832 research outputs found

    A survey among members of the Association of German Allergists (AeDA)

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    Background: The severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) pandemic presented unprecedented challenges to both inpatient and outpatient care. In order to maintain good care under necessary contact restrictions, especially in the outpatient sector, the use of telemedical applications was demanded and promoted. The exploratory survey among members of the Association of German Allergists (AeDA) was intended to show how these were received among allergists in private practice. Methods: The survey was restricted to actively practising members of the AeDA who had previously given their consent to receive such surveys (n = 437). They were invited by email to participate in a survey on the topic of "Telemedicine in everyday clinical practice in allergology". The survey included quantitative and qualitative questions on the use of telemedicine services before and during the pandemic and was conducted anonymously on the SoSci Survey platform. Participation was possible in the period from June to August 2020. Results: In all, 76 specialists with additional qualification in allergology took part in the survey. Of these, 71 completed the full questionnaire. Before the start of the pandemic-related contact restrictions, 46.5% (33/71) stated that they had used telemedicine in their clinical practice. This number increased to 73.2% (52/71) after 31 January 2020. The largest increase (4.3% vs. 15.6%) was seen in the area of video consultations. Furthermore, 43/76 participants can imagine integrating telemedicine services into their daily clinical routine in the future. Conclusion: The use of telemedical services, especially video consultations, increased significantly during the SARS-CoV‑2 pandemic in Germany. The majority of respondents perceive the implementation as positive and can imagine continuing to use telemedical methods after the end of the pandemic

    Telehealth During COVID-19: A Look at Healthcare Providers’ Experiences

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    Healthcare providers were placed under considerable strain during the COVID-19 pandemic. To exacerbate matters more, a sudden shift to telehealth became necessary to provide safe provider-patient visits. The increased strain created by the sudden need to implement a telehealth protocol is believed to have decreased workplace satisfaction. This study aims to investigate how the rapid shift to telehealth during the COVID-19 pandemic affected healthcare providers’ workplace satisfaction, how virtual visits created challenges and opportunities for provider-patient communication, and how the use of telemedicine during the COVID-19 pandemic affected healthcare providers’ capacity to engage in patient-centered communication. For this study, 15 primary healthcare providers were interviewed. Learning a new system and protocols in order to conduct virtual visits, as well as new obstacles that providers never encountered before, created a challenge for providers all over. A year after the World Health Organization declared COVID-19 a global pandemic, telehealth has demonstrated