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Calabrese M, Suparaku S, Santovito S, Hysa X. Preventing and developmental factors of sustainability in healthcare organisations from the perspective of decision makers: an exploratory factor analysis. BMC Health Serv Res 2023; 23:797. [PMID: 37491258 PMCID: PMC10369822 DOI: 10.1186/s12913-023-09689-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Accepted: 06/12/2023] [Indexed: 07/27/2023] Open
Abstract
BACKGROUND UN Sustainable Development Goals are part of the political agenda of most developed countries. Being a developing country, Albania has only recently adhered to this trend. Prior research at national level has sporadically focused on environmental sustainability, neglecting a holistic view of the phenomenon. To fill this gap, this study aims to explore preventing and developmental factors of sustainability in healthcare organisations from the perspective of decision makers by relying to a Triple Bottom Line approach. METHODS Data were collected through a questionnaire administered to healthcare facilities and analysed through the Exploratory Factor Analysis. Findings revealed that the factors influencing the sustainability of the national healthcare system were five: Barriers of Organisational Sustainability; Stakeholders Pressure (regarding sustainable issues); Awareness (knowledge and measures taken for sustainability); Institutional Engagement; and Personal Interest and Involvement. The underlying factors included 19 items suitable for this sample, representing 64.371% of the total variance. RESULTS The findings show the existence of 4 factors: Barriers of Organisational Sustainability, Stakeholders Pressure regarding Sustainable issues, Awareness/knowledge and measures taken for sustainability, Personal Interest and Involvement. CONCLUSIONS It is evident that national health organisations should continuously improve its strategies to be consistent with the sustainable development goals of international organisations, so that their initiatives could reflect the integration of sustainability approaches at the organisational level.
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Pruccoli G, Castagno E, Raffaldi I, Denina M, Barisone E, Baroero L, Timeus F, Rabbone I, Monzani A, Terragni GM, Lovera C, Brach del Prever A, Manzoni P, Barbaglia M, Roasio L, De Franco S, Calitri C, Lupica M, Felici E, Marciano C, Santovito S, Militerno G, Abrigo E, Curtoni A, Quarello P, Bondone C, Garazzino S. The Importance of RSV Epidemiological Surveillance: A Multicenter Observational Study of RSV Infection during the COVID-19 Pandemic. Viruses 2023; 15:v15020280. [PMID: 36851494 PMCID: PMC9963567 DOI: 10.3390/v15020280] [Citation(s) in RCA: 15] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 01/12/2023] [Accepted: 01/16/2023] [Indexed: 01/20/2023] Open
Abstract
The restrictive measures adopted worldwide against SARS-CoV-2 produced a drastic reduction in respiratory pathogens, including RSV, but a dramatic rebound was thereafter reported. In this multicenter retrospective observational study in 15 Pediatric Emergency Departments, all children <3 years old with RSV infection admitted between 1 September and 31 December 2021 were included and compared to those admitted in the same period of 2020 and 2019. The primary aim was to evaluate RSV epidemiology during and after the COVID-19 pandemic peak. The secondary aims were to evaluate the clinical features of children with RSV infection. Overall, 1015 children were enrolled: 100 in 2019, 3 in 2020 and 912 in 2021. In 2019, the peak was recorded in December, and in 2021, it was recorded in November. Comparing 2019 to 2021, in 2021 the median age was significantly higher and the age group 2-3 years was more affected. Admissions were significantly higher in 2021 than in 2020 and 2019, and the per-year hospitalization rate was lower in 2021 (84% vs. 93% in 2019), while the duration of admissions was similar. No difference was found in severity between 2019-2020-2021. In conclusion, after the COVID-19 pandemic, an increase in RSV cases in 2021 exceeding the median seasonal peak was detected, with the involvement of older children, while no difference was found in severity.
