Health Communication in Times of Pandemic: The Perspective of Portuguese National Health Service Users

Authors

DOI:

https://doi.org/10.17231/comsoc.40(2021).3250

Keywords:

communication for health, primary health care, health center clusters

Abstract

The covid-19 disease, caused by infection with the novel coronavirus (SARS-CoV-2), has introduced numerous global health communication challenges. The need for behavioral change, such as mask-wearing, hand washing, or social distancing, has become imperative to prevent the spread of this disease. Primary health care, due to its population coverage throughout the Portuguese territory and almost free of charge, plays a central role in health care provision, being the preferred contact between people and health services. The main objective of this study was to analyze, from the perspective of users of the Portuguese national health service (NHS; Serviço Nacional de Saúde, SNS), the contribution of the health center clusters, institutions responsible for primary health care in health communication regarding covid-19. Data were collected by online questionnaire from 904 users of the national health service residing in the 18 districts of Portugal between December 2020 and January 2021. Our research confirmed that health center clusters were the source of information the least sought after by users to learn about covid-19. Participants in this study also revealed that they had not received any information about the new coronavirus from their health center (80%), although they wished to have been contacted, preferably by email (87.2%), phone/mobile (36.5%), or mail (20.2%).

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Author Biographies

Andreia Garcia, Escola Superior de Comunicação Social, Instituto Politécnico de Lisboa, Lisbon, Portug

Andreia Garcia has a degree in business communication from the School of Social Communication of Polytechnic Institute of Lisbon and a master’s degree in health communication from the Medical School of the University of Lisbon. She holds a PhD in communication sciences at the University Institute of Lisbon and is an invited professor in Strategy in Public Relations and Relationship with the Media in the School of Social Communication of Polytechnic Institute of Lisbon. She has worked in communication agencies for more than 17 years as a specialist consultant in the health sector. She is the founder and general director of the company Miligrama Comunicação em Saúde.

Mafalda Eiró-Gomes, Escola Superior de Comunicação Social, Instituto Politécnico de Lisboa, Lisbon, Portugal

Mafalda Eiró-Gomes holds a doctorate and a master’s degree in communication sciences from NOVA University of Lisbon. Coordinating Professor of Pragmatics and Public Relations at the School of Social Communication, Polytechnic Institute of Lisbon, where she has been lecturing since 1991. Communication consultant, pro bono, of several civil society organizations.

References

Beck, F., Richard, J. B., Nguyen-Thanh, V., Montagni, I., Parizot, I., & Renahy, E. (2014). Use of the internet as a health information resource among French young adults: Results from a nationally representative survey. Journal of Medical Internet Research, 16(5), Artigo e128. https://doi.org/10.2196/jmir.2934

Brito, D. V., & Garcia, A. (2020). Posicionamento digital das unidades de saúde pública em Portugal continental em 2019. Comunicação Pública, 29(15). https://doi.org/10.4000/cp.11297

Decreto-Lei n.º 253/2012, Diário da República n.º 229/2012, Série I de 2012-11-27 (2012). https://dre.pt/dre/detalhe/decreto-lei/253-2012-191138

Decreto-Lei n.º 28/2008, Diário da República n.º 38/2008, Série I de 2008-02-22 (2008). https://dre.pt/dre/legislacao-consolidada/decreto-lei/2008-34455075

Direção-Geral da Saúde. (s.d.). Perguntas frequentes. Covid-19. https://covid19.min-saude.pt/category/perguntas-frequentes/

Direção-Geral da Saúde. (2021, 4 de fevereiro). Covid-19 – Relatório de situação a 4 de fevereiro. https://covid19.min-saude.pt/wp-content/uploads/2021/02/339_DGS_boletim_20210204.pdf

Eiró-Gomes, M., & Atouguia, J. (2012). Consulta do viajante, ou onde a comunicação para a saúde se encontra com a comunicação “na” saúde. Anais do Instituto de Higiene e Medicina Tropical, 11, 106–109. https://anaisihmt.com/index.php/ihmt/article/view/224

Eiró-Gomes, M., & Lourenço, S. (2009, 14–18 abril). O papel e a responsabilidade das relações públicas na sustentabilidade de um mundo global [Comunicação em congresso]. 8º Congresso da Lusocom/6º Congresso da Sopcom, Lisboa, Portugal.

