Effect of COVID-19 on chronic care management in primary health settings
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233947Keywords:
Chronic care management, COVID-19, Telehealth, Patient-centered care, Healthcare ResilienceAbstract
The COVID-19 outbreak has brought changes to the management of conditions in primary healthcare settings, leading to a reassessment of current practices and the adoption of innovative approaches. This article examines the symptoms and treatment methods that have emerged in response to the challenges posed by the pandemic. We explore how disruptions in care for people with illnesses and the complex relationship between chronic diseases and COVID-19 severity have influenced healthcare delivery. Additionally, we discuss the increased reliance on telehealth services, which have been crucial in ensuring patient care but have also revealed disparities in access and digital literacy. The need for a patient-centered approach is emphasized through a reevaluation of care delivery models- heightened attention to psychosocial factors. We also delve into the challenges related to resource allocation adjustments to treatment plans and the psychological impact on patients dealing with diseases. Finally, we highlight opportunities for the management of chronic conditions in the future through better integration of telehealth services and an enhanced focus on patient empowerment and preventive care. As healthcare systems adapt to this evolving landscape, there are lessons from this pandemic that can inform more patient-centric and adaptable strategies for managing chronic conditions.
References
Haileamlak A. The impact of COVID-19 on health and health systems. Ethiop J Health Sci. 2021;31(6):1073-4.
Filip R, Gheorghita Puscaselu R, Anchidin-Norocel L, Dimian M, Savage WK. Global Challenges to Public Health Care Systems during the COVID-19 Pandemic: A Review of Pandemic Measures and Problems. J Pers Med. 2022;12(8):1295.
Bernacki K, Keister A, Sapiro N, Joo JS, Mattle L. Impact of COVID-19 on patient and healthcare professional attitudes, beliefs, and behaviors toward the healthcare system and on the dynamics of the healthcare pathway. BMC Health Serv Res. 2021;21(1):1309.
Khunti K, Aroda VR, Aschner P, Chan JCN, Del Prato S, Hambling CE, et al. The impact of the COVID-19 pandemic on diabetes services: planning for a global recovery. Lancet Diabetes Endocrinol. 2022;10(12):890-900.
Ghimire U, Shrestha N, Adhikari B, Mehata S, Pokharel Y, Mishra SR. Health system's readiness to provide cardiovascular, diabetes and chronic respiratory disease related services in Nepal: analysis using 2015 health facility survey. BMC Public Health. 2020;20(1):1163.
Razu SR, Yasmin T, Arif TB, Islam MS, Islam SMS, Gesesew HA, et al. Challenges Faced by Healthcare Professionals During the COVID-19 Pandemic: A Qualitative Inquiry From Bangladesh. Front Public Health. 2021;9:647315.
Murphy L, Markey K, O' Donnell C, Moloney M, Doody O. The impact of the COVID-19 pandemic and its related restrictions on people with pre-existent mental health conditions: A scoping review. Arch Psychiatr Nurs. 2021;35(4):375-94.
Gajarawala SN, Pelkowski JN. Telehealth Benefits and Barriers. J Nurse Pract. 2021;17(2):218-21.
Monaghesh E, Hajizadeh A. The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health. 2020;20(1):1193.
Haimi M. The tragic paradoxical effect of telemedicine on healthcare disparities- a time for redemption: a narrative review. BMC Med Inform Decis Mak. 2023;23(1):95.
Shah DA, Sall D, Peng W, Sharer R, Essary AC, Radhakrishnan P. Exploring the role of telehealth in providing equitable healthcare to the vulnerable patient population during COVID-19. J Telemed Telecare. 2022:1357633X221113711.
Ortega G, Rodriguez JA, Maurer LR, Witt EE, Perez N, Reich A, Bates DW. Telemedicine, COVID-19, and disparities: Policy implications. Health Policy Technol. 2020;9(3):368-71.
Babaei N, Avazeh M, Doshmangir L. Interventions for adapting health care providers to new situations in the workplace during the COVID-19 pandemic: A scoping review for developing a policy brief. World Med Health Policy. 2022;14(1):34-46.
Babiker A, El Husseini M, Al Nemri A, Al Frayh A, Al Juryyan N, Faki MO, et al. Health care professional development: Working as a team to improve patient care. Sudan J Paediatr. 2014;14(2):9-16.
Bosch B, Mansell H. Interprofessional collaboration in health care: Lessons to be learned from competitive sports. Can Pharm J (Ott). 2015;148(4):176-9.
Ee C, Lake J, Firth J, Hargraves F, de Manincor M, Meade T, et al. An integrative collaborative care model for people with mental illness and physical comorbidities. Int J Ment Health Syst. 2020;14(1):83.
Kendzerska T, Zhu DT, Gershon AS, Edwards JD, Peixoto C, Robillard R, et al. The Effects of the Health System Response to the COVID-19 Pandemic on Chronic Disease Management: A Narrative Review. Risk Manag Healthc Policy. 2021;14:575-84.
Sabetkish N, Rahmani A. The overall impact of COVID-19 on healthcare during the pandemic: A multidisciplinary point of view. Health Sci Rep. 2021;4(4):e386.
Schultze A, Walker AJ, MacKenna B, Morton CE, Bhaskaran K, Brown JP, et al. Risk of COVID-19-related death among patients with chronic obstructive pulmonary disease or asthma prescribed inhaled corticosteroids: an observational cohort study using the OpenSAFELY platform. Lancet Respir Med. 2020;8(11):1106-20.
Vives E, Cordovilla-Pérez R, de la Rosa-Carrillo D, García-Clemente M, Izquierdo-Alonso JL, Otero-Candelera R, et al. Short and Long-Term Impact of COVID-19 Infection on Previous Respiratory Diseases. Arch Bronconeumol. 2022;58(1):39-50.
Garry S, Abdelmagid N, Baxter L, Roberts N, le Polain de Waroux O, et al Considerations for planning COVID-19 treatment services in humanitarian responses. Confl Health. 2020;14:80.
Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr. 2022;14(5):779-88.
Mukhtar S. Mental Health and Psychosocial Aspects of Coronavirus Outbreak in Pakistan: Psychological Intervention for Public Mental Health Crisis. Asian J Psychiatr. 2020;51:102069.
