Integrating healthcare for follow‐up of adult <scp>COVID</scp>‐19 patients in an outpatient clinic: A matter of cooperation

Klinkert, A F; Lopes, Vania Baptista; Baar, Janwillem M. van; Broeders, M.E.A.C.; Rijswijk, H. N. A. J. van; Cornegé‐Blokland, Esther; Siegers‐Siebelink, Corrie; Kerckhoffs, Angèle P. M.; Keijsers, Carolina J. P. W.

doi:10.1002/hsr2.504

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Seventeen articles discussed care models for treating people with PCC. [80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96] Many health systems have begun developing care models to support people with PCC. A living systematic review examined evidence on care models and identified 4 main interfaces for care pathways: (1) coordination of referrals across care settings; (2) primary care teams to screen and support medical needs;…”

Section: Models Of Care For Treating People With Pccmentioning

confidence: 99%

Understanding How Post–COVID-19 Condition Affects Adults and Health Care Systems

et al. 2023

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ImportancePost–COVID-19 condition (PCC), also known as long COVID, encompasses the range of symptoms and sequelae that affect many people with prior SARS-CoV-2 infection. Understanding the functional, health, and economic effects of PCC is important in determining how health care systems may optimally deliver care to individuals with PCC.ObservationsA rapid review of the literature showed that PCC and the effects of hospitalization for severe and critical illness may limit a person’s ability to perform day-to-day activities and employment, increase their risk of incident health conditions and use of primary and short-term health care services, and have a negative association with household financial stability. Care pathways that integrate primary care, rehabilitation services, and specialized assessment clinics are being developed to support the health care needs of people with PCC. However, comparative studies to determine optimal care models based on their effectiveness and costs remain limited. The effects of PCC are likely to have large-scale associations with health systems and economies and will require substantial investment in research, clinical care, and health policy to mitigate these effects.Conclusions and RelevanceAn accurate understanding of additional health care and economic needs at the individual and health system levels is critical to informing health care resource and policy planning, including identification of optimal care pathways to support people affected by PCC.

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Section: Models Of Care For Treating People With Pccmentioning

confidence: 99%

Understanding How Post–COVID-19 Condition Affects Adults and Health Care Systems

et al. 2023

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Patients’ evaluation of aftercare following hospitalization for COVID-19: satisfaction and unmet needs

Berentschot,

de Ridder,

Bek

et al. 2024

Respir Res

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Background Patient experiences with COVID-19 aftercare remain largely unknown. We evaluated COVID-19 aftercare from a patient perspective one year after hospitalization, assessing satisfaction and its associated factors, and unmet needs. Methods The Satisfaction with COVID-19 Aftercare Questionnaire (SCAQ) was developed as part of a multicenter prospective cohort study and administered one year after hospital discharge. The SCAQ assesses (1) patient satisfaction, comprising information provision, rehabilitation, follow-up by hospitals and general practitioners (GPs), the most important aftercare topics, and overall satisfaction, and (2) unmet needs. Results 487/561 (87%) COVID-19 patients completed the SCAQ, all had been discharged from the hospital between March 2020 and May 2021. Among responders, the median age of patients was 60 (IQR 54–67) years, 338 (69%) were male, and the median length of stay in the hospital was 13 (6–27) days. Patients were least satisfied with information on who could be contacted with questions when health problems arise (59% satisfied or very satisfied). Many patients (75%) received rehabilitation, most frequently community-based (70%). Across the different community-based therapies, ≥ 60% of patients were satisfied with shared-decision making and ≥ 70% with the received therapy; a majority (≥ 79%) indicated a preference for receiving the same therapy again if needed. Regarding follow-up by hospitals, 86% of patients received this follow-up, most frequently visiting a pulmonologist (96%), being generally satisfied with the received aftercare. Aftercare from GPs was received by 39% of patients, with 88% being satisfied with the GP’s availability and 79% with referral to appropriate aftercare providers. Patients (> 50%) considered information-related items most important in aftercare. Overall, patients rated their satisfaction with aftercare 8/10 (7–9) points. Those who received medical rehabilitation (versus no rehabilitation, adjusted beta 0.61 [95%CI 0.11 to 1.11], p = 0.02) or aftercare by a hospital medical specialist (1.1 [0.46 to 1.64], p < 0.001) or GP (0.39 [0.053 to 0.72], p = 0.023) reported significantly higher satisfaction than those without such aftercare. Unmet needs were reported by 35% of patients, with lack of information (20%) and lack of additional aftercare and/or involvement of their GP (19%) being the most frequently reported. Conclusion Despite the forced quick development of COVID-19 aftercare, patients were generally satisfied. Follow-up by healthcare professionals and information provision is important to meet patients’ aftercare needs.

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Integrating healthcare for follow‐up of adult COVID‐19 patients in an outpatient clinic: A matter of cooperation

Cited by 2 publications

References 13 publications

Understanding How Post–COVID-19 Condition Affects Adults and Health Care Systems

Understanding How Post–COVID-19 Condition Affects Adults and Health Care Systems

Patients’ evaluation of aftercare following hospitalization for COVID-19: satisfaction and unmet needs

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