Espanha, R., Ávila, P., & Mendes, R. V. (2016). Literacia em saúde em Portugal. Relatório síntese. Fundação Calouste Gulbenkian. https://content.gulbenkian.pt/wp-content/uploads/2017/08/29203225/PGISVersCurtaFCB_FINAL2016.pdf

Finset, A. (2021). Challenges for healthcare communication during the covid-19 pandemic. Patient Education and Counseling, 104(2), 215–216. https://doi.org/10.1016/j.pec.2021.01.006

Finset, A., Bosworth, H., Butow, P., Gulbrandsen, P., Hulsman, R. L., Pieterse, A. H., Street, R., Tschoetschel, R., & van Weert, J. (2020). Effective health communication - A key factor in fighting the covid-19 pandemic. Patient Education and Counseling, 103(5), 873–876. https://doi.org/10.1016/j.pec.2020.03.027

Garcia, A., & Eiró-Gomes, M. (2020a). Informação e covid-19: Um estudo sobre os cuidados de saúde primários. Revista Fontes Documentais, 3(especial), 40–48. http://hdl.handle.net/10400.21/12426

Garcia, A., & Eiró-Gomes, M. (2020b). Informação online dos ACeS: Uma análise a partir dos critérios HON. Revista Fontes Documentais, 3(especial), 412–420. http://hdl.handle.net/10400.21/12427

Garcia, A., & Eiró-Gomes, M. (2020c). O papel da comunicação: A utilização das redes sociais nos cuidados de saúde primários. Comunicação e Sociedade [Vol. Especial], 197–217. https://doi.org/10.17231/comsoc.0(2020).2747

Gorbalenya, A. E., Baker, S. C., Baric, R. S., Groot, R. J. de., Drosten, C., Gulyaeva, A. A., Haagmans, B. L., Lauber, C., Leontovich, A. M., Neuman, B. W., Penzar, D., Perlman, S., Poon, L. L. M., Samborskiy, D. V., Sidorov, I. A., Sola, I., & Ziebuhr, J. (2020). The species severe acute respiratory syndrome-related coronavirus: Classifying 2019-nCoV and naming it SARS-CoV-2. Nature Microbiology, 5(4), 536–544. https://doi.org/10.1038/s41564-020-0695-z

Higgins, O., Sixsmith, J., Barry, M. M., & Domegan, C. (2011). A literature review on health information seeking behaviour on the web: A health consumer and health professional perspective. ECDC. https://www.ecdc.europa.eu/sites/portal/files/media/en/publications/ Publications/Literature%20review%20on%20health%20information-seeking%20 behaviour%20on%20the%20web.pdf

Hornik, R., Kikut, A., Jesch, E., Woko, C., Siegel, L., & Kim, K. (2021). Association of covid-19 misinformation with face mask wearing and social distancing in a nationally representative US sample. Health Communication, 36(1), 6–14. https://doi.org/10.1080/10410236.2020.1847437

Ishikawa, H., & Kiuchi, T. (2010). Health literacy and health communication. BioPsychoSocial medicine, 4(1), 18. https://doi.org/10.1186/1751-0759-4-18

Kim, D. K. D., & Kreps, G. L. (2020). An analysis of government communication in the United States during the covid-19 pandemic: Recommendations for effective government health risk communication. World Medical & Health Policy, 12(4), 398–412. https://doi.org/10.1002/wmh3.363

King, A. J. (2021). Health communication 2020 in review. Health Communication, 36(3), 267–271. https://doi.org/10.1080/10410236.2021.1876327

Melki, J., Tamim, H., Hadid, D., Farhat, S., Makki, M., Ghandour, L., & Hitti, E. (2020). Media exposure and health behavior during pandemics: The mediating effect of perceived knowledge and fear on compliance with covid-19 prevention measures. Health Communication, 1–11. Publicação eletrónica antecipada. https://doi.org/10.1080/10410236.2020.1858564

Nan, X., & Thompson, T. (2020). Introduction to the special forum on “public health communication in an age of covid-19”. Health Communication, 35(14), 1705–1706. https://doi.org/10.1080/10410236.2020.1840754

Noar, S. M., & Austin, L. (2020). (Mis)communicating about covid-19: Insights from health and crisis communication. Health Communication, 35(14), 1735–1739. https://doi.org/10.1080/10410236.2020.1838093

Nutbeam, D. (1986). Health promotion glossary. Health Promotion International, 1(1), 113–127.

