A Framework for Aging-Friendly Services and Supports in the Age of COVID-19

Hoffman, Geoffrey J.; Webster, Noah; Bynum, Julie

doi:10.1080/08959420.2020.1771239

Cited by 71 publications

(73 citation statements)

References 23 publications

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“…Post-covid-19 chronic pain may affect patients of any age but seems to be commoner in elderly patients 63. Physical symptoms add to the psychosocial impact of disrupted access to health care (such as arrangements for obtaining regular medication), core personal routines (such as walking to local shops), social interactions (such as meeting friends), and lay and professional support networks 64. Support should be personalised with input from the multi-professional team (for example, general practitioner, district nurse, social worker, rehabilitation teams, and occupational therapist as needed).…”

Section: Supporting Recovery From Covid-19mentioning

confidence: 99%

Management of post-acute covid-19 in primary care

Greenhalgh

Knight

A’Court

et al. 2020

BMJ

1,297

1,360

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Section: Supporting Recovery From Covid-19mentioning

confidence: 99%

Management of post-acute covid-19 in primary care

Greenhalgh

Knight

A’Court

et al. 2020

BMJ

1,297

1,360

View full text Add to dashboard Cite

“…Children/youth with disabilities (and their families) 11 (13%) [30,31,53,57,58,77,86,91,94,109,117] Older adults experiencing disabilities 9 (10%) [63,84,85,89,96,101,102,111,118] Severe Mental Illness 2 (2.5%) [55,104] Spinal Cord Injury 1 (1.2%) [72] People with disabilities living in residential or long-term facilities 1 (1.2%) [108] Visual impairments 1 (1.2%) [67] Autism Spectrum Disorder 1 (1.2%) [67] Cerebral Palsy 1 (1.2%) [62] Cerebellar Ataxia 1 (1.2%) [100] Amyotrophic Lateral Sclerosis 1 (1.2%) [110] Parkinson's 1 (1.2%) [88] People recovering from joint surgery 1 (1.2%) [87] Chronic pain 1 (1.2%) [120] College students with special needs 1 (1.2%) [60] Among the 85 papers included, 20 (24%) were empirical studies (four of which were preprints), and the vast majority (76%) were non-empirical (e.g., perspective papers). Fifty-one papers (61%) had no geographical focus (e.g., were applicable across locations).…”

Section: Characteristics Number (%) Citationsmentioning

confidence: 99%

Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis

Jesus

Bhattacharjya

Papadimitriou

et al. 2021

IJERPH

108

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People with disabilities may be disproportionally affected by the COVID-19 pandemic. We synthesize the literature on broader health and social impacts on people with disabilities arising from lockdown-related measures. Methods: Scoping review with thematic analysis. Up to mid-September 2020, seven scientific databases and three pre-print servers were searched to identify empirical or perspective papers addressing lockdown-related disparities experienced by people with disabilities. Snowballing searches and experts’ consultation also occurred. Two independent reviewers took eligibility decisions and performed data extractions. Results: Out of 1026 unique references, 85 addressed lockdown-related disparities experienced by people with disabilities. Ten primary and two central themes were identified: (1) Disrupted access to healthcare (other than for COVID-19); (2) Reduced physical activity leading to health and functional decline; (3) From physical distance and inactivity to social isolation and loneliness; (4) Disruption of personal assistance and community support networks; (5) Children with disabilities disproportionally affected by school closures; (6) Psychological consequences of disrupted routines, activities, and support; (7) Family and informal caregiver burden and stress; (8) Risks of maltreatment, violence, and self-harm; (9) Reduced employment and/or income exacerbating disparities; and (10) Digital divide in access to health, education, and support services. Lack of disability-inclusive response and emergency preparedness and structural, pre-pandemic disparities were the central themes. Conclusions: Lockdown-related measures to contain the COVID-19 pandemic can disproportionally affect people with disabilities with broader impact on their health and social grounds. Lack of disability-inclusive response and emergency preparedness and pre-pandemic disparities created structural disadvantages, exacerbated during the pandemic. Both structural disparities and their pandemic ramifications require the development and implementation of disability-inclusive public health and policy measures.

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“…Free communication platforms [44,59,[73][74][75][76] Readily available web-based training [77][78][79] Standardized documentation and real time reporting to improve quality of care [80] Digital photographs and asynchronous sharing to circumvent connectivity issues [77] Wearable devices, remote monitoring sensors and other technologies as early warning tools [59,81] Automatic speech analysis for diagnosis and monitoring of dementia [82] Enhanced integration of specialty expertise care of nursing home residents [70,83] Possibility of daily community collaborative rounds involving multiple services providers in nursing homes [84] Technology that is easy to understand pertaining to different interfaces, passwords, and maintenance [56,70] T-Threats Ambiguous/technical jargon for descriptive terms [85] Large variability of available telehealth platforms [70] Lack of sustained insurance reimbursement [11] Digital divide for some due to lack of equipment, limited literacy, and lack of assistance [56,63,72,[86][87][88][89][90][91][92][93] Ageism/stigma leading to de-prioritization of older people [94,95] Failure to include older people in standardizing telehealth [56] Lack of tested clinical tools for telehealth use [65,96] Technical failures and patient dropout …”

Section: O-opportunitiesmentioning

confidence: 99%

Telehealth Use in Geriatrics Care during the COVID-19 Pandemic—A Scoping Review and Evidence Synthesis

Doraiswamy

Jithesh

Mamtani

et al. 2021

IJERPH

104

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Introduction: Globally, the COVID-19 pandemic has affected older people disproportionately. Prior to the pandemic, some studies reported that telehealth was an efficient and effective form of health care delivery, particularly for older people. There has been increased use of telehealth and publication of new literature on this topic during the pandemic, so we conducted a scoping review and evidence synthesis for telehealth use in geriatric care to summarize learning from these new data. Methods: We searched PubMed, Embase, and the World Health Organization’s COVID-19 global research database for articles published between 1 January and 20 August 2020. We included 79 articles that met our inclusion criteria. The information collected has been synthesized and presented as descriptive statistics. Strengths, weaknesses, opportunities, and threats (SWOT) have also been discussed. Results: The articles included in our review provide some evidence of effective provision of preventive, curative, and rehabilitative telehealth services for older people, but they highlight a greater focus on curative services and are mostly concentrated in high-income countries. We identified convenience and affordability as the strengths of telehealth use in geriatric care. Weaknesses identified include the inability of telehealth to cater to the needs of older people with specific physical and cognitive limitations. While the threats of increasing inequity and the lack of standardization in the provision of age-friendly telehealth services remain, we identified opportunities for technologic advancements driven by simplicity and user-friendliness for older people. Conclusion: Telehealth offers futuristic promise for the provision of essential health care services for older people worldwide. However, the extent of these services via telehealth appears to be currently limited in low and low-middle income countries. Optimizing telehealth services that can be accessed by older people requires greater government investments and active engagement by broader participation of older people, their caregivers, physicians and other health care providers, technology experts, and health managers.

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A Framework for Aging-Friendly Services and Supports in the Age of COVID-19

Cited by 71 publications

References 23 publications

Management of post-acute covid-19 in primary care

Management of post-acute covid-19 in primary care

Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis

Telehealth Use in Geriatrics Care during the COVID-19 Pandemic—A Scoping Review and Evidence Synthesis

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