Health system quality in the time of COVID-19

Roder‐DeWan, Sanam

doi:10.1016/s2214-109x(20)30223-0

Cited by 23 publications

(21 citation statements)

References 6 publications

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“…Low and middle-income countries often suffer from inadequate healthcare due to the lack of equipment, poor organisation, and scarce qualified healthcare professionals. Thus, what works in high-income countries may not work in low-income countries [10]. Therefore, there is a pressing need to develop accessible and simple tools to aid clinicians providing medical attention in the most unfavoured regions of Mexico.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of the patient history COVID-19 (PH-Covid19) scoring system: a multivariable prediction model of death in Mexican patients with COVID-19

et al. 2020

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Most of the existing prediction models for COVID-19 lack validation, are inadequately reported or are at high risk of bias, a reason which has led to discourage their use. Few existing models have the potential to be extensively used by healthcare providers in low-resource settings since many require laboratory and imaging predictors. Therefore, we sought to develop and validate a multivariable prediction model of death in Mexican patients with COVID-19, by using demographic and patient history predictors. We conducted a national retrospective cohort study in two different sets of patients from the Mexican COVID-19 Epidemiologic Surveillance Study. Patients with a positive reverse transcription-polymerase chain reaction for SARS-CoV-2 and complete unduplicated data were eligible. In total, 83 779 patients were included to develop the scoring system through a multivariable Cox regression model; 100 000, to validate the model. Eight predictors (age, sex, diabetes, chronic obstructive pulmonary disease, immunosuppression, hypertension, obesity and chronic kidney disease) were included in the scoring system called PH-Covid19 (range of values: −2 to 25 points). The predictive model has a discrimination of death of 0.8 (95% confidence interval (CI) 0.796-0.804). The PH-Covid19 scoring system was developed and validated in Mexican patients to aid clinicians to stratify patients with COVID-19 at risk of fatal outcomes, allowing for better and efficient use of resources.

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Section: Introductionmentioning

confidence: 99%

Development and validation of the patient history COVID-19 (PH-Covid19) scoring system: a multivariable prediction model of death in Mexican patients with COVID-19

et al. 2020

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“…Presently, when even the developing countries are struggling to provide sufficient number of PPEs to their HCPs [42], resource constraints of lower and middle-income countries can lead to troubling shortcomings in the face of this pandemic especially for provider infection prevention and control behaviors like hand hygiene and disinfection [43,44]. However, this opportunity has prompted many frugal innovative responses; these low cost ideas may not be ideal but have the potential to provide good enough healthcare in the best way possible under given constraints [45,46].…”

mentioning

confidence: 99%

Roadmap for Restarting Elective Surgery During/After COVID-19 Pandemic

2020

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“…Therefore, ensuring access to basic support water, sanitation, and hygiene to most vulnerable ones is important [15,56,[95][96][97][98]. The system should also improve quality of care including improved supply chain, adopt improved technology for delivery of health care for new therapies and roll out vaccines as soon as they become available including mitigating potential hesitancies based on already mounting misinformation [99,100].…”

Section: Optimal Use Of All the Limited Available Resourcesmentioning

confidence: 99%

Evidence-Based Preparedness for Post COVID-19

Kitaw¹,

Kaba²

2021

Science-Based Approaches to Respond to COVID and Other Public Health Threats

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In spite of skepticisms at various levels, the COVID-19 pandemic posed unprecedented impact on global health and economy. Although projections have yet to materialize, African countries are not at their worst with COVID-19. Yet, the worst is probably in the making despite swift, progressive, and adaptable responses many African countries have taken based on lessons from countries affected by the pandemic earlier. While efforts are underway to contain the current pandemic, the almost certain hit by another pandemic may call for appropriate preparation. This review aims to shade light on the need to align current COVID-19 prevention and management with preparation for the potential next one. A rapid review of available evidence was undertaken using clearly defined inclusion criteria and data analysis methods. The immediate focus of preparedness is coordination of interventions where evidence generation, policy making, public and private sector as well as community engagement is required to contain the current COVID-19 pandemic. Improved/adapted mathematical projections to guide decisions; improved/adapted methods for risk communication and community engagement; improved methods/technologies for surveillance, case detection and containment; optimal use of all the limited available resources; and strengthening partnerships at all levels need to be strengthened. Current endeavors should pay attention to strengthen the surveillance system for early detection; provision of adequate health care infrastructure; strong and capable health workforce and financing. Furthermore, strengthen research capacity to play its role to shape the post-COVID-19 is critical by strengthening inter and intra-disciplinary research capacities; forging partnerships at all levels. Evidently COVID-19 has posed unprecedented challenge to the globe at large. Yet, it also offered opportunities to reassess existing health system vis-à-vis the pandemics. Besides, useful lessons from COVID-19 are that it does not discriminate human beings across globe by economy, political system and socio-cultural backgrounds. This is a useful lesson for global solidarity and align efforts to contain post COVID-19 implications as well as to prevent and manage similar such pandemics in the future.

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Health system quality in the time of COVID-19

Cited by 23 publications

References 6 publications

Development and validation of the patient history COVID-19 (PH-Covid19) scoring system: a multivariable prediction model of death in Mexican patients with COVID-19

Development and validation of the patient history COVID-19 (PH-Covid19) scoring system: a multivariable prediction model of death in Mexican patients with COVID-19

Roadmap for Restarting Elective Surgery During/After COVID-19 Pandemic

Evidence-Based Preparedness for Post COVID-19

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