Abstract:The objective of this paper was to review the functionalities and effectiveness of the free mobile health applications available in the Google Play and App stores used in Saudi Arabia, Italy, Singapore, the United Kingdom, USA, and India during the COVID-19 outbreak. Methods: This study adopted a systematic search strategy to identify the free mobile applications available in the App and Google Play stores related to the COVID-19 outbreak. According to the PRISMA flowchart of the search, only 12 applications m… Show more
“…9 In Saudi Arabia, hospital EDs were prepared to some extent since isolation areas had been created within those departments when the SARS virus outbreak occurred in 2003. 10 , 11 On a normal day, the ED is manned by three shifts of doctors and nurses over a 24-hr period. The private hospital used in this was therefore prepared to receive a higher number of patients than usual due to the increasing number of COVID-19 infections.…”
Background
The number of patients attending emergency departments (EDs) fell dramatically in 2020, during the COVID-19 pandemic, compared with similar periods in 2019 or 2018, and healthcare providers have had to adjust to this change. The aim of this study was to compare the number and type of patients attending a hospital emergency unit before and during the COVID-19 pandemic in order to avoid the impact of any difference on the community’s healthcare and on healthcare providers.
Methods
This study assessed differences in the numbers of patients attending the emergency department in 2018, 2019 and 2020, and then determined whether a particular patient type accounted for any such difference. An open-source data repository was accessed to collect the data targeting a private hospital in Riyadh city, the capital of Saudi Arabia. Descriptive statistics and a paired
t
-test were used to verify the level of variations in the number of patients attending the emergency rooms.
Results
Results showed no statistically significant difference in the number of patients attending the emergency department between 2018 and 2019, while a noticeable drop was found in the number of patients attending the department between 2019 and 2020.
Conclusion
The reduction in the number of patients attending the emergency department was found in some but not all patient types. These conclusion highlight variations in ED attendance of which hospital management should be aware so that action can be taken to avoid negative consequences.
“…9 In Saudi Arabia, hospital EDs were prepared to some extent since isolation areas had been created within those departments when the SARS virus outbreak occurred in 2003. 10 , 11 On a normal day, the ED is manned by three shifts of doctors and nurses over a 24-hr period. The private hospital used in this was therefore prepared to receive a higher number of patients than usual due to the increasing number of COVID-19 infections.…”
Background
The number of patients attending emergency departments (EDs) fell dramatically in 2020, during the COVID-19 pandemic, compared with similar periods in 2019 or 2018, and healthcare providers have had to adjust to this change. The aim of this study was to compare the number and type of patients attending a hospital emergency unit before and during the COVID-19 pandemic in order to avoid the impact of any difference on the community’s healthcare and on healthcare providers.
Methods
This study assessed differences in the numbers of patients attending the emergency department in 2018, 2019 and 2020, and then determined whether a particular patient type accounted for any such difference. An open-source data repository was accessed to collect the data targeting a private hospital in Riyadh city, the capital of Saudi Arabia. Descriptive statistics and a paired
t
-test were used to verify the level of variations in the number of patients attending the emergency rooms.
Results
Results showed no statistically significant difference in the number of patients attending the emergency department between 2018 and 2019, while a noticeable drop was found in the number of patients attending the department between 2019 and 2020.
Conclusion
The reduction in the number of patients attending the emergency department was found in some but not all patient types. These conclusion highlight variations in ED attendance of which hospital management should be aware so that action can be taken to avoid negative consequences.
“…As one of the interviewees said: "Every morning at 8am, there are people on the phone that look for a way not to come at the ER" [Respondent 4]. While digital tools try to address a part of this problem, we argue that the lack of single apps integrating the different needed features might cause more confusion, as also observed in other countries [14]. Also, misalignment of incentives and processes lead to the resistance of public efforts by the government of Quebec to offer online booking.…”
Timely access to care is a persistent challenge for health care systems. Providing the right care to the right patient at the right time is important to reduce inappropriate use and improve the performance of healthcare services. The complexity of accessing primary care contributes to the high usage of emergency rooms for not-urgent conditions. Many digital tools try to offer a better access to care for patients and reduce ER overuse. This environmental scan of the digital tools available in Quebec identifies those digital tools and some of their limitations. The results reveal the complexity of mobilizing digital tools in the healthcare sector and highlight the need for all stakeholders to work together to enhance access to care.
“…According to the GDPR regulation, people have the possibility of using their rights in not disclosing whom they have been in contact with or can legally resist and challenge the tracking by authorities [7,19,22,35]. Furthermore, critics of contact tracing have pointed out that most of the apps are inconsistent with a range of older Android devices.…”
Section: Ethical Aspectsmentioning
confidence: 99%
“…However, the inadequate level of public compliance with these public health strategies has resulted in mandatory contact tracing strategies as part of a government strategy in some countries [8,17,21]. Within the European Union (EU), in some nations, authorities together with telecommunications providers started sharing people's anonymous location data on map concentrations, respecting the Europe's privacy laws and individuals' rights to privacy [8,9,[21][22][23][24][25][26][27].…”
Section: Introductionmentioning
confidence: 99%
“…Although the use of these apps seems necessary and beneficial, they seem to create several challenges, such as ethical, psychological, and practical, that may influence the willingness of individuals and a community to implement these measures actively [22,23,25]. The willingness itself is proven to be dependent on the level of information and knowledge, especially when dealing with unknown threats [28].…”
In the absence of a specific treatment or vaccines, public health strategies are the main measures to use in the initial stages of a pandemic to allow surveillance of infectious diseases. During the ongoing global pandemic of coronavirus disease 2019 (COVID-19), several countries initiated various public health strategies, such as contact tracing and quarantine. The present study aims to conduct a systematic literature review to identify the presence of educational initiatives that promote the implementation of public health strategies before public health emergencies, with a special focus on contact tracing applications. Using Science Direct, PubMed, Scopus, and Gothenburg University search engines, all published scientific articles were included, while conference, reports, and non-scientific papers were excluded. The outcomes of the reviewed studies indicate that the effective implementation of public health strategies depends on the peoples’ willingness to participate and collaborate with local authorities. Several factors may influence such willingness, of which ethical, psychological, and practical factors seem to be the most important and frequently discussed. Moreover, individual willingness and readiness of a community may also vary based on the acquired level of knowledge about the incident and its cause and available management options. Educational initiatives, proper communication, and timely information at the community level were found to be the necessary steps to counteract misinformation and to promote a successful implementation of public health strategies and attenuate the effects of a pandemic. The systematic review conducted as a part of this study would benefit the relevant stakeholders and policy makers and assist with effective designing and implementation.
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