Transformation of chronic disease management: Before and after the COVID-19 outbreak

Yu, Steven; Wan, Rongjun; Bai, Lu; Zhao, Baotian; Jiang, Qiongqiong; Jiang, Juan; Li, Yuanyuan

doi:10.3389/fpubh.2023.1074364

Cited by 5 publications

(5 citation statements)

References 71 publications

(75 reference statements)

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“…Chronic diseases impose a tremendous burden on society and the economy (Yu et al, 2023). During the first wave of the pandemic, a significant reduction or complete cancellation of scheduled health appointments was observed, as reported by a comprehensive survey involving health professionals from 47 countries (Chudasama et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

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Navigating Chronic Disease Management with Digital Healthcare Solutions amidst the COVID-19 Pandemic: A Systematic Literature Review

Vratimos,

Champilomatis,

Farantos

2024

ESJ

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Purpose: The purpose of this paper is to critically evaluate data collected from various studies on Chronic Disease Management during the COVID-19 pandemic and the emergence of Digital Healthcare as a means of providing innovative approaches to manage chronic diseases. Methodology: A systematic literature review was applied. Studies were found after a search in the Pubmed database with no publication date time limit, given that COVID–19 emerged in 2019. A Prisma diagram was created to record the way and the criteria by which we included and excluded studies for our research. Out of the 567 records identified through various sources 85 were used for a qualitative synthesis. Results: During the first wave of the pandemic, a significant reduction or complete cancellation of scheduled health appointments was observed. Shortages of medication used to manage chronic conditions were also observed at the beginning of the COVID-19 pandemic due to global supply chain disruptions. Governments acted rapidly at the beginning of the pandemic to promote the use of teleconsultations by introducing enabling legislation and revising laws ensuring continuity of care for people with chronic diseases, thus transitioning rapidly to remote care and monitoring. Conclusion: Telemedicine and involving community pharmacists in chronic patient management are key for sustained adherence. Long-term policies are vital to prevent pandemic-driven health disparities. Lessons should be derived for future preparedness, managing subsequent waves, and ensuring testing in primary care.

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Section: Resultsmentioning

confidence: 99%

“…Chronic diseases impose a tremendous burden on society and the economy (Yu et al, 2023). Conversely, evidence suggests disruptions in health services occur during pandemics (Javanparast et al, 2021).…”

Section: Chronic Disease Management and Covid-19mentioning

confidence: 99%

Navigating Chronic Disease Management with Digital Healthcare Solutions amidst the COVID-19 Pandemic: A Systematic Literature Review

Vratimos,

Champilomatis,

Farantos

2024

ESJ

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“…Despite recent technological and treatment advances in chronic disease management, much remains to be done in the United States to achieve optimal disease management 23 , 24. Through SHCP, the CCALAC-DPH partnership introduced and scaled up a promising model of practice that facilitates provider behavior and system-level changes as key strategies for improving chronic disease control.…”

Section: Discussionmentioning

confidence: 99%

Using a Cohort-Based Quality Improvement Coaching Model to Optimize Chronic Disease Management for Federally Qualified Health Center Patients

Barragan,

Green,

Cruz

et al. 2024

Journal of Public Health Management &Amp; Practice

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Context: In fall 2020, Community Clinic Association of Los Angeles County, in collaboration with the Los Angeles County Department of Public Health, launched a 3-year, cohort-based quality improvement (QI) coaching program to assist Federally Qualified Health Centers (FQHCs) in improving their clinical management of hypertension, high blood cholesterol, diabetes, and chronic kidney disease. Program: The QI program utilized a cohort-based coaching model in which 5 FQHCs were each assigned a practice transformation coach who provided them with guidance and support to monitor clinical quality measures. These measures were then used to facilitate changes and improvements in clinical workflows and approaches to patient care. To encourage peer learning and promote inter-organizational collaboration, the coaching team hosted quarterly cohort check-ins and an online group messaging board where the participating FQHCs could share lessons learned. Throughout the program, the FQHCs were provided trainings and resources to advance their clinical quality measures of choice. Implementation: To implement the program, each FQHC selected 2 clinical quality measures to focus on, completing a minimum of 1 Plan-Do-Study-Act cycle per year for each measure. Throughout, the coaches met regularly with FQHC staff to discuss progress, strategize on how best to address challenges encountered, and identify training or resource needs for their clinic sites. Evaluation: To drive implementation of QI interventions and monitor overall progress, the FQHCs reported quarterly on the clinical quality measures being addressed. By program's end, all 5 FQHCs reached their 10% improvement goals. Discussion: This QI coaching program allowed participating FQHCs to build new competencies and achieve measurable improvements in how they managed their patients' chronic diseases. This model of practice serves as a promising approach for achieving sustainable clinical improvements in these FQHCs.

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“… 8 , 10 , 11 While there is literature on chronic disease management and prevention during COVID-19, it is primarily focused on the provision of management and prevention supports using telehealth strategies. 13 – 15 There is a lack of research on the lived-experiences of how people managed their health and prevented disease and disability during times of social and physical distancing, such as during the COVID-19 pandemic. Thus, the objective of this paper is to qualitatively describe the chronic disease management and prevention experiences of older adults (≥65 years of age) during the initial phases of the COVID-19 pandemic.…”

Section: Purposementioning

confidence: 99%

A Qualitative Investigation on Chronic Disease Management and Prevention Among Older Adults During the COVID-19 Pandemic

Yang,

Clayton,

Harris

et al. 2023

Am J Health Promot

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Purpose To qualitatively describe experiences of chronic disease management and prevention in older adults (age ≥65 years) during COVID-19. Approach Qualitative descriptive approach. Setting Data collected online via telephone and video-conferencing technologies to participants located in various cities in British Columbia, Canada. Data analyzed by researchers in the cities of Vancouver and Kelowna in British Columbia. Participants Twenty-four community-living older adults (n = 24) age ≥65 years. Methods Each participant was invited to complete a 30-to-45-minute virtual, semi-structured, one-on-one interview with a trained interviewer. Interview questions focused on experiences managing health prior to COVID-19 and transitioning experiences of practicing health management and prevention strategies during COVID-19. Audio recordings of interviews were transcribed verbatim and analyzed thematically. Results The sample’s mean age was 73.4 years (58% female) with 75% reporting two or more chronic conditions (12.5% none, 12.5% one). Three themes described participants’ strategies for chronic disease management and prevention: (1) having a purpose to optimize health (i.e., managing health challenges and maintaining independence); (2) internal self-control strategies (i.e., self-accountability and adaptability); and (3) external support strategies (i.e., informational support, motivational support, and emotional support). Conclusion Helping older adults identify purposes for their own health management, developing internal control strategies, and optimizing social support opportunities may be important person-centred strategies for chronic disease management and prevention during unprecedented times like COVID-19.

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Transformation of chronic disease management: Before and after the COVID-19 outbreak

Cited by 5 publications

References 71 publications

Navigating Chronic Disease Management with Digital Healthcare Solutions amidst the COVID-19 Pandemic: A Systematic Literature Review

Navigating Chronic Disease Management with Digital Healthcare Solutions amidst the COVID-19 Pandemic: A Systematic Literature Review

Using a Cohort-Based Quality Improvement Coaching Model to Optimize Chronic Disease Management for Federally Qualified Health Center Patients

A Qualitative Investigation on Chronic Disease Management and Prevention Among Older Adults During the COVID-19 Pandemic

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