Health and health care disparities related to rehabilitation and <scp>COVID</scp>‐19

Harden, Jeannie; Blauwet, Cheri; Silver, Julie K.; Sholas, Maurice; Rasheed, Zainab; Verduzco‐Gutierrez, Monica

doi:10.1002/pmrj.12775

Cited by 2 publications

(4 citation statements)

References 41 publications

(31 reference statements)

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“…Researchers can consider various methodologies that can be utilized to validly measure systems of oppression. For this recommendation, we elevate the work of Harden et al (2022). They highlight qualitative and quantitative methodologies that capture the "multifaceted and systemic properties of structural racism as well as other systems of oppression," with the ultimate goal of achieving health equity (Hardeman et al, 2022).…”

Section: Focus On Improving the Measurement Of Racism And Ableismmentioning

confidence: 99%

“…Although telemedicine might have generally improved access to care for individuals with existing access, it appears to have created further disadvantages for individuals who were already excluded from the health system (Harden et al, 2022). Unless intentionally addressed, the underconsideration of equity when creating and implementing telehealth policies has and will continue to deepen COVID-19 intervention disparities and will exacerbate longstanding health disparities for Black disabled individuals.…”

Section: Microsystemmentioning

confidence: 99%

See 1 more Smart Citation

We still cannot breathe: Applying intersectional ecological model to COVID-19 survivorship.

Carter¹,

McGill²,

Aaron³

et al. 2023

Rehabilitation Psychology

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Purpose/Objective: Individuals with historically oppressed identities, such as disabled or racialized minorities, face inequities across all societal institutions, including education, criminal justice, and healthcare. Systems of oppression (e.g., ableism, racism) lead to inequities that have ultimately contributed to disproportionate rates of COVID-19 morbidity and mortality in the United States. In the midst of the COVID-19 pandemic, increased public attention regarding police brutality toward Black people and the reinvigoration of the national Black Lives Matter (BLM) movement further highlighted the detrimental effects of oppressive systems and the urgent need to promote equity in the United States. The disproportionate number of COVID-19-related deaths and police brutality are inextricably connected, as both are products of oppression toward minoritized communities. The co-occurrence of the pandemic and BLM movement protests also creates an opportunity for critical discourse on the intersection of ableism and anti-Black racism specifically within the field of rehabilitation psychology. Research Method/Design: The overarching goals of this review are to apply the Intersectional Ecological Model with the addition of the chronosystem to illustrate how systems of oppression lead to health disparity in COVID-19 survivorship and to provide recommendations to promote health equity. Conclusions/Implication: As the COVID-19 pandemic shifts to an endemic and efforts to eliminate oppressive systems continue, rehabilitation psychologists have an ongoing, evolving, and shared responsibility to employ socially-responsive solutions to promote optimal functioning for patients, families, and communities.

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Section: Focus On Improving the Measurement Of Racism And Ableismmentioning

confidence: 99%

Section: Microsystemmentioning

confidence: 99%

We still cannot breathe: Applying intersectional ecological model to COVID-19 survivorship.

Carter¹,

McGill²,

Aaron³

et al. 2023

Rehabilitation Psychology

View full text Add to dashboard Cite

show abstract

“…physiatrists, and limited transportation options, may prevent patients from accessing rehabilitation services and physicians, resulting in negative outcomes. 3 In order to provide equitable care, we must consider how these social determinants of health affect various racial and ethnic minority groups. Even when long-term rehabilitative services-like outpatient therapy-and supports are utilized by racial and/or ethnic minority groups, there is evidence of the lower quality of care, poorer outcomes, and higher vulnerabilities that are likely to be exacerbated during a global pandemic.…”

mentioning

confidence: 99%

“…Even when long-term rehabilitative services-like outpatient therapy-and supports are utilized by racial and/or ethnic minority groups, there is evidence of the lower quality of care, poorer outcomes, and higher vulnerabilities that are likely to be exacerbated during a global pandemic. 3 Individuals with Long COVID experience a range of symptoms, participation limitations, and intermittent disability. Their experience is often similar to that of patients with other post-viral syndromes.…”

mentioning

confidence: 99%

Letter to the Editor on “Race, ethnicity, and utilization of outpatient rehabilitation for treatment of post COVID‐19 condition”

Lugosi,

Sanchez,

Verduzco‐Gutierrez

2023

PM&R

Self Cite

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Dear Editor, We were very interested to read "Race, ethnicity, and utilization of outpatient rehabilitation for treatment of post COVID-19 condition. 1 " In this case-control study on U.S. adults with coronavirus disease 2019 (COVID-19) during 2020, the authors analyzed patients' receipt of outpatient rehabilitation services for those with post-COVID-19 conditions. The authors looked at 2020 TriNetX data from 406,630 lab-confirmed COVID-19 individuals and found that Black COVID-19 survivors were significantly less likely (odds ratio [OR] = 0.89) than their White counterparts to receive outpatient rehabilitation, despite adjustments for the severity of infection, comorbid conditions, and other potential confounders. Furthermore, it was unexpected for us to observe that outpatient rehabilitation utilization was higher among Hispanic individuals (OR = 1.22). The study showed that Hispanic survivors also experienced a significantly higher incidence of post-COVID fatigue. This is an important issue because fatigue due to Long COVID can be disabling and can progress to myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). It is known that traditional rehabilitation therapy approaches often do not work for patients with ME/CFS, and additional factors should be considered when treating this patient population to ensure that we identify red flags and stop rehab if it is harmful.We have seen that the Hispanic population is disproportionately impacted by Long COVID. In a recent study of non-hospitalized COVID-19 patients, it was found that Hispanic individuals had higher adjusted odds of being diagnosed with potential post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (PASC) across six organ systems. 2 The differences were extremely pronounced for certain endocrine and circulatory system conditions, such as diabetes and chest pain. It is beneficial that these data are collected and reported.There are a variety of health disparities in the post-COVID-19 population, especially regarding access to rehabilitation. Certain social determinants of health, such as lack of health insurance, not enough practicing

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Health and health care disparities related to rehabilitation and COVID‐19

Cited by 2 publications

References 41 publications

We still cannot breathe: Applying intersectional ecological model to COVID-19 survivorship.

We still cannot breathe: Applying intersectional ecological model to COVID-19 survivorship.

Letter to the Editor on “Race, ethnicity, and utilization of outpatient rehabilitation for treatment of post COVID‐19 condition”

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