Quality of the Healthcare Services During COVID-19 Pandemic in Selected European Countries

Tuczyńska, Magdalena; Staszewski, Rafał; Matthews‐Kozanecka, Maja; Żok, Agnieszka; Baum, Ewa

doi:10.3389/fpubh.2022.870314

Cited by 27 publications

(24 citation statements)

References 28 publications

(27 reference statements)

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“…COVID-19 rapidly changed the primary care landscape, with stay-at-home orders, concerns about contracting SARS-CoV-2, site closures, staffing shortages, and competing COVID-19 testing and treatment needs all potentially decreasing access to and quality of primary care services. 1 , 2 , 3 , 4 , 5 , 6 , 7 These challenges may have especially affected federally qualified health centers (FQHCs), 8 , 9 which serve nearly 30 million patients with low income from marginalized communities across the US. 10…”

Section: Introductionmentioning

confidence: 99%

Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic

et al. 2023

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ImportanceStay-at-home orders, site closures, staffing shortages, and competing COVID-19 testing and treatment needs all potentially decreased primary care access and quality during the COVID-19 pandemic. These challenges may have especially affected federally qualified health centers (FQHCs), which serve patients with low income nationwide.ObjectiveTo examine changes in FQHCs’ quality-of-care measures and visit volumes in 2020 to 2021 vs prepandemic.Design, Setting, and ParticipantsThis cohort study used a census of US FQHCs to calculate changes in outcomes between 2016 and 2021 using generalized estimating equations.Main Outcomes and MeasuresTwelve quality-of-care measures and 41 visit types based on diagnoses and services rendered, measured at the FQHC-year level.ResultsA total of 1037 FQHCs were included, representing 26.6 million patients (63% 18-64 years old; 56% female) in 2021. Despite upward trajectories for most measures prepandemic, the percentage of patients served by FQHCs receiving recommended care or achieving recommended clinical thresholds showed a statistically significant decrease between 2019 and 2020 for 10 of 12 quality measures. For example, declines were observed for cervical cancer screening (−3.8 percentage points [pp]; 95% CI, −4.3 to −3.2 pp), depression screening (−7.0 pp; 95% CI, −8.0 to −5.9 pp), and blood pressure control in patients with hypertension (−6.5 pp; 95% CI, −7.0 to −6.0 pp). By 2021, only 1 of these 10 measures returned to 2019 levels. From 2019 to 2020, 28 of 41 visit types showed a statistically significant decrease, including immunizations (incidence rate ratio [IRR], 0.76; 95% CI, 0.73-0.78), oral examinations (IRR, 0.61; 95% CI, 0.59-0.63), and supervision of infant or child health (IRR, 0.87; 95% CI, 0.85-0.89); 11 of these 28 visits approximated or exceeded prepandemic rates by 2021, while 17 remained below prepandemic rates. Five visit types increased in 2020, including substance use disorder (IRR, 1.07; 95% CI, 1.02-1.11), depression (IRR, 1.06; 95% CI, 1.03-1.09), and anxiety (IRR, 1.16; 95% CI, 1.14-1.19); all 5 continued to increase in 2021.Conclusions and RelevanceIn this cohort study of US FQHCs, nearly all quality measures declined during the first year of the COVID-19 pandemic, with most declines persisting through 2021. Similarly, most visit types declined in 2020; 60% of these remained below prepandemic levels in 2021. By contrast, mental health and substance use visits increased in both years. The pandemic led to forgone care and likely exacerbated behavioral health needs. As such, FQHCs need sustained federal funding to expand service capacity, staffing, and patient outreach. Quality reporting and value-based care models must also adapt to the pandemic’s influence on quality measures.

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Section: Introductionmentioning

confidence: 99%

Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic

et al. 2023

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“…COVID-19 pandemija, viena iš pačių pavojingiausių žmonijai XXI a. krizių, neigiamai paveikė visų šalių sveikatos priežiūros sistemas, paskatino neigiamus visuomenės sveikatos pokyčius [29,30].…”

Section: Literatūros Apžvalgaunclassified

Covid-19 Pandemijos Įtaka Sveikatos Priežiūrai Ir Jos Kokybei Ligoninėse: Sisteminė Literatūros Apžvalga Ir Atvejo Analizė

Janušonis¹,

Kasap²,

Janušonytė³

2022

Health Sciences

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Sveikatos priežiūros kokybė, ypač ligoninėse – pagrindinis sveikatos priežiūros sistemų veiklos tikslas. Jis tampa dar aktualesnis COVID-19 pandemijos metu. Tyrimo tikslas – apžvelgti, įvertinti ir palyginti sveikatos priežiūros kokybę iki COVID-19 pandemijos ir pandemijos laikotarpiais ligoninėse. Atliekant tyrimą, analizuotos įvairių šalių autorių mokslinės publikacijos, apklausti pacientai, gydęsi ikikovidiniu ir pokovidiniu laikotarpiais ligoninėje. Respondentai vertino sveikatos priežiūros ligoninėje kokybę. Nustatyta, kad daugelio šalių ligoninėse sveikatos priežiūros kokybė COVID-19 pandemijos metu pablogėjo. Pagal kai kuriuos rodiklius sveikatos priežiūros kokybė, pacientų nuomone, kiek pablogėjo ir tirtoje ligoninėje. Absoliuti dauguma pacientų sveikatos priežiūros kokybę tiek ikikovidiniu, tiek COVID-19 pandemijos metu ligoninėje vertino gerai ir labai gerai.

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“…The global public health crisis that arose due to the Coronavirus disease posed unique challenges to societies and health care worldwide, including nursing care provision in hospitals and home care settings (Clari et al, 2021; Markkanen et al, 2021; Tuczynska et al, 2022). It resulted in an unprecedented number of adaptations to health care delivery, including the use of personal protective equipment (PPE), physical distancing and visitation or access restrictions to prevent the spread of the virus.…”

Section: Introductionmentioning

confidence: 99%

Nurse–patient interaction during the Covid‐19 pandemic: Creating and maintaining an interactive space for care

Petry

Pelzelmayer²,

Ernst

et al. 2022

Journal of Advanced Nursing

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Aims: To explore nurse-patient interactions during the Covid-19 pandemic from both nurses' and patients' perspectives.Design: Qualitative study using constructive grounded theory.Methods: A total of 34 patients and 49 nurses from acute and home care settings participated in individual or focus group interviews between December 2020 and May 2021. Data were analysed by a team of researchers using coding, memo-writing, theoretical sampling and constant comparison and integration. Results:We identified the creation and maintenance of an interactive space as the main social process. This interactive space was shaped by the care context and the course of the pandemic. For nurses, four factors were key, namely protecting oneself and others, navigating communication barriers, adapting nursing actions to the evolving situation, and providing emotional care work. Patients experienced attentive caring relationships with nurses and felt that, for the most part, their individual needs had been met despite the pandemic challenges. Conclusion:Nurses and patients created an interactive space in which they were able to provide and receive the necessary care. Maintaining the interactive space was often challenging, and required an intentional effort by nurses, particularly in acute care settings. The findings illustrate that nurses ensured the provision of necessary care even during a public health crisis, thereby enabling patient access to good quality care.Impact: Nurse-patient relationships are important for effective, person-centred care delivery. Despite the pandemic challenges, nurses managed to uphold their caring imperative and ensure quality care. Findings provide further insights on the importance of nurse-patient interaction in maintaining quality care. They inform models of nursing care delivery and strategies to support quality care during public health crises.

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Quality of the Healthcare Services During COVID-19 Pandemic in Selected European Countries

Cited by 27 publications

References 28 publications

Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic

Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic

Covid-19 Pandemijos Įtaka Sveikatos Priežiūrai Ir Jos Kokybei Ligoninėse: Sisteminė Literatūros Apžvalga Ir Atvejo Analizė

Nurse–patient interaction during the Covid‐19 pandemic: Creating and maintaining an interactive space for care

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