Marta Estrela
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View article: Understanding how veterinarians’ knowledge, attitudes, and practices influence antibiotic prescription: a systematic review of survey studies
Understanding how veterinarians’ knowledge, attitudes, and practices influence antibiotic prescription: a systematic review of survey studies Open
This systematic review provides an updated and comprehensive understanding of non-clinical factors that can influence veterinarians' antibiotic prescription practices. High client demand, self-confidence, need to satisfy clients' expectati…
View article: Mortality After Lower Extremity Amputation: A Portuguese Study
Mortality After Lower Extremity Amputation: A Portuguese Study Open
View article: Digital health usage patterns and digital health literacy: a deep dive onto the Portuguese reality through a cross-sectional study
Digital health usage patterns and digital health literacy: a deep dive onto the Portuguese reality through a cross-sectional study Open
Purpose With the increasingly widespread use of digital health tools and services, ensuring equitable access while making sure that citizens have the needed skillset to navigate the digital health world is essential. This study aimed to ex…
View article: Digital health in Portugal: Exploring perceptions, barriers, and experiences through a focus group study
Digital health in Portugal: Exploring perceptions, barriers, and experiences through a focus group study Open
Purpose Digital health (DH) has undergone rapid expansion in recent years, driven by new innovations aimed at improving healthcare quality, service efficiency, and patient empowerment. However, DH adoption and usage remains inconsistent, s…
View article: Educational interventions for the adoption of healthy lifestyles and improvement of health literacy: a systematic review
Educational interventions for the adoption of healthy lifestyles and improvement of health literacy: a systematic review Open
This review provides evidence supporting the effectiveness and relevance of educational interventions containing interactive strategies, in positively changing health literacy levels, lifestyle behaviors such as diet, physical activity, an…
View article: “Simplification, decentralization, proximity” – A critical analysis of the digital health framework in Portugal through expert interviews
“Simplification, decentralization, proximity” – A critical analysis of the digital health framework in Portugal through expert interviews Open
As digital health has gained momentum in Portugal over the years, it is crucial to enhance governance and transparency, connect digital infrastructures, and promote data availability. These measures, along with a well-defined strategic vis…
View article: Perceptions, Knowledge, and Attitudes of General Population About Prostate Cancer-Associated Risk Factors: A Systematic Review of Qualitative Studies Focusing on Lifestyle
Perceptions, Knowledge, and Attitudes of General Population About Prostate Cancer-Associated Risk Factors: A Systematic Review of Qualitative Studies Focusing on Lifestyle Open
View article: Digital health in Portugal: Exploring perceptions, barriers, and experiences through a focus group study
Digital health in Portugal: Exploring perceptions, barriers, and experiences through a focus group study Open
Purpose Digital health (DH) has been rapidly expanding over the last years, with new technologies aimed at improving healthcare services quality and effectiveness and patient empowerment. However, DH adoption and usage is not equal to ever…
View article: Tackling antibiotic resistance—insights from eHealthResp’s educational interventions
Tackling antibiotic resistance—insights from eHealthResp’s educational interventions Open
View article: Health Professionals’ Perceptions about Prostate Cancer—A Focus Group Study
Health Professionals’ Perceptions about Prostate Cancer—A Focus Group Study Open
Prostate cancer (PCa) accounts for 20% of new cancer cases and 10.5% of cancer-associated mortality in Portugal. Associated risk factors include advanced age, family history, genetic alterations, and race/ethnicity. However, the role of li…
View article: COVID-19 Government policies in Portugal and Brazil: A three-year retrospective analysis
COVID-19 Government policies in Portugal and Brazil: A three-year retrospective analysis Open
Countries have adopted different COVID-19 policies to contain the transmission of the disease and to prepare for vaccination rollout. Countries' political context, vaccine policy history, and health systems' responses impacted COVID-19 hea…
View article: Sociodemographic determinants of digital health literacy: A systematic review and meta-analysis
Sociodemographic determinants of digital health literacy: A systematic review and meta-analysis Open
Overall, this review suggests digital health literacy is dependent on sociodemographic, economic, and cultural factors, which may require tailored interventions that consider these nuances.
View article: Insights on COVID-19 Vaccination in Portugal: A Qualitative Study among Health Professionals and Teachers
Insights on COVID-19 Vaccination in Portugal: A Qualitative Study among Health Professionals and Teachers Open
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 hesit…
View article: Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact Open
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 …
View article: Unravelling the drivers behind COVID-19 vaccination hesitancy and refusal among teachers: A nationwide study
Unravelling the drivers behind COVID-19 vaccination hesitancy and refusal among teachers: A nationwide study Open
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…
View article: eHealthResp, a Digital Intervention to Improve Antibiotic Prescribing in Respiratory Infections: A Pilot Study
eHealthResp, a Digital Intervention to Improve Antibiotic Prescribing in Respiratory Infections: A Pilot Study Open
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 gre…
View article: Improving Pharmacists’ Awareness of Inadequate Antibiotic Use for URTIs through an Educational Intervention: A Pilot Study
Improving Pharmacists’ Awareness of Inadequate Antibiotic Use for URTIs through an Educational Intervention: A Pilot Study Open
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 …
View article: What determines health professionals’ COVID‐19 vaccine hesitancy? A nationwide study
What determines health professionals’ COVID‐19 vaccine hesitancy? A nationwide study Open
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…
View article: The Effect of Nutrition on Aging—A Systematic Review Focusing on Aging-Related Biomarkers
The Effect of Nutrition on Aging—A Systematic Review Focusing on Aging-Related Biomarkers Open
Despite the increasing life expectancy, an individual’s later years tends to be accompanied by a decrease in the quality of life. Though biological changes that occur through the natural process of aging cannot be controlled, the risk fact…
View article: Perceptions, knowledge and attitudes about COVID-19 vaccine hesitancy in older Portuguese adults
Perceptions, knowledge and attitudes about COVID-19 vaccine hesitancy in older Portuguese adults Open
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…
View article: A roadmap for the development and evaluation of the eHealthResp online course
A roadmap for the development and evaluation of the eHealthResp online course Open
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 educat…
View article: Prescription of anxiolytics, sedatives, hypnotics and antidepressants in outpatient, universal care during the COVID-19 pandemic in Portugal: a nationwide, interrupted time-series approach
Prescription of anxiolytics, sedatives, hypnotics and antidepressants in outpatient, universal care during the COVID-19 pandemic in Portugal: a nationwide, interrupted time-series approach Open
Background The COVID-19 pandemic has had a significant impact on the population’s mental health. However, its impact on the consumption of anxiolytics, sedatives, hypnotics and antidepressants remains to be evaluated. Hence, this article a…
View article: The Impact of the COVID-19 Pandemic on Antibiotic Prescribing Trends in Outpatient Care: A Nationwide, Quasi-Experimental Approach
The Impact of the COVID-19 Pandemic on Antibiotic Prescribing Trends in Outpatient Care: A Nationwide, Quasi-Experimental Approach Open
Coronavirus disease 2019 (COVID-19) has spread globally and is currently having a damaging impact on nearly all countries in the world. The implementation of stringent measures to stop COVID-19 dissemination had an influence on healthcare …
View article: Comparing Hospital and Primary Care Physicians’ Attitudes and Knowledge Regarding Antibiotic Prescribing: A Survey within the Centre Region of Portugal
Comparing Hospital and Primary Care Physicians’ Attitudes and Knowledge Regarding Antibiotic Prescribing: A Survey within the Centre Region of Portugal Open
Background: Antibiotic resistance is a worldwide public health problem, leading to longer hospital stays, raising medical costs and mortality levels. As physicians’ attitudes are key factors to antibiotic prescribing, this study sought to …
View article: Validation of the eHealthResp online course for pharmacists and physicians: A Delphi method approach
Validation of the eHealthResp online course for pharmacists and physicians: A Delphi method approach Open
View article: A Usability Study of Pharmacists’ Perceptions Toward an Online Course for Respiratory Infections and Antibiotic Use
A Usability Study of Pharmacists’ Perceptions Toward an Online Course for Respiratory Infections and Antibiotic Use Open
Digital tools in healthcare have been rapidly emerging over the past decade, with these tools consisting of clinical decision support systems, diagnostic tools or educational materials, such as e-learning courses. eHealthResp comprises an …
View article: The Use of Antidepressants, Anxiolytics, Sedatives and Hypnotics in Europe: Focusing on Mental Health Care in Portugal and Prescribing in Older Patients
The Use of Antidepressants, Anxiolytics, Sedatives and Hypnotics in Europe: Focusing on Mental Health Care in Portugal and Prescribing in Older Patients Open
(1) Background: Mental disorders are a growing concern in the 21st century. The most prevalent common mental disorders include depression and anxiety. It is predicted that half of the population will at some point in their lives experience…
View article: E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review
E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review Open
(1) 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 o…
View article: As políticas de saúde mental e o consumo de psicofármacos
As políticas de saúde mental e o consumo de psicofármacos Open