Community-based Facilities Research Articles

A Multi-Faceted Approach to Improving Public Services in Low-Income Housing in Windhoek, Namibia

The characteristics of low-income housing in Namibia include severe inequality in housing standards, heavy reliance on non-office jobs, overcrowding, and poor infrastructure. This study uses a survey and semi-structured interviews to investigate the improved service delivery of this low-income housing. It explores this through the perspectives of community-based facilities management, sustainability, and enterprise development. In particular, the study examines opportunities for enterprise development, the willingness to participate in the production and management of public services, and the current state of public services in selected settlements in Windhoek. The results show that a lack of access to fire safety, disaster prevention, recreation, green spaces and tourist facilities are gaps in service delivery. Residents are willing to participate in both the co-production and management of public services. The study also found that residents have the appropriate skills to enable their engagement in management and production, and suitable governance structures are put in place to foster trust. The study recommends a policy that requires community visioning focused on public service improvement. It also calls for renewed trends in low-income people’s participation in public service development processes. The study’s contribution to existing knowledge on this subject is that it produced a multi-faceted framework for improving public services in low-income housing that is based on principles (and actions) of sustainability and policy (and planning) of land/housing access and has the potential to lead to public service-based community wellbeing.

Queering Morales v. Turman: Gender, Sexuality, and Juveniles' Right to Treatment

This article complicates understandings of Morales v. Turman, a class action lawsuit filed in 1971 on behalf of juveniles in six Texas Youth Council (TYC) institutions, as a victory for incarcerated youth. Drawing on Morales's substantial legal archives, this article highlights the ways the lawyers, social workers, psychologists, and psychiatrists who came together on behalf of incarcerated youth in this case understood the state's capacity to foster and enforce gender and sexual conformity as a social good. While they hoped to protect incarcerated children from state violence and to affirm their constitutional rights, these experts helped to embed a pathological conception of homosexuality and gender nonconformity into the broader legal battle for juvenile offenders' "right to treatment." In ushering in a treatment-focused juvenile justice regime, the expert witnesses who testified on behalf of the plaintiffs also helped to foster the TYC's turn away from traditional carceral institutions toward community-based residential facilities.

Transitional care interventions for supporting frail older adults discharged from hospitals: An umbrella review.

Transitional care interventions have been shown to assist frail older adults; however, their true efficacy remains inconclusive. This umbrella review aimed (1) to summarize the components of transitional care interventions in support of frail older adults discharged from hospitals to community-based facilities that may have impacted healthcare outcomes and (2) to synthesize the impacts of these interventions. Systematic reviews published between January 2018 and September 2022 were screened using seven electronic databases. The review protocol followed the Joanna Briggs Institute Reviewers' Manual and was registered in the PROSPERO. Nine relevant systematic reviews were assessed for their methodological quality. Four of the measured primary healthcare outcomes improved as a result of transitional care interventions. In particular, evidence indicates that high-intensity transitional care or transitional care lasting at least one month can improve healthcare outcomes in frail older adults. Additional funding research and practical guidelines are warranted.

Enablers and Barriers to Utilisation of Available Formal Support by Institutionalised Individuals with Alzheimer’s Disease and Related Dementias in Rural South Western Uganda: A Qualitative Descriptive Study

Background: The world’s population is ageing resulting in a larger number of people living with dementia. Prevalence of dementia for persons aged above 60 years is expected to increase. There is paucity of information regarding formal support available for institutionalised individuals with AD/ADRD, enablers and barriers to its utilisation particularly South Western Uganda. Therefore, this study, filling this knowledge gap, sought to assess formal support available for individuals with AD/ADRD, enablers and barriers to its utilisation in rural communities in South Western Uganda. Methods: This study was conducted in two nongovernmental community-based facilities for the elderly in South Western Uganda employing a qualitative cross-sectional study design. Purposive sampling was used to recruit caretakers of individuals with Alzheimer’s disease and related dementias. A total of 28 in depth interviews and 6 key informant interviews were conducted. Results: Three arching themes emerged: 1) Formal support services available, 2) Enablers and 3) Barriers to the utilisation of the formal support services in institutionalised patients with AD/ADRD in rural communities in South Western Uganda. Conclusion: These findings highlight the importance of formal care in the long-term care of individuals with AD/ADRD. There is a dire need to equip caretakers involved in the care of patients with AD/ADRD with the required skill set and include formal support services in the mainstream primary health care to make the services accessible.

Accessing Behavioral Health Services and the Justice-Involved: The Significance of Ecological Considerations

Knowledge and understanding of reentry challenges, reentry programming, and reentry evaluations is primarily limited to formerly incarcerated persons (FIPs) who return to urban areas despite the structural and contextual differences between urban and non-urban locales. These differences may be especially salient when it comes to access to services for behavioral health needs that, if left untreated, increase the likelihood of recidivism. Reentry planning prior to release has been found to be beneficial, as well as providing direct linkages to services post-release. However, barriers or competing priorities may keep FIPs from accessing needed behavioral health services after release. To increase the probability for more successful post-release transitions, studies need to determine and understand soon-to-be-released inmates’ likelihood of utilizing these services. Thus, the purpose of this research was to examine the importance of demographic characteristics, ecological factors, and utilization of treatment services for drugs, alcohol, mental health, and anger management prior to release to FIPs’ intent to receive these services after their release. Data was collected from 173 individuals incarcerated in either a prison or a community-based correctional facility (CBCF) and analyzed via logistic regressions. Results suggest that being female and utilization of services while incarcerated predicted intent to use drug and mental health services after release; not surprisingly, crime type and type of facility was predictive of intent to utilize anger management services post release; type of facility, and interaction of housing and concentrated disadvantage was predictive of intent to take advantage of alcohol treatment services. These findings have micro, mezzo, and macro implications and are especially relevant given the limitations of resource availability and accessibility in urban and non-urban areas. Streamlining these services to FIPs’ needs and building community capacity to meet specific needs identified by FIPs is more likely to engage them and increase their likelihood to improve reentry outcomes.

Establishing community mental health facilities: a comparative review of Hong Kong and international jurisdictions

BackgroundThe establishment of mental health facilities in the community has been hindered by opposition from local residents in Hong Kong. Through a comparative review, this study aimed to compare the issues related to the process of establishment of community-based mental health facilities between Hong Kong and selected overseas countries and regions. It will better inform the strategies and best practices that can be adopted for the establishment of mental health facilities in Hong Kong.MethodsThree electronic databases (PubMed, Scopus, and PsycINFO) were used to examine literature on nine jurisdictions in Asia and western societies from 2005 to 2019. In addition, we conducted a number of in-depth interviews with overseas experts to gain in-depth insights and clarify information that was unavailable or unclear. A total of 19,248 articles were identified through the initial search. 71 of them met the inclusion criteria. In addition, 20 articles about the establishment of other types of community facilities or sensitive facilities were identified from supplementary sources.ResultsMost Western countries and Singapore have adopted regulations or laws to reduce public discrimination against particular groups, giving them corresponding human rights and legislating to demarcate the use of land in the community. Regions close to Hong Kong emphasize communication with community leaders to obtain support for sensitive services or facilities.ConclusionsHong Kong may consider strengthening the land zoning ordinance in relation to community sensitive facilities, as well as increasing communication with the community and considering the possibility of locating facilities in government buildings.

Representative Voices: Native American Representation, Political Power, and COVID-19 in U.S. States

We examine predictors of COVID-19 cases in Native nations during the early months of the pandemic. We find that where Native American representation and Native American political power in state politics were greater, COVID-19 cases on tribal lands were fewer. We expand the literatures on descriptive representation and on tribal-state relations by demonstrating consequences of powerful Native American voices in the statehouse. We find that Native American voices on tribal lands are also vital. Tribal lands that had extensive networks of community-based health facilities and tribally controlled health facilities recorded fewer COVID-19 cases. The broader lesson here is that if Native nations are to protect their citizens, they need outside governments that support, not thwart. Our findings draw on unique, original quantitative analysis.

Revised service metrics partially explain variation in outcomes across facilities in a state-wide advanced practice public musculoskeletal service.

Revised service metrics partially explain variation in outcomes across facilities in a state-wide advanced practice public musculoskeletal service.

Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries

BackgroundEach day, an estimated 800 women die from preventable pregnancy and childbirth related complications, where 99% of these avoidable deaths happen in low-and middle-income countries. Skilled attendance during antenatal care (ANC) plays a role in reducing maternal and child mortality. However, the factors that predict the utilisation of skilled ANC services in sub-Saharan Africa (SSA) remains sparsely investigated. Therefore, we examined women’s utilisation of skilled ANC services in SSA.MethodsThe research used pooled data from the most recent Demographic and Health Surveys conducted in 32 countries in SSA between January 1, 2010, and December 31, 2019. Binary logistic regression was used to examine the predictors of skilled ANC services utilisation. The results are presented as crude and adjusted odds ratios (aOR) with 95% confidence interval (CI).ResultsThe prevalence of skilled ANC services utilisation in SSA was 76.0%, with the highest and lowest prevalence in Gambia (99.2%) and Burundi (8.4%), respectively. Lower odds of ANC from skilled providers was found among women aged 45–49 compared to those aged 20–24 (aOR = 0.86, CI = 0.79–0.94); widowed women compared to married women (aOR = 0.84, CI = 0.72–0.99); women who consider getting permission to visit the health facility as a big problem compared to those who consider that as not a big problem (aOR = 0.74, CI = 0.71–0.77); women who consider getting money needed for treatment as not a big problem compared to those who consider that as a big problem (aOR = 0.84, CI = 0.72–0.99); and women who consider distance to the health facility as a big problem compared to those who consider that as not a big problem (aOR = 0.75, CI = 0.72–0.77).ConclusionSSA has relatively high prevalence of skilled ANC services utilisation, however, there are substantial country-level disparities that need to be prioritised. Increasing maternal reproductive age being widowed and far distance to health facility were factors that predicted lower likelihood of skilled ANC services utilisation. There is, therefore, the need to intensify female formal education, invest in community-based healthcare facilities in rural areas and leverage on the media in advocating for skilled ANC services utilisation.

Application of Pharmacogenomics Testing in a Community-based Facility.

This study was designed to examine the use of pharmacogenomics (PGx) testing in a community-based facility, the adoption of the PGx recommendations by providers, and assess challenges and opportunities for pharmacists in using PGx testing in a real-world setting. This was a retrospective study involving chart reviews of 137 patients with mood disorders who underwent PGx testing between September 2017 and December 2017. Eighty-seven patients who met inclusion and exclusion criteria were analyzed to evaluate the impact of PGx testing on psychotropic medication treatment and to evaluate the PGx test process. PGx test results were used by providers to guide their therapeutic modifications based on the gene-drug interactions identified. Patient medication use increased from 125 to 190 (P < .001) prescriptions. Patient medication belonging to no gene-drug interaction significantly increased from 46.4% to 87.4% (P < .001), medications belonging to moderate and significant gene-drug interaction decreased from 32.8% to 7.9% (P < .001) and 11.2% to 2.1% (P = .012), respectively. 88.5% of patients' psychotropic medication treatment after PGx testing was consistent with the PGx test report recommendations. The PGx test lengths of time analysis indicated that patient follow-up exceeded the standard time set by guidelines at multiple steps in the test process. There are multiple opportunities for pharmacists to become involved in the PGx testing process to improve patient care.

Investigating the safety and security of the open campus using community-based facilities management and technological innovation principles: University of Cape Town

Safety and security is a major issue affecting South Africa, especially within the context of Cape Town as it is one of South Africa’s most crime ridden metropolitans. The University of Cape Town (UCT) as a large open campus located in Rondebosch has also fallen victim to increasing levels of crime. The provision of safety and security is largely the responsibility of an organization’s facilities management services. Therefore, the study was undertaken to determine whether the University has implemented the Community-based Facilities Management (CbFM) principle of community participation to better understand and manage the needs of the community regarding issues of safety and security. The study was initiated with an investigation into the literature relevant to the research. This is followed by the research methodology which employed a mixed method approach and utilised both an online survey of the university community and semi-structured interviews with university executive management to obtain data from the single case study of UCT. The findings are then presented and establish an overall view of the provision of safety and security at UCT, the unique challenges management faces in doing so and the main safety and security issues affecting the community. The findings of study reveal that UCT has implemented community participation processes in the past with limited success. The processes implemented constitute a narrow perspective of community participation and a much smarter and inclusive perspective by using technological innovation is required in order for successful community participation to occur and to be successfully utilised in the provision of safety and security.

Research on Spatial Distribution Characteristics and Influencing Factors of Pension Resources in Shanghai Community-Life Circle

With population ageing being a notable demographic phenomenon, aging in place is an efficient model to accommodate the mounting aging needs. Based on the community scale, this study takes the 15-min community-life circle as the basic research unit to investigate the imbalanced distribution of pension resources and its influencing factors in downtown Shanghai. We obtained six types of elderly care facilities data from the Shanghai elderly care service platform and utilized the Gaussian 2-step Floating Catchment Area method to calculate the accessibility of 6-type elderly care facilities. Then, we used the Entropy Weight Method to calculate the comprehensive accessibility of elderly care facilities. The Getis–Ord Gi* method was adopted to analyze the overall distribution, identifying the well-developed and the under-developed areas. To explore the influencing factors of the distribution, this paper obtained multi-source data to construct a total of 17 indicators and established a Random Forest model to identify the feature importance. With the selected eight factors, the Geographically Weighted Regression (GWR) model was applied to study the spatial heterogeneity of influencing factors, and the model showed a good performance with the AdjR2 being 0.8364. The findings of this research reveal the following: (1) The distribution of six types of elderly care facilities is extremely uneven, with obvious spatial aggregation characteristics. Amongst the seven administrative regions, Huangpu District has the best accessibility to pension resources, while the resources in the other six regions are highly inadequate. (2) Essential influencing factors of the comprehensive accessibility of community-based elderly care facilities are accessibility of nursing institutions (positive), hotel density (positive), catering density (negative), education density (positive) and medical density (negative), while “rents”, “plot ratio” and “building density” have little impact on comprehensive accessibility. (3) The results of GWR revealed that the eight indicators are heterogeneous in space, all of which have bidirectional effects on comprehensive accessibility. By investigating the spatial distribution patterns and influencing factors of pension resources in Shanghai, this research could further contribute to establishing a sound community-based elderly care service system that improves older adults’ quality of life and promotes social fairness and justice.

Community-based SARS-CoV-2 testing in low-income neighbourhoods in Rotterdam: Results from a pilot study.

BackgroundHigh incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and low testing uptake were reported in low-income neighbourhoods in Rotterdam. We aimed to improve willingness and access to testing by introducing community-based test facilities, and to evaluate the effectiveness of a rapid antigen detection test (RDT).MethodsTwo to eleven test facilities operated consecutively in three low-income neighbourhoods in Rotterdam, offering the options of walk-in or appointments. Background characteristics were collected at intake and one nasopharyngeal swab was taken and processed using both RDT and reverse transcription polymerase chain reaction (RT-PCR). Visitors were asked to join a survey for evaluation purposes.ResultsIn total, 19 773 visitors were tested – 9662 (48.9%) without an appointment. Walk-in visitors were older, lived more often in the proximity of the test facilities, and reported coronavirus disease (COVID-19)-related symptoms less often than by-appointment visitors. For 67.7% of the visitors, this was the first time they got tested. A total of 1211 (6.1%) tested SARS-CoV-2-positive with RT-PCR, of whom 309 (25.5%) were asymptomatic. Test uptake increased among residents of the pilot neighbourhoods, especially in the older age groups, compared to people living in comparable neighbourhoods without community-based testing facilities. RDT detected asymptomatic individuals with 71.8% sensitivity, which was acceptable in this high prevalence setting. Visitors reported positive attitudes towards the test facilities and welcomed the easy access.ConclusionsOffering community-based SARS-CoV-2 testing seems a promising approach for increasing testing uptake among specific populations in low-income neighbourhoods.

Community-based health extension policy implementation in Ethiopia: a policy experience to scale-up.

Ethiopia has launched innovative community-based health policy in 2003. It was designed to accelerate the expansion of community-based health facilities and basic health services. The program established a health post at the lowest administrative unit level to serve in the villages. The policy implementation was supported by many stakeholders to improve the health indicators of the country. All the concerted efforts and public participation has helped the implementation of the policy and improvement of primary health services in rural communities. Thus, participating communities through grassroots mobilization in similar resource limited settings as experienced in this policy review could be scaled up to other health policies for its successful implementation.

Comparing Resident, Proxy, and Staff Respondents for Nursing Home Residents' Preferences for Everyday Living.

To encourage person-centered care, the Centers for Medicare and Medicaid require nursing homes to measure resident preferences using the Preferences Assessment Tool (PAT). No known research has examined the implications of respondent type (i.e., resident, proxy, staff) on preference importance; therefore, the purpose of this study was to compare the importance of preferences depending on which respondent completed the PAT. Participants included 16,111 Veterans discharged to community-based skilled nursing facilities after hospitalization for heart failure. A majority (95%) of residents completed the PAT compared to proxy (3%) and staff (2%). Proxy responders were both more and less likely to indicate individual preferences as important compared to residents. Staff members were consistently less likely to indicate all preferences as important compared to residents. Findings from this study emphasize the need for proxy and staff to find methods to better understand residents' preferences when residents are not able to participate in assessments.

Diagnostic Mammography Performance across Racial and Ethnic Groups in a National Network of Community-Based Breast Imaging Facilities.

We evaluated differences in diagnostic mammography performance based on women's race/ethnicity. This cohort study included 267,868 diagnostic mammograms performed to evaluate screening mammogram findings at 98 facilities in the Breast Cancer Surveillance Consortium between 2005 and 2017. Mammogram assessments were recorded prospectively and breast cancers occurring within one year were ascertained. Performance statistics were calculated with 95% confidence intervals (CI) for each racial/ethnic group. Multivariable regression was used to control for personal characteristics and imaging facility. Among non-Hispanic White (70%), non-Hispanic Black (13%), Asian/Pacific Islander (10%), and Hispanic (7%) women, the invasive cancer detection rate (iCDR, per 1,000 mammograms) and positive predictive value (PPV2) were highest among non-Hispanic White women (iCDR, 35.8; 95% CI, 35.0-36.7; PPV2, 27.8; 95% CI, 27.3-28.3) and lowest among Hispanic women (iCDR, 22.3; 95% CI, 20.2-24.6; PPV2, 19.4; 95% CI, 18.0-20.9). Short interval follow-up recommendations were most common among non-Hispanic Black women [(31.0%; 95% CI, 30.6%-31.5%) vs. other groups, range, 16.6%-23.6%]. False-positive biopsy recommendations were most common among Asian/Pacific Islander women [per 1,000 mammograms: 169.2; 95% CI, 164.8-173.7) vs. other groups, range, 126.5-136.1]. Some differences were explained by adjusting for receipt of diagnostic ultrasound or MRI for iCDR and imaging facility for short-interval follow-up. Other differences changed little after adjustment. Diagnostic mammography performance varied across racial/ethnic groups. Addressing characteristics related to imaging facility and access, rather than personal characteristics, may help reduce some of these disparities. Diagnostic mammography performance studies should include racially and ethnically diverse populations to provide an accurate view of the population-level effects.

Early infant diagnosis of HIV infection at the John F. Kennedy Medical Center, Monrovia, Liberia

Background: Vertical transmission accounts for majority of new HIV infections among children worldwide. Ninety percent of HIV-positive children reside in Sub- Saharan Africa with their infection predominantly acquired via vertical transmission. In 2004, the vertical transmission rate of HIV in Africa was estimated at 25 − 40% but, remarkably, the rate has significantly decreased to less than 5% in most African countries following implementation and expansion of prevention of MTCT (PMTCT) programs. Objective: To determine the rate of and factors associated with vertical transmission of HIV among attendees of early infant diagnosis (EID) program of an academic and community-based tertiary facility in Liberia. Design: A retrospective cross-sectional analysis. Methods: A retrospective review of medical records of babies seen at Pediatric Unit of Infectious Disease Clinic of John F Kennedy Medical Center (JFKMC) in Monrovia, Liberia between January 1, 2016 and December 31, 2020. All subjects were children born to HIV-positive mothers and who had HIV DNA PCR testing performed between the ages of 6 weeks and 6 months. Children who suffered early neonatal death and those who did not undergo PCR testing were excluded. Demographics of mother to child pairs as well as factors known to influence vertical transmission of HIV such as partial (15.8%) or full (84.2%) participation in prevention of MTCT (PMTCT) programs, mode of delivery, breastfeeding and utilization of post-exposure prophylaxis were collected and assessed. Binomial logistic regression analyses were used to assess factors associated with vertical transmission. Results: During the study timeframe, 284 children had a HIV DNA PCR test with a male:female ratio − 1.3:1. Sixteen tested positive (conducted at a mean of 155 days post birth) giving a vertical transmission rate of 5.6%. For 239 mothers (84.2%) who had full PMTCT, 1.3% of their children tested positive, while for 45 mothers (15.8%) who had partial PMTCT, 28.8% of their children being positive. Two hundred and seventy six children (97%) had exclusive breastfeeding, 13 of whom tested positive while 2 children who were mixed fed tested positive. Children who had Nevirapine vs no prophylaxis (OR = 1.89[95% CI 1.16 − 2.96]), were delivered via caesarian section vs vaginal delivery (OR= 2.26[95% CI 1.92 − 4.12].) and full versus partial participation in PMTCT programs (OR = 4.02[95% CI 2.06 − 4.13] were more likely to have negative HIV test. Conclusion: Vertical transmission rate was found to be high in Liberia and may be driven by suboptimal PMTCT program participation including post-exposure prophylaxis for infants. Therefore, strategies to scale up and improve uptake of PMTCT services are needed to mitigate the burden of HIV among children.

Predictors of childbirth services in Indonesia

The Government of Indonesian implemented maternal health service programs to minimize at-home childbirth services and increase mothers' utilization of its services. There is not enough evidence these policies are effectively decreasing the maternal mortality rate. Hence, this study aimed to analyze the predictors of each specific childbirth services in Indonesia. This study used the secondary dataset of the 2012 Indonesian demographic data survey (IDHS). The sample was 17,769 women ages 15 to 49 years old. We performed logistic regression for the multivariate case to identify the predictors of childbirth service. Geographical, education, and economic condition significantly predict childbirth services. Women who are not residents tend to use a community-based facility than institutionalized health. Women with higher parity, inadequate knowledge on pregnancy danger signs, lower antenatal care visits, and never had any discussion with their husbands about the planned place of giving birth tend to prefer giving birth at home than health facilities. Women's decision to use a safe childbirth service is hindered by demanding access to reach institutionalized healthcare. Our findings highlighted the importance of women empowerment to enable women to utilize safe labor in a health facility.

No service is an island: towards an ecosystem approach to mental health service evaluation.

No service is an island: towards an ecosystem approach to mental health service evaluation.

Evaluating the Lower Urinary Tract Syndrome with a Telemedicine Application: An Exploration of the Electronic Audiovisual Prostate Symptom Score.

BackgroundThe Visual Prostate Symptom Score (VPSS) is used for the assessment of lower urinary tract symptoms (LUTS). It is usually administered by general practitioners (GPs), but in these cases, outcomes do not seem to be reflecting the real conditions of a patient well, with consequent risks of misestimations and misinterpretations. We developed an electronic audiovisual version of VPSS (EPSS), a new symptom scale based on a telemedicine mobile light-based app. The aim of this study is to test and evaluate its reliability.MethodsWe enrolled male patients aged between 50 and 80 years across 24 community-based healthcare facilities in Guangzhou, China. Patients were asked to complete the Chinese version of VPSS and EPSS before consultation with the urology specialists. Patients were divided into two groups based on age. First, we analyzed the rate of full understanding of EPSS using a chi-square test. Then, we analyzed the difference between each score of EPSS, VPSS, and outcomes measured by specialists, used as the reference score (RS). Finally, the outcomes were analyzed with the Spearman test and Bartlett test separately.ResultsSeventy-nine male patients were included (mean age 70.42 years). Patients were divided into two groups: group 1 (>70 years, n = 40) and group 2 (<70 years, n = 39). The full-understanding rates in groups 1 and 2 were 50% and 64.1%, respectively. No significant differences were noted between groups (p = 0.206). A t-test was presented between each question of VPSS, EPSS, and RS. All questions did not display significant differences (p > 0.05); total scores from the three scales had no significant differences in the evaluation of LUTS. We further explored the variations of choices made by patients in different scales. Spearman’s test among VPSS, EPSS, and RS showed positive correlations, and coefficients of the total score were 0.92, 0.91, and 0.93 (p < 0.05).ConclusionEPSS can be easily used in a significant number of patients and showed correlation with the VPSS and RS. Moreover, certain items resulted in better performance than VPSS. The results showed that EPSS could be a valuable option for both patients and GPs monitoring LUTS and particularly helpful when teleconsultations are considered, especially during the COVID-19 pandemic.