Re-engineering the Cypriot healthcare service system

Pallari, Elena; Samoutis, George; Rudd, Anthony

doi:10.1186/s12913-020-5048-3

Cited by 7 publications

(6 citation statements)

References 7 publications

(7 reference statements)

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“…During the last years, Cyprus's national health system has changed dramatically by integrating the public and private health sectors to achieve higher public coverage ( 38 ). The integration of health resources could potentially influence vaccination programs; however, the new general healthcare system is still in its infancy.…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Acceptance of COVID-19 Vaccination Among Nurses and Midwives in Cyprus: A Cross-Sectional Survey

Fakonti

Kyprianidou

Toumbis

et al. 2021

Front. Public Health

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Healthcare workers are at the frontline of the COVID-19 pandemic and have been identified as a priority target group for COVID-19 vaccines. This study aimed to determine the COVID-19 vaccination intention among nurses and midwives in Cyprus and reveal the influential factors that affected their decision. An Internet-based cross-sectional survey was conducted between December 8 and 28, 2020. Data collection was accomplished using a self-administered questionnaire with questions about socio-demographic characteristics, questions assessing general vaccination-related intentions and behaviors, and the intention to accept COVID-19 vaccination. A sample of 437 responders answered the survey, with 93% being nurses and 7% midwives. A small proportion of the participants would accept a vaccine against COVID-19, while 70% could be qualified as “vaccine hesitant.” The main reasons for not receiving the COVID-19 vaccine were concerns about the vaccine's expedited development and fear of side effects. More females, individuals with a larger median age, and a higher number of years of working experience, intended to accept the COVID-19 vaccination, compared with those not intended to accept and undecided groups (p < 0.01). Having a seasonal flu vaccination in the last 5 years, receiving the vaccines recommended for health professionals, and working in the private sector were associated with a higher probability of COVID-19 vaccination acceptance. A considerable rate of nurses and midwives in Cyprus reported unwillingness to receive a COVID-19 vaccine due to vaccine-related concerns. Our findings highlight the need for forthcoming vaccination campaigns and programs to tackle coronavirus vaccine hesitancy barriers to achieve the desirable vaccination coverage.

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Section: Introductionmentioning

confidence: 99%

Attitudes and Acceptance of COVID-19 Vaccination Among Nurses and Midwives in Cyprus: A Cross-Sectional Survey

Fakonti

Kyprianidou

Toumbis

et al. 2021

Front. Public Health

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“…The General Healthcare System (GHS) was implemented in June 2020. Cyprus is currently undergoing major transformation in establishing the new universal coverage General Healthcare System (GHS) ( 20 ). The economic system underwent systemic changes and fluctuations and there is still work in progress towards a transformative Cypriot GHS that will provide universal coverage to the Cypriot population through the merging of public and private health resources.…”

Section: Introductionmentioning

confidence: 99%

“…This universal health insurance scheme aims to provide affordable and effective medical care to Cyprus residents. Also allows patients to choose healthcare providers from both the public and private sector ( 20 ). The general health system was not implemented at the time of this study.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Application and Implementation of Evidence-based Practice in Nursing

Pitsillidou¹,

Ρούπα²,

Farmakas³

et al. 2021

Acta Inform Med

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Background: Even though Evidence-Based Practice is a complex process, it’s application has been recognized worldwide as a lever of improvement of the provided health services. Objective: This study investigates the factors which influence the implementation of Evidence-Based Practice and their correlation with nurses’ socio-demographic characteristics. Methods: This is a cross-sectional study for which data were collected through an anonymous questionnaire. The study sample included 302 nurses from six public hospitals in Cyprus. Data collection was conducted from April 2018 to July 2018. Results: According to the nurses, the biggest obstacle for the application of Evidence-Based Practice is the lack of authority/power to change care procedures (83.8%), followed by the view that the results were not applicable in the nurses’ environment (81.5%). Conclusion: The identification of factors affecting the implementation of Evidence-Based Practice can serve as a basis for improving the quality of healthcare, as well as for developing strategies for resolving existing problems. This study showed that there is a need to create opportunities for the use of Evidence-Based Practice by nurses.

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“…In countries where a mixture of public and private hospitals is present (such as in Malta), using hospital discharge data provided by public hospitals may not be a representative yield of the whole country. The case for Cyprus is different as it has recently undergone the implementation of a general health system serving as the aegis for the direct competition of public and private hospital in universal coverage provision [ 9 ]. The responsible unit for such data remains the Monitoring Health Unit (MHU).…”

Section: Availability Of Data Sourcesmentioning

confidence: 99%

Conducting national burden of disease studies in small countries in Europe– a feasible challenge?

et al. 2021

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Background Burden of Disease (BoD) studies use disability-adjusted life years (DALYs) as a population health metric to quantify the years of life lost due to morbidity and premature mortality for diseases, injuries and risk factors occurring in a region or a country. Small countries usually face a number of challenges to conduct epidemiological studies, such as national BoD studies, due to the lack of specific expertise and resources or absence of adequate data. Considering Europe’s small countries of Cyprus, Iceland, Luxembourg, Malta and Montenegro, the aim was to assess whether the various national data sources identified are appropriate to perform national BoD studies. Main body The five small countries have a well-established mortality registers following the ICD10 classification, which makes calculation of years of life lost (YLL) feasible. A number of health information data sources were identified in each country, which can provide prevalence data for the calculation of years lived with disability (YLD) for various conditions. These sources include disease-specific registers, hospital discharge data, primary health care data and epidemiological studies, provided by different organisations such as health directorates, institutes of public health, statistical offices and other bodies. Hence, DALYs can be estimated at a national level through the combination of the YLL and YLD information. On the other hand, small countries face unique challenges such as difficulty to ensure sample representativeness, variations in prevalence estimates especially for rarer diseases, existence of a substantial proportion of non-residents affiliated to healthcare systems and potential exclusion from some European or international initiatives. Recently established BoD networks may provide a platform for small countries to share experiences, expertise, and engage with countries and institutions that have long-standing experience with BoD assessment. Conclusion Apart from mortality registries, adequate health data sources, notably for cancer, are potentially available at the small states to perform national BoD studies. Investing in sharing expert knowledge through engagement of researchers in BoD networks can enable the conduct of country specific BoD studies and the establishment of more accurate DALYs estimates. Such estimates can enable local policymakers to reflect on the relative burden of the different conditions that are contributing to morbidity and mortality at a country level.

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Re-engineering the Cypriot healthcare service system

Cited by 7 publications

References 7 publications

Attitudes and Acceptance of COVID-19 Vaccination Among Nurses and Midwives in Cyprus: A Cross-Sectional Survey

Attitudes and Acceptance of COVID-19 Vaccination Among Nurses and Midwives in Cyprus: A Cross-Sectional Survey

Factors Affecting the Application and Implementation of Evidence-based Practice in Nursing

Conducting national burden of disease studies in small countries in Europe– a feasible challenge?

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