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Is early integration of palliative home care in oncology treatment feasible and acceptable for advanced cancer patients and their health care providers? A phase 2 mixed-methods study Ghent University Vrije Universiteit Brussel

Naomi Dhollander, Tinne Smets, Aline De Vleminck, Lore Lapeire, Koen Pardon, Luc Deliens
Background: To support the early integration of palliative home care (PHC) in cancer treatment, we developed the EPHECT intervention and pilot tested it with 30 advanced cancer patients in Belgium using a pre post design with no control group. We aim to determine the feasibility, acceptability and perceived effectiveness of the EPHECT intervention. Methods: Interviews with patients (n = 16 of which 11 dyadic with family caregivers), oncologists ...

The impact of the COVID-19 pandemic on primary health care practices and patient management in the Republic of Moldova : results from the PRICOV-19 survey Ghent University

Giulia Delvento, Ala Curteanu, Cristina Rotaru, Esther Van Poel, Sara Willems, Helen Prytherch, Ghenadie Curocichin
BackgroundThe COVID-19 pandemic has had an enormous impact on health systems in Europe and has generated unprecedented challenges for tertiary care. Less is known about the effects on the activities of local family doctors (FDs), who have shifted tasks and adapted their practice to accommodate the new services brought by the pandemic. The PRICOV-19 study was a multi-country survey aiming to understand the challenges posed by the pandemic in ...

Acceptability and Perceived Benefits and Risks of Public and Patient Involvement in Health Care Policy: A Delphi Survey in Belgian Stakeholders Hasselt University

Irina CLEEMPUT, Wendy Christiaens, Laurence Kohn, Christian Léonard, Francois Daue, Alain Denis
Background: In systems with public health insurance, coverage decisions should reflect social values. Deliberation among stakeholders could achieve this goal, but rarely involves patients and citizens directly. Objectives: This study aimed at evaluating the acceptability, and the perceived benefits and risks, of public and patient involvement (PPI) in coverage decision making to Belgian stakeholders. Methods: A two-round Delphi survey was ...

Patient and provider perspectives on how trust influences maternal vaccine acceptance among pregnant women in Kenya Institute of Tropical Medicine

Stacy W Nganga, Nancy A Otieno, Maxwell Adero, Dominic Ouma, Sandra S Chaves, Jennifer R Verani, Marc-Alain Widdowson, Andrew Wilson, Irina Bergenfeld, Courtni Andrews, et al.

Background: Pregnant women and newborns are at high risk for infectious diseases. Altered immunity status during pregnancy and challenges fully vaccinating newborns contribute to this medical reality. Maternal immunization is a strategy to protect pregnant women and their newborns. This study aimed to find out how patient-provider relationships affect maternal vaccine uptake, particularly in the context of a lower middle- income country where ...

Patients' acceptance of outcome and experience measurements during hospitalisation for COPD exacerbations: a CICERO Clinical Research Collaboration-European Lung Foundation online patient survey KU Leuven

Iwein Gyselinck, Kristina Vermeersch, Fabienne Dobbels, Wim Janssens
BACKGROUND: The lack of standardised outcome assessments during hospitalisation and follow-up for acute COPD exacerbations has hampered scientific progress and clinical proficiency. The objective of the present study was to evaluate patients' acceptance of selected outcome and experience measurements during hospitalisations for COPD exacerbations and follow-up. METHODS: An online survey was held amongst COPD patients in France, Belgium, The ...

Mental health care in the city of Lubumbashi, Democratic Republic of the Congo: Analysis of demand, supply and operational response capacity of the health district of Tshamilemba Institute of Tropical Medicine

Erick Mukala Mayoyo, Bart Criel, Joris Michielsen, Didier Chuy, Yves Coppieters, Faustin Chenge

BACKGROUND: Integrating mental health care into the primary care system is an important policy option in the Democratic Republic of the Congo (DRC). From the perspective of the integration of mental health care in district health services, this study analyzed the existing demand and supply of mental health care in the health district of Tshamilemba, which is located in Lubumbashi, the second largest city of the DRC. We critically examined the ...

Patient- and delivery-system factors related to acceptance of HIV councelling and testing services among TB patients in South Africa :a qualitative study with community health workders and program managers University of Antwerp

J.C. Heunis, Edwin Wouters, W. Norton, M.C. Engelbrecht, G.N. Kigozi, A. Sharma, C. Ragin
Background South Africa has a high tuberculosis (TB)-human immunodeficiency virus (HIV) coinfection rate of 73%, yet only 46% of tuberculosis TB patients are tested for HIV. To date, relatively little work has focused on understanding why TB patients may not accept effective services or participate in programs that are readily available in health care delivery systems. The objective of the study was to explore barriers to and facilitators of ...

Ageing is Not a Disease: Pitfalls for the Acceptance of Self-Management Health Systems Supporting Healthy Ageing KU Leuven

Ine D'Haeseleer, Kathrin Gerling, Bart Vanrumste, Dominique Schreurs, Vero Vanden Abeele
Recently, a shift from curative to preventive care is promoted, by which patients are expected to become active and use diverse forms of self-management health systems (SMHS), i.e., integrated solutions that present data from multiple sensors and/or self-reports, possibly enhanced with risk assessment and decision support, to perform health-related actions. This is promoted as contributing to living longer and healthier, assisting ...

Why are they "unreached"? Macro and Meso determinants of health care access in hard to reach areas of Odisha, India Institute of Tropical Medicine

S. Nallala, Upasona Gosh, SS Desaraju, S. Kadam, RR Kadarpeta, Sara Van Belle

BACKGROUND: Reaching hard to reach populations is key to reduce health inequities. Despite targeted interventions, status of crucial public health indicators like neonatal and maternal mortality is still far from optimal. Complex interplay of social determinants can influence both communities and health care workers to effectively access each other. We argue that culturally sensitive and contextually relevant healthcare provision has ...