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Affiliation(s)
- Giulia Pruccoli
- Infectious Diseases Unit, Department of Pediatrics, University of Turin, Regina Margherita Children’s Hospital, A.O.U. Città Della Salute e della Scienza di Torino, 10126 Turin, Italy
| | - Emanuele Castagno
- Department of Pediatric Emergency, Regina Margherita Children’s Hospital, A.O.U. Città Della Salute e della Scienza di Torino, 10126 Turin, Italy
| | - Irene Raffaldi
- Department of Pediatric Emergency, Regina Margherita Children’s Hospital, A.O.U. Città Della Salute e della Scienza di Torino, 10126 Turin, Italy
| | - Marco Denina
- Department of Pediatric Emergency, Regina Margherita Children’s Hospital, A.O.U. Città Della Salute e della Scienza di Torino, 10126 Turin, Italy
| | - Elisa Barisone
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
- Correspondence: ; Tel.: +39-0113135396
| | - Luca Baroero
- Department of Pediatrics, Martini Hospital, 10141 Turin, Italy
| | - Fabio Timeus
- Pediatrics Department, Chivasso Hospital, 10034 Chivasso (TO), Italy
| | - Ivana Rabbone
- Division of Pediatrics, Department of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy
| | - Alice Monzani
- Division of Pediatrics, Department of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy
| | | | - Cristina Lovera
- Department of Pediatrics, A.O. S.Croce e Carle, 12100 Cuneo, Italy
| | | | - Paolo Manzoni
- Department of Pediatrics, Ospedale Degli Infermi di Ponderano, University of Turin, 13900 Biella, Italy
| | | | - Luca Roasio
- Department of Pediatrics, Edoardo Agnelli Hospital, 10064 Pinerolo (TO), Italy
| | - Simona De Franco
- Department of Pediatrics, Ospedale di Borgomanero, 28021 Borgomanero (NO), Italy
| | - Carmelina Calitri
- Department of Pediatrics, Ospedale di Rivoli, 10098 Rivoli (TO), Italy
| | - Maddalena Lupica
- Department of Pediatrics, Ospedale di Rivoli, 10098 Rivoli (TO), Italy
| | - Enrico Felici
- Pediatric and Pediatric Emergency Unit, Children’s Hospital, AO SS Antonio e Biagio e C. Arrigo, 15121 Alessandria, Italy
| | - Cinzia Marciano
- Pediatric and Pediatric Emergency Unit, Children’s Hospital, AO SS Antonio e Biagio e C. Arrigo, 15121 Alessandria, Italy
| | - Savino Santovito
- Department of Pediatrics, Ospedale Maria Vittoria, ASL Città di Torino, 10143 Turin, Italy
| | - Gaia Militerno
- Department of Pediatrics, Ospedale Cardinal Massaia, 14100 Asti, Italy
| | - Enrica Abrigo
- Department of Pediatrics, Ospedale Cardinal Massaia, 14100 Asti, Italy
| | - Antonio Curtoni
- Microbiology and Virology Unit, Molinette Hospital, A.O.U. Città della Salute e della Scienza di Torino, 10126 Turin, Italy
| | - Paola Quarello
- Department of Pediatric Onco-Hematology, University of Turin, Regina Margherita Children’s Hospital, A.O.U. Città Della Salute e della Scienza di Torino, 10126 Turin, Italy
| | - Claudia Bondone
- Department of Pediatric Emergency, Regina Margherita Children’s Hospital, A.O.U. Città Della Salute e della Scienza di Torino, 10126 Turin, Italy
| | - Silvia Garazzino
- Infectious Diseases Unit, Department of Pediatrics, University of Turin, Regina Margherita Children’s Hospital, A.O.U. Città Della Salute e della Scienza di Torino, 10126 Turin, Italy
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Raffaldi I, Castagno E, Fumi I, Bondone C, Ricceri F, Besenzon L, Brach Del Prever A, Capalbo P, Cosi G, Felici E, Fusco P, Gallina MR, Garofalo F, Gianino P, Guala A, Haitink O, Manzoni P, Marra A, Rabbone I, Roasio L, Santovito S, Serra A, Tappi E, Terragni GM, Timeus FS, Torielli F, Vigo A, Urbino AF. Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study. Lancet Reg Health Eur 2021; 5:100081. [PMID: 34104902 PMCID: PMC7969147 DOI: 10.1016/j.lanepe.2021.100081] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Background COVID-19 pandemic caused huge decrease of pediatric admissions to Emergency Department (ED), arising concerns about possible delays in diagnosis and treatment of severe disorders. Methods Impact of COVID-19 on Pediatric Emergency Room (ICOPER) was a retrospective multicentre observational study including 23 Italian EDs. All the children <18 years admitted, between March 9th and May 3rd 2020 stratified by age, priority code, cause of admission and outcome have been included and compared to those admitted in the same period of 2019. Our objectives were to assess the characteristics of pediatric admissions to EDs since COVID-19 outbreak until the end of lockdown, and to describe the features of critical children. Findings 16,426 children were admitted in 2020, compared to 55,643 in 2019 (-70·48%). Higher reduction was reported in hospitals without Pediatric Intensive Care Unit (PICU) (-73·38%) than in those with PICU (-64·08%) (P<0·0001). Admissions with low priority decreased more than critical ones (-82·77% vs. 44·17% respectively; P<0·0001). Reduction of discharged patients was observed both in hospitals with (-66·50%) and without PICU (-74·65%) (P<0·0001). No difference in the duration of symptoms before admission was reported between 2019 and 2020, with the majority of children accessing within 24 h (55·08% vs. 57·28% respectively; P = 0·2344). Interpretation Admissions with low priority decreased significantly more than those with high priority; we suppose that the fear of being infected in hospital maybe overcame the concerns of caregivers. Compared to 2019, no significant referral delay by caregivers was reported. Our data suggest the need of adaptation of EDs and primary care services to different needs of children during COVID-9 pandemic.
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Affiliation(s)
- Irene Raffaldi
- Department of Pediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Piazza Polonia 94, 10126 Turin, Italy
| | - Emanuele Castagno
- Department of Pediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Piazza Polonia 94, 10126 Turin, Italy
| | - Ilaria Fumi
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, Turin, Italy
| | - Claudia Bondone
- Department of Pediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Piazza Polonia 94, 10126 Turin, Italy
| | - Fulvio Ricceri
- Department of Clinical and Biological Sciences, University of Turin, Regione Gonzole 10, Orbassano, TO, Italy.,Unit of Epidemiology, Regional Health Service, ASL TO3, Via Sabaudia 164, Grugliasco, TO, Italy
| | - Luigi Besenzon
- Division of Pediatrics and Neonatology, P.O. Savigliano, ASL CN1, Via Ospedali 9, Savigliano, CN, Italy
| | | | - Pina Capalbo
- Division of Pediatrics and Neonatology 3, P.O Martini, ASL Città di Torino, Via Tofane 71, Turin, Italy
| | - Gianluca Cosi
- Pediatric Unit, Sant'Andrea Hospital, ASL VC, Corso Mario Abbiate 21, Vercelli, Italy
| | - Enrico Felici
- Pediatrics and Pediatric Emergency Unit, The Children's Hospital, AO SS Antonio e Biagio e C. Arrigo, Via Spalto Marengo 46, Alessandria, Italy
| | - Patrizia Fusco
- Pediatric Unit, Montis Regalis Hospital, ASL CN1, Via San Rocchetto 99, Mondovì, CN, Italy
| | - Maria Rita Gallina
- Division of Pediatrics and Neonatology, Beauregard Hospital, Via L. Vaccari 5, Aosta, Italy
| | - Franco Garofalo
- Pediatric Unit, P.O. Rivoli, ASL TO3, Via Rivalta 29, Rivoli, TO, Italy
| | - Paola Gianino
- Division of Pediatrics, P.O. Cardinal Massaia, ASL AT, Corso Dante Alighieri 202, Asti, Italy
| | - Andrea Guala
- Division of Pediatrics, Ospedale Castelli, Via Fiume 18, Pallanza, Verbania, Italy
| | - Oscar Haitink
- Pediatric Department, SS Trinità Hospital, Viale Zoppis 10, Borgomanero, NO, Italy
| | - Paolo Manzoni
- Division of Pediatrics and Neonatology, Department of Maternal-Infantile Medicine, Nuovo Ospedale Degli Infermi, Via dei Ponderanesi 2, Ponderano, BI, Italy
| | - Antonio Marra
- Pediatric Unit - NICU, S. Croce Hospital, ASLT TO5, Piazza Amedeo Ferdinando 3, Moncalieri, TO, Italy
| | - Ivana Rabbone
- Division of Pediatrics, Department of Health Science, University of Piemonte Orientale, Corso G. Mazzini 18, Novara, Italy
| | - Luca Roasio
- Pediatric Department, E. Agnelli Hospital, Via Brigata Cagliari 39, Pinerolo, TO, Italy
| | - Savino Santovito
- Division of Pediatrics 1, Maria Vittoria Hospital, Via L. Cibrario 72, Turin, Italy
| | - Alberto Serra
- Division of Pediatrics, Ospedale Michele e Pietro Ferrero, P.O. Alba-Bra ASL CN2, Verduno, CN, Italy
| | - Eleonora Tappi
- Pediatric Unit, A.S.O. S. Croce e Carle, Via M. Coppino 26, Cuneo, Italy
| | - Gian Maria Terragni
- Division of Pediatrics, P.O. Chieri, ASL TO5, Via de Maria 1, Chieri, TO, Italy
| | - Fabio S Timeus
- Division of Pediatrics and Neonatology, P.O. Chivasso, ASL TO4, Corso G. Ferraris 3, Chivasso, TO, Italy
| | - Flaminia Torielli
- Division of Pediatrics, P.O. Novi Ligure, ASL AL, Via E. Raggio 12, Novi Ligure, AL, Italy
| | - Alessandro Vigo
- Division of Pediatrics and Neonatology, P.O. Ivrea, ASL TO4, Piazza Credenza 2, Ivrea, TO, Italy
| | - Antonio F Urbino
- Department of Pediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Piazza Polonia 94, 10126 Turin, Italy
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