Identifying essential COVID-19 indicators for primary healthcare through Delphi analysis in 31 European countries: Eurodata eDelphi study.
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Astier Peña Maria Pilar, Gómez Bravo Raquel, Gefaell Larrondo Ileana, Ramos Del Rio Lourdes, Mira José Joaquin, Knežević Snežana, Kirkovski Aleksandar, Korkmaz Büsra Çimen, Kostić Milena, Krztoń-Królewiecka Anna, Segernäs Anna, Lingner Heidrun, Murauskienė Liubovė, Mortsiefer Achim, Nessler Katarzyna, Penakacherla Nagu, Pencheri Maria, Perjés Ábel, Petrazzuoli Ferdinando, Petricek Goranka, Sentker Theresa, Palandri Lucia, Petek Davorina, Vaes Bert, Ilkov Oksana, Üçüncü Erva Kırkoç, Vinker Shlomo, Assenova Radost, Adler Limor, Bakola Maria, Bensemmane Sherihane, Bezdíčková Ludmila, Bayen Sabine, Burgers Jako S, Busneag Carmen, Tsigarovski Georgi, Cosic Divjak Asja, Domeyer Philippe-Richard J, Fitzgerald Louise, Gjorgjievski Dragan, Heleno Bruno, Hoffmann Kathryn, Jandrić-Kočić Marijana, Neves Ana Luísa, Guisado-Clavero Marina, Ares-Blanco Sara, Frese Thomas, Eurodata Collaborative Group
Аннотация
OBJECTIVE: To establish a consensus on a set of standardized PHC activity indicators related to the COVID-19 pandemic for 31 countries, enhancing the capability of health authorities to make informed decisions and prepare for future health crises.
METHODS: A two-round eDelphi study was conducted using a structured web-based survey, following the CREDES guidelines, to achieve consensus among a panel of 164 experts from the Eurodata study. 86 Indicators were selected based on their availability during the current pandemic, with participants rating the relevance and utility of proposed indicators.
RESULTS: Of the 22 initial indicators, seven received consensuses for inclusion, while two remained contentious after the second round. The study found significant discrepancies in the awareness of sentinel networks and accessibility to PHC data. The consensus emphasized the necessity for indicators to be standardized, reproducible, and easily extractable from databases, with recommendations for disaggregation by age, sex, and vaccination status.
CONCLUSION: Key COVID-19 indicators for PHC were identified, reflecting a consensus among healthcare professionals. Further cooperation between PHC providers and national public health authorities is warranted both on the national and the international level to harmonized healthcare indicators in response to future health emergencies.