COVID-19 and return-to-work recommendations for people with chronic respiratory diseases

Deschner, Max; Párraga, Grace; Yamashita, Cory

doi:10.1503/cmaj.76441

Cited by 2 publications

(2 citation statements)

References 5 publications

(8 reference statements)

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“…[20][21][22] Similarly, the majority of cases in August were related to work exemptions for teachers with preexisting health conditions as schools were preparing to reopen in September. 23,24 By evaluating clinical questions submitted by PCPs, eConsult services may play a role in providing public health officials with insight into new trends and events in the community as they occur. This ability to closely mirror community events in conjunction with the ease of adapting the service to respond to COVID-19 demonstrates eConsult's potential as a tool for combatting the pandemic.…”

Section: Key Lessonsmentioning

confidence: 99%

Evaluation of an Electronic Consultation Service for COVID-19 Care

et al. 2022

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PURPOSE COVID-19 has increased the need for innovative virtual care solutions. Electronic consultation (eConsult) services allow primary care practitioners to pose clinical questions to specialists using a secure remote application. We examined eConsult cases submitted to a COVID-19 specialist group in order to assess usage patterns, impact on response times and referrals, and the content of clinical questions being asked.METHODS This was a mixed-methods analysis of eConsult cases submitted between March and September 2020 in Ontario, Canada to 2 services. We performed a descriptive analysis of the average response time and the total time spent by the specialist for eConsults. Primary care practitioners completed a post-eConsult questionnaire that asked about the outcome of the eConsult. We performed an inductive and deductive content analysis of a subset of cases to identify common themes among the clinical questions asked. RESULTSA total of 208 primary care practitioners submitted 289 eConsult cases. The median specialist response time was 0.6 days (range = 3 minutes to 15 days); the average time spent by specialists per case was 16 minutes (range = 5 to 59 minutes). In 69 cases (24%), the eConsult enabled avoidance of a face-to-face referral. Content analysis of 51 cases identified 5 major themes: precautions for high-risk and special populations, diagnostic clarification and/or need for COVID-19 testing, guidance on self-isolation and return to work, guidance on personal protective equipment, and management of chronic symptoms. CONCLUSIONSThis study demonstrates the considerable potential of eConsults during a pandemic as our service was quickly implemented across Ontario and resulted in primary care practitioners' rapid and low-barrier access to specialist input.

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Section: Key Lessonsmentioning

confidence: 99%

Evaluation of an Electronic Consultation Service for COVID-19 Care

et al. 2022

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“…The global pandemic caused by the SARS-CoV-2 (COVID-19) virus has presented significant challenges for the healthcare industry [122][123][124] , with the role of case managers in Return To Work (RTW)…”

Section: Introductionmentioning

confidence: 99%

Return To Work Programs for Disabled Workers: Dynamic Tendencies of Personal and Professional Determinants

Arie Arizandi

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This study investigates the factors influencing the effectiveness of return-to-work (RTW) programs and provides new insights into their implementation. The research highlights the importance of thorough monitoring and evaluation, which are critical for achieving positive outcomes for workers and employers. The study also demonstrates the positive impact of RTW programs on the quality of life and employment opportunities of workers with disabilities, particularly during the COVID-19 pandemic. The findings reveal that RTW programs effectively improve the physical and psychological health of participants, leading to enhancements in various quality of life domains. However, it is crucial to address the emotional and psychological challenges faced by case managers involved in the RTW program. Interventions focusing on workload management, stress management, and access to mental health support are necessary to ensure their well-being and the overall success of the program. Importantly, this study evaluates the economic consequences of RTW programs in a developing country, specifically Indonesia. The results demonstrate that implementing RTW programs can lead to higher success rates, reduced workdays lost, and potential cost savings in medical care, reinforcing the importance of such programs in improving outcomes for injured workers. The findings of this study have significant implications for policy makers and practitioners in developing countries seeking to implement similar initiatives to mitigate the economic consequences of work injuries. It underscores the beneficial impact of RTW programs in reducing medical costs and provides valuable guidance for improving the well-being and outcomes of injured workers.

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COVID-19 and return-to-work recommendations for people with chronic respiratory diseases

Cited by 2 publications

References 5 publications

Evaluation of an Electronic Consultation Service for COVID-19 Care

Evaluation of an Electronic Consultation Service for COVID-19 Care

Return To Work Programs for Disabled Workers: Dynamic Tendencies of Personal and Professional Determinants

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