Difficulties in Treating a Patient with Multiple Cancers in the COVID-19 Pandemic

Lupuşoru, Ioana; Ciobanu, Delia; Ursaru, Manuela; Bălan, Gheorghiţă G; Grigorovici, Alexandru

doi:10.21614/chirurgia.115.5.670

Cited by 4 publications

(5 citation statements)

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“…The COVID-19 pandemic has directly and indirectly affected access to health care across the world. 7,8,12–14 In this study, we show that 30 per cent of older adults either delayed or forgone care during the pandemic. Moreover, reduced access was more likely to be reported by respondents that were female, younger, educated, not receiving social security benefits, with limitations in daily activities and three preexisting conditions.…”

Section: Discussionmentioning

confidence: 58%

Reduced access to care among older American adults during CoVID-19 pandemic: results from a prospective cohort study

Das

Mishra²,

Gopalan

2020

Preprint

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BackgroundDue to preexisting conditions, older adults are at higher risk of COVID-19 related severe complications. Current evidence is limited on access to care for older adults during the COVID-19 pandemic.ObjectivesTo examine the extent of reduced access to care among older American adults during the COVID-19 pandemic, identify predictors and reasons of reduced access.Materials and methodsUsing publicly available data from the COVID-19 module (interim release) of the Health and Retirement Study, we undertook descriptive analyses of older adults stratified by sex, age group, race, education, marital status, employment, receipt of social security benefits, health insurance, number of limitations in activities of daily living and pre-existing conditions. Associations between reduced access to care and predictors were estimated using a multivariable logistic regression model.ResultsAbout 30% of respondents delayed or avoided care during the pandemic. Reduced access was more likely to be reported by respondents that were female, younger, educated, not receiving social security benefits, with limitations in daily activities and three preexisting conditions. In terms of the reasons, the majority of the respondents (45.9%) reported that their visit was either cancelled or rescheduled by the provider; 13.9% thought they could wait, 10.9% could not get an appointment, 9.1% found it unaffordable, and 7.4% were afraid to visit the provider. Respondents reported of reduced access to doctor’s visits, surgery, prescription filling, and dental care.ConclusionsWe suggest urgent attention on improving access to care for older adults during the pandemic. For nonemergency conditions and routine care that can be delivered virtually, telehealth services can be strengthened. Additionally, health messaging can reemphasize that neglecting medical care might lead to increased morbidity and mortality among older adults from preexisting illnesses.

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Section: Discussionmentioning

confidence: 58%

Reduced access to care among older American adults during CoVID-19 pandemic: results from a prospective cohort study

Das

Mishra²,

Gopalan

2020

Preprint

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“…With the COVID-19 pandemic, healthcare workers experience unprecedented challenges ( 5 ). It presented exceeding workloads for healthcare workers, which not only increased nurses' work stress and exhaustion ( 6 , 7 ) but also caused delays and avoidance of medical care worldwide ( 8 , 9 ). Under such circumstances, nurses' physical and mental health was damaged ( 6 ), and the phenomenon of nurses working with ill health also increased to a great extent.…”

Section: Introductionmentioning

confidence: 99%

Job Crafting and Nurses' Presenteeism: The Effects of Job Embeddedness and Job Irreplaceability

Liu

Wang

Shan

et al. 2022

Front. Public Health

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BackgroundPresenteeism is defined as the behavior of people who insist on attending work despite complaints of ill health that should prompt rest and absence from work. Due to the heavy workloads and irreplaceable duties of the nursing service, nurses are a typical representative group suffering from presenteeism. Although more scholars have recently begun focusing on presenteeism, an abundant number of studies have tended to focus on presenteeism's external objective factors. There is, thus, a lack of studies based on variables related to the intra-individual initiative. This study aimed to address this gap by exploring the relationship between job crafting and nurses' presenteeism from the perspective of the individual internal initiative. Furthermore, this study also aimed to examine job embeddedness' mediating effect and job irreplaceability's moderating effect on presenteeism.MethodsA total of 900 nurses from a 3A-graded hospital in Henan Province were invited to participate in the online study in October, November, and December 2021, respectively. Participants were asked to complete Self-report scales on job crafting, job embeddedness, job irreplaceability, and presenteeism at three time points above. Job crafting was measured at Time 1, job embeddedness and job irreplaceability were measured at Time 2, and presenteeism was measured at Time 3.ResultsPresenteeism was significantly associated with differences in participants' age and tenure. Job crafting was significantly positively associated with job embeddedness, and job embeddedness was significantly negatively correlated with presenteeism. Job embeddedness mediated the relationship between job crafting and presenteeism. Job irreplaceability moderated the relationship between job embeddedness and presenteeism.ConclusionsThis study explored job crafting's influence mechanism on nurses' presenteeism, which is beneficial to providing effective suggestions for managing and preventing the incidence of nurses' presenteeism. Future research should consider expanding the sampling area and enriching the occupational fields of included participants to conduct a more in-depth discussion on the relationship between job crafting and nurses' presenteeism.

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“…The COVID-19 pandemic has directly and indirectly affected access to health care across the world [7,8,[11][12][13]. In this study, we show that 30 percent of older adults either delayed or forgone care during the pandemic.…”

Section: Discussionmentioning

confidence: 59%

“…Additionally, negligence of routine medical care for chronic illnesses can lead to higher morbidity and mortality among older adults. There are several attempts to inform the potential impact of COVID-19 on emergency care, cardiovascular disease care, cancer care, and other essential outpatient care encompassing the general population [4,[7][8][9]. However, to the best of our knowledge no study has explored the dimensions of access to care among the elderly population.…”

Section: Introductionmentioning

confidence: 99%

Reduced access to care among older American adults during CoVID-19 pandemic: Results from a prospective cohort study

Das¹,

Mishra²,

Gopalan³

2021

J Clin Images Med Case Rep

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Background: Reduced access to routine care can lead to higher morbidity and mortality among older adults. We assessed the extent of reduced access to care among older American adults during the COVID-19 pandemic, identified predictors and reasons for reduced access. Materials and methods: Using publicly available data from the COVID-19 module (interim release) of the Health and Retirement Study, we undertook descriptive analyses of older adults stratified by socio-demographic characteristics. Associations between reduced access to care and predictors were estimated using a multivariable logistic regression model. Results: 30.2% of respondents delayed or avoided care during the pandemic. Reduced access was more likely to be reported by respondents that were female, younger, educated, not receiving social security benefits, with limitations in daily activities and three preexisting conditions. In terms of the reasons, the majority of the respondents (45.9%) reported that their visit was either cancelled or rescheduled by the provider; 13.9% thought they could wait, 10.9% could not get an appointment, 9.1% found it unaffordable, and 7.4% were afraid to visit the provider. Respondents reported of reduced access to doctor’s visits, surgery, prescription filling, and dental care. Conclusions: We suggest urgent attention on improving access to care for older adults during the pandemic. For nonemergency conditions and routine care that can be delivered virtually, telehealth services can be strengthened. Additionally, health messaging can reemphasize that neglecting medical care might lead to increased morbidity and mortality among older adults from preexisting illnesses. Keywords: Older adults; Access to care; COVID-19; Health and retirement study

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Difficulties in Treating a Patient with Multiple Cancers in the COVID-19 Pandemic

Cited by 4 publications

References 0 publications

Reduced access to care among older American adults during CoVID-19 pandemic: results from a prospective cohort study

Reduced access to care among older American adults during CoVID-19 pandemic: results from a prospective cohort study

Job Crafting and Nurses' Presenteeism: The Effects of Job Embeddedness and Job Irreplaceability

Reduced access to care among older American adults during CoVID-19 pandemic: Results from a prospective cohort study

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