Changes in Care Provision During COVID-19 Impact Patient Well-Being

Wang, Judy J.; Levi, Jessica R.; Edwards, Heather

doi:10.1177/23743735211034068

Cited by 4 publications

(2 citation statements)

References 15 publications

(20 reference statements)

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“…The results of this study -in two sub-themes-indicate that by using existing potentials and changing procedures in the government sector, as well as seeking help from the private sector and increasing public awareness, this problem can be solved to an acceptable extent. In line with our results, other researches have shown that other non-Covid cares, especially routine (not emergency) cares, were the most vulnerable, and had the most cancellations or postponements (43,44). The shift of resources towards covid patients and the lack of hospital beds, the diversion of staff from normal services to covid services, along with the high public fear and anxiety of crowded places, all led to limited access to other non-covid health services (45,46).In response to this challenge, some centers, by changing their normal routines, divided their personnel into employees in covid-19 zone and employees in covid-19 free zone.…”

Section: Prevention Of Disruption In the Effective Provision Of Servi...supporting

confidence: 92%

The necessity revealed by Covid-19: Paradigm shift of Iran's health system

Mohammadpour

Delavari

Kavosi

et al. 2022

Preprint

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Background: Covid-19 pandemic has brought drastic changes around the world, revealing the vulnerable aspects of health care systems. The purpose of this study is to explore the paradigm shift of Iranian health system and determine the aspects that need improvement, considering the experience of the recent pandemic. Method: This research is a qualitative and thematic analysis study that was conducted using the content analysis method. Nineteen semi-structured interviews were conducted with experts from Shiraz University of Medical Sciences and the data was saturated. To increase the accuracy and precision of the study, Guba and Lincoln's four criteria were used. And for data analysis, MAX QDA10 software and Goldsmith's five-step framework analysis were used. Result: The findings identified 8 main themes and 33 subthemes. The main themes included strengthening the electronic health infrastructure, research for evidence-based decision making, dedicated pandemic financing, prevention of disruption in the effective provision of services and drug therapy, enriching the authority of the Ministry of Health by focusing on interactions, recruiting, managing and empowering health human resources and paying attention to financial and non-financial incentives, reforming educational approaches in training students in medical universities, learning lessons from neglects. Conclusion: To be ready to respond to a possible future pandemic, bold steps must be taken to make fundamental changes in various aspects of the health system.

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Section: Prevention Of Disruption In the Effective Provision Of Servi...supporting

confidence: 92%

The necessity revealed by Covid-19: Paradigm shift of Iran's health system

Mohammadpour

Delavari

Kavosi

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…The results of this study indicate that by using existing potentials and changing procedures in the government sector, as well as seeking help from the private sector and increasing public awareness, this problem can be solved to an acceptable extent. Other studies have also shown that other non-COVID cares, especially routine ones (not emergency), were the most vulnerable, and had the most cancellations or postponements ( 45 , 46 ). The shift of resources toward COVID patients and the lack of hospital beds, the diversion of staff from normal services to COVID services, along with the high public fear and anxiety of crowded places, all led to limited access to other non- COVID health services ( 47 , 48 ).…”

Section: Discussionmentioning

confidence: 95%

The necessity revealed by COVID-19 pandemic: Paradigm shift of Iran's healthcare system

Mohammadpour

Delavari

Kavosi

et al. 2023

Front. Public Health

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BackgroundCOVID-19 pandemic has resulted in drastic changes around the world, revealing vulnerable aspects of healthcare systems. This study aimed to explore how Iranian healthcare system experienced the paradigm shift during the pandemic and determine the aspects that need improvement during the pandemic era.MethodThis qualitative study was conducted in 2021. A framework analysis approach was used to analyze the content of the 19 semi-structured interviews with the healthcare system experts from Shiraz University of Medical Sciences (SUMS). The interviews‘ audio files changed into transcript after each session and data was saturated at the 19 interview. To increase the trustworthiness of the study, Guba and Lincoln's criteria including credibility, transferability, dependability, and confirmability were used. Goldsmith's five-step framework analysis was used applying MAX QDA version 10 software.ResultEight main themes and 20 subthemes were explored. The main themes included “strengthening the electronic health infrastructure,” “research for evidence-based decision making,” “dedicated financing to the pandemic,” “prevention of disruption in the effective provision of services and medicines,” “enriching the authority of the Ministry of Health by focusing on interactions,” “recruiting, managing and empowering health human resources with attention to financial and non-financial incentives,” “reforming educational approaches in training students in medical universities,” as well as “lessons learned from neglected aspects.”ConclusionTo be ready to respond to a possible future pandemic and for a paradigm shift, bold steps must be taken to make fundamental changes in various aspects of the healthcare system including e-health development, evidence-based decision making, dedicated budgets for pandemics, reinforcement of interactions at the national and international level, as well as sufficient attention to healthcare workers from all financial, non-financial and educational aspects.

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COVID-19 pandemic has disrupted the continuity of care for chronic patients: evidence from a cross-sectional retrospective study in a developing country

et al. 2023

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Background Any disruption in continuity of care for patients with chronic conditions can lead to poor outcomes for the patients as well as great damage for the community and the health system. This study aims to determine the continuity of care for patients with chronic conditions such as hypertension and diabetes during COVID-19 pandemic. Methods Through a cross-sectional retrospective study, data registered in six health centers in Yazd, Iran were analyzed. Data included the number of patients with chronic conditions (hypertension and diabetes) and average daily admission during a year before COVID-19 pandemic and the similar period after COVID-19 outbreak. The experience of continuity of care was assessed applying a validated questionnaire from a sample of 198 patients. Data analysis was done using SPSS version 25. Descriptive statistics, independent T-Test and Multivariable regression were used for analysis. Findings Results indicate that both visit load of the patients with chronic conditions (hypertension and diabetes) and their average daily admission were decreased significantly during a year after COVID-19 pandemic compared to the similar period before COVID-19 outbreak. The moderate average score of the patients` experience towards continuity of care during the pandemic was also reported. Regression analysis showed that age for the diabetes patients and insurance status for the hypertension patients affect the COC mean scores. Conclusion COVID-19 pandemic causes serious decline in the continuity of care for patients with chronic conditions. Such a deterioration not only can lead to make these patients` condition worse in a long-term period but also it can make irreparable damages to the whole community and the health system. To make the health systems resilient particularly in disasters, serious attention should be taken into consideration among them, developing the tele-health technologies, improving the primary health care capacity, designing the applied responsive models of continuity of care, making multilateral participations and inter-sectoral collaborations, allocating sustainable resources, and enabling the patients with selfcare skills are more highlighted.

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Changes in Care Provision During COVID-19 Impact Patient Well-Being

Cited by 4 publications

References 15 publications

The necessity revealed by Covid-19: Paradigm shift of Iran's health system

The necessity revealed by Covid-19: Paradigm shift of Iran's health system

The necessity revealed by COVID-19 pandemic: Paradigm shift of Iran's healthcare system

COVID-19 pandemic has disrupted the continuity of care for chronic patients: evidence from a cross-sectional retrospective study in a developing country

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