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Physicians' perceptions of psychosocial factors and coping strategies in their ...

Messias, Ana; Estrela, Marta; Couto, Pedro; Sá-Couto, Pedro; Ramos, Marco

Background/Objective: Physicians play a crucial role in healthcare systems but face negative impacts from a challenging work environment, leading to burnout. Burnout has negative effects on physician health and patient care. Understanding psychosocial aspects of work and coping strategies used by physicians is essential. Validated tools, including COPSOQ-II, BriefCOPE, and WAI scales, can provide insight into t...


E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review

Carvalho, Érico; Estrela, Marta; Zapata-Cachafeiro, Maruxa; Figueiras, Adolfo; Roque, Fátima; Maria Teresa, Herdeiro

Background: e-Health tools, especially in the form of clinical decision support systems (CDSSs), have been emerging more quickly than ever before. The main objective of this systematic review is to assess the influence of these tools on antibiotic use for respiratory tract infections. (2) Methods: The scientific databases, MEDLINE-PubMed and EMBASE, were searched. The search was conducted by two independent res...


Educational Interventions to Reduce Prescription and Dispensing of Antibiotics ...

Rocha, Vânia; Estrela, Marta; Neto, Vanessa; Roque, Fátima; Figueiras, Adolfo; Herdeiro, Maria

Antibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this review is to identify and synthesize available evidence on the economic impact of educational interventions to reduce...


What determines health professionals COVID-19 vaccine hesitancy? A nationwide s...

Estrela, Marta; Silva, Tânia M; Roque, Vítor; Gomes, Eva Rebelo; Roque, Fátima; Herdeiro, Maria Teresa; Figueiras, Adolfo

Introduction: To contain the COVID-19 pandemic, higher vaccination rates are essential. However, as vaccine hesitancy is a reality, it is important to understand what drives health professionals to refuse getting vaccinated against COVID-19, who have been in the frontline of this pandemic since its beginning and may be key actors to improve vaccine coverage among their patients. Purpose: This study aims to asse...


A roadmap for the development and evaluation of the eHealthResp online course

Estrela, Marta; Silva, Tânia; Almeida, Ana; Regueira, Carlos; Zapata-Cachafeiro, Maruxa; Figueiras, Adolfo; Roque, Fátima; Herdeiro, Maria

Background: Inappropriate antibiotic use constitutes one of the most concerning public health issues, being one of the main causes of antibiotic resistance. Hence, to tackle this issue, it is important to encourage the development of educational interventions for health practitioners, namely by using digital health tools. This study focuses on the description of the development and validation process of the eHe...


Unravelling the drivers behind COVID-19 vaccination hesitancy and refusal among...

Estrela, Marta; Silva, Tânia; Roque, Vítor; Gomes, Eva; Figueiras, Adolfo; Roque, Fátima; Herdeiro, Maria

This study aims to assess the determinants of the coronavirus disease 2019 (COVID-19) vaccination hesitancy and refusal (VHR) among teachers, from pre-school to higher education, through an online survey. A logistic regression analysis was used to determine the adjusted odds ratio (OR) of the independent variables (perceptions, knowledge, and attitudes) per 1-point increase in the Likert scale, and VHR. Concern...


Insights on COVID-19 Vaccination in Portugal: A Qualitative Study among Health ...

Estrela, Marta; Leitão, Catarina; Silva, Tânia; Roque, Fátima; Herdeiro, Maria

Background: Vaccination against COVID-19 has had a major impact over the course of the pandemic, leading to a reduced number of hospitalizations and deaths. However, the mass vaccination process has been accompanied by skepticism and hesitancy since its beginning. As health professionals and teachers are important public health actors who can strongly intervene to reduce vaccination hesitancy among their patien...


Perceptions, knowledge and attitudes about COVID-19 vaccine hesitancy in older ...

Silva, Tânia; Estrela, Marta; Roque, Vítor; Gomes, Eva; Figueiras, Adolfo; Roque, Fátima; Herdeiro, Maria

Background: Coronavirus 2019 (COVID-19) has become a public-health emergency of international concern. Most efforts to contain the spread and transmission of the virus rely on campaigns and interventions targeted to reduce Vaccine Hesitancy and Refusal (VHR). Objective: this study aims to assess the major factors associated with VHR in the older population in Portugal. Methods: a nation-wide cross-sectional stu...


eHealthResp, a Digital Intervention to Improve Antibiotic Prescribing in Respir...

Silva, Tânia; Estrela, Marta; Magalhães, Sandra; Simões, Catarina; Cachim, Afonso; Costa, Tainá; Crexinski, Gabriella; Almeida, Margarida

The emergence of antibiotic resistance (ABR) is one of the most serious public health threats worldwide. The inappropriate use of antibiotics is considered the main determinant for the increase and development of ABR, contributing to a greater risk of therapeutic ineffectiveness, particularly within primary care context. Therefore, this pilot study aims to raise awareness and promote an adequate antibiotic use ...


Improving Pharmacists Awareness of Inadequate Antibiotic Use for URTIs through ...

Magalhães, Sandra; Estrela, Marta; Silva, Tânia; Costa, Tainá; Crexinski, Gabriella; Simões, Catarina; Almeida, Margarida; Figueiras, Adolfo

The inadequate use of antibiotics led to the development of multi-resistant bacteria that are now causing millions of deaths worldwide. Since most antibiotics are prescribed/dispensed to treat respiratory tract infections, it is important to raise awareness among health professionals to optimize antibiotic use, especially within the primary care context. Thus, this pilot study aimed to evaluate pharmacists' fee...


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