{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:18:18Z","timestamp":1760660298610,"version":"build-2065373602"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100030902","name":"Martin-Luther-University Halle-Wittenberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100030902","id-type":"DOI","asserted-by":"crossref"}]},{"name":"European General Practice Research Network","award":["2022\/01"],"award-info":[{"award-number":["2022\/01"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The COVID-19 pandemic has underlined the essential role of primary healthcare (PHC) in epidemiological surveillance and public health decision-making. Across Europe, the integration of electronic health records (EHRs) and the sentinel networks have been pivotal in monitoring COVID-19. However, the lack of standardized PHC indicators for COVID-19 hinders the comparability of data among countries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckaf051","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T10:30:27Z","timestamp":1755167427000},"page":"1026-1035","source":"Crossref","is-referenced-by-count":0,"title":["Identifying essential COVID-19 indicators for primary healthcare through Delphi analysis in 31 European countries: Eurodata eDelphi study"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3192-7672","authenticated-orcid":false,"given":"Maria Pilar","family":"Astier Pe\u00f1a","sequence":"first","affiliation":[{"name":"Universitas Health Centre , Zaragoza,","place":["Spain"]},{"name":"Health Service of Aragon, GIIS011, Instituto de Investigaci\u00f3n Sanitaria de Arag\u00f3n , Zaragoza,","place":["Spain"]},{"name":"QiSP-Tar Research Group, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut\u2014IDIAP Jordi Gol , Barcelona,","place":["Spain"]},{"name":"Aragones Health Service, Patient Safety Working Party of semFYC (Spanish Society for Family and Community Medicine), Quality and Safety in Family Medicine of WONCA World (Global Family Doctors), Board Member of WONCA World , Barcelona,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3786-8626","authenticated-orcid":false,"given":"Raquel","family":"G\u00f3mez Bravo","sequence":"additional","affiliation":[{"name":"CHNP, Rehaklinik , Ettelbruck,","place":["Luxembourg"]},{"name":"Research Group Self-Regulation and Health, Institute for Health and Behaviour , Luxembourg,","place":["Luxembourg"]},{"name":"Department of Behavioural and Cognitive Sciences, Faculty of Humanities, Education, and Social Sciences, Luxembourg University , Esch-sur-Alzette,","place":["Luxembourg"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1635-1003","authenticated-orcid":false,"given":"Ileana","family":"Gefaell Larrondo","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n de Investigaci\u00f3n e Innovaci\u00f3n Biosanitaria de Atenci\u00f3n Primaria (FIIBAP), Research Network on Chronicity, Primary Care and Health Promotion-RICAPPS (RICORS) ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes","family":"Ramos Del Rio","sequence":"additional","affiliation":[{"name":"Federica Montseny Health Centre, Gerencia Asistencial de Atenci\u00f3n Primaria, Servicio Madrile\u00f1o de Salud , Madrid,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Joaquin","family":"Mira","sequence":"additional","affiliation":[{"name":"Universidad Miguel Hern\u00e1ndez , Elche,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9137-2122","authenticated-orcid":false,"given":"Sne\u017eana","family":"Kne\u017eevi\u0107","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Academy of Applied Studies Polytechnic , Belgrade,","place":["Serbia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandar","family":"Kirkovski","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ss. 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