches, including the coordination of care across levels (e.g., acute vs. outpatient) and settings (e.g., PHC vs. long-term care), and coordinating response measures with social services provided outside of health system. The initial capacities and available reser...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Delivering public health interventions
AbstractPublic health has faced unprecedented pressures from the dual demands of responding to the COVID-19 pandemic while maintaining delivery of essential public health services such as screening and vaccinations. At the beginning of the pandemic, public health efforts turned towards implementing appropriate preventative health measures to control or mitigate transmission, while the rollout of COVID-19 vaccines has started since late 2020. Preventative public health measures to control or mitigate transmission include observing hygiene guidelines; using personal protective equipment (such as masks); limiting contact thro...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Mobilizing human resources
AbstractThe COVID-19 pandemic has confronted health systems with extraordinary changes in demand for health services, which magnified underlying disparities in the health workforce. Initial health workforce capacities were critical, as health systems only have two options to increase workforce level: increasing capacity among the existing workforce or mobilising/recruiting additional personnel. Workforce capacity became a limiting factor in an effective pandemic response, particularly in countries with acute workforce shortages. Countries in Europe have pursued various strategies to rapidly surge the numbers of health work...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Financing the COVID-19 response
AbstractThe COVID-19 pandemic posed immediate and unprecedented financial challenges to health service providers and health systems more broadly. Providers were faced with additional expenditures, not only because many COVD-19 patients required intensive and costly medical care but also because they had to secure necessary supplies and equipment, such as personal protective equipment (PPE), testing supplies and ventilators; reshape facilities to implement new hygiene and safety measures and reorganise patient pathways; and pay health professionals for high-risk and overtime work. At the same time, providers faced sharp fal...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Governing the COVID-19 response
AbstractThe COVID-19 pandemic has demonstrated that effective leadership and strong governance are essential for resilience in the face of a shock to the health system. Even though adequate financing of health systems, and ensuring that they have an adequate workforce, physical infrastructure and material supplies can bolster health system resilience, resilience is not merely a function of hard resources but also of soft factors, including capacities of leaders, strengths of institutions, and societal values and culture. Indeed, countries that topped the Global Health Security Index (GHSI), an index that focuses on measuri...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

4.I. Workshop: Health systems resilience during COVID-19: Lessons for building back better
Abstract In December 2019, a novel coronavirus (SARS-CoV-2) appeared in the city of Wuhan, China. Since little was known about the new virus at the time, the initial reaction in many countries, including most countries in Europe, was to follow their existing pandemic influenza response plans. Countries that adopted this approach presumed that case- and contact-based management would be unable to cope with the scale of the outbreak and widespread community transmission would be inevitable. Yet it became increasingly apparent that COVID-19 was not like pandemic influenza, not least because it was caused by a coronavirus si...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Focusing on inequalities and assessing vulnerabilities in the field to combat COVID-19
AbstractThe COVID-19 pandemic exacerbated the existing health inequalities and highlighted many gaps in the European health care systems. This contribution will focus on the concepts of vulnerability and multiple vulnerability, as both have been discussed in the European Commission's Expert Panel on effective ways of investing in health (EXPH). The EXPH is the interdisciplinary expert group established by the European Commission to provide non-binding independent advice on matters related to effective, accessible and resilient health systems, to inform national policy making in improving the quality and sustainability of h...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Frequent users of ED ’s perspectives about a case management intervention in Western Switzerland
ConclusionsFUED perceived the program as useful and considered the relationship with the case manager as key for positive outcomes. Our findings also suggest ways to improve CM, such as clarifying its organization and aims.Key messagesIn FUEDs ’ opinion, the CM intervention had many positive outcomes, often relying on the relationship with the case manager.However, the CM intervention had also some negatives. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Sexual and reproductive health education for women in a migrant camp in Belgrade, Serbia
The objectives were to 1. Create a safe space for sharing SRH concerns; 2. Assess knowledge and needs; 3. Develop and deliver a bespoke SRH programme in collaboration with the women; 4. Assess impact on knowledge. I facilitated SRH discussions and built rapport, the women then completed an anonymous questionnaire assessing knowledge/needs. I developed a series of monthly SRH workshops delivered over a year. The questions posed were 1. Was SRH education needed/desired? 2. Would women attend? 3. Would SRH knowledge improve?The discussions and questionnaire demonstrated the need and desire for SRH education. 4-10 women (avera...
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research