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259

Paakkari, L., & Okan, O. (2020). Covid-19: Health literacy is an underestimated problem. The Lancet Public Health, 5(5), e249–e250. https://doi.org/10.1016/S2468-2667(20)30086-4

Peralta-Santos, A., Vaz, A. F., Mendes, F., Alves, J., Santana, R., Leão, T., & Ramos, V. (2018). Meio caminho andado. In Meio caminho andado - Relatório primavera 2018 (p. 12-26). Observatório Português dos Sistemas de Saúde.

Ratzan, S. C., Sommarivac, S., & Rauh, L. (2020). Enhancing global health communication during a crisis: Lessons from the covid-19 pandemic. Public Health Research & Practice, 30(2), Artigo e3022010. https://doi.org/10.17061/phrp3022010

Rootman, I., Goodstadt, M., Potvin, L., & Springett, J. (2001). A framework for health promotion evaluation. WHO regional publications. European series, (92), 7.

Schiavo, R. (2014). Health communication: From theory to practice (2.ª ed.). Jossey Bass

Schiavo, R. (2020). Vaccine communication in the age of covid-19: Getting ready for an information war. Journal of Communication in Healthcare, 13(2), 73–75. https://doi.org/10.1080/17538068.2020.1778959

Tangcharoensathien, V., Calleja, N., Nguyen, T., Purnat, T., D’Agostino, M., Garcia-Saiso, S., Landry, M., Rashidian, A., Hamilton, C., AbdAllah, A., Ghiga, I., Hill, A., Hougendobler, D., van Andel, J., Nunn, M., Brooks, I., Sacco, P. L., De Domenico, M., Mai, P., Gruzd, A., Alaphilippe, A., & Briand, S. (2020). Framework for managing the covid-19 infodemic: Methods and results of an online, crowdsourced WHO technical consultation. Journal of Medical Internet research, 22(6), Artigo e19659. https://doi.org/10.2196/19659

The Lancet. (2020). Covid-19: Fighting panic with information. Lancet, 395(10224), 537. https://doi.org/10.1016/S0140-6736(20)30379-2

Thomas, R. K. (2006). Health communication. Springer Science & Business Media.

Vraga, E. K., & Jacobsen, K. H. (2020). Strategies for effective health communication during the coronavirus pandemic and future emerging infectious disease events. World Medical & Health Policy, 12(3), 233–241. https://doi.org/10.1002/wmh3.359

We Are Social & Hootsuite Inc. (2021). Digital 2021: Portugal. https://datareportal.com/reports/digital-2021-global-overview-report

White, S. J., Barello, S., Cao di San Marco, E., Colombo, C., Eeckman, E., Gilligan, C., Graffigna, G., Jirasevijinda, T., Mosconi, P., Mullan, J., Rehman, S. U., Rubinelli, S., Vegni, E., & Krystallidou, D. (2021). Critical observations on and suggested ways forward for healthcare communication during covid-19: Peach position paper. Patient Education and Counseling, 104(2), 217–222. https://doi.org/10.1016/j.pec.2020.12.025

World Health Organization. (s.d.). Infodemic management — Infodemiology. https://www.who.int/teams/risk-communication/infodemic-management

World Health Organization. (1998). Health promotion glossary. http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf

World Health Organization. (2018). Comunicação de riscos em emergências de saúde pública: um guia da OMS para políticas e práticas em comunicação de risco de emergência. https://apps.who.int/iris/bitstream/handle/10665/259807/9789248550201-por.pdf?sequence=10&isAllowed=y

Published

2021-12-20

How to Cite

Garcia, A., & Eiró-Gomes, M. (2021). Health Communication in Times of Pandemic: The Perspective of Portuguese National Health Service Users. Comunicação E Sociedade, 40, 189–203. https://doi.org/10.17231/comsoc.40(2021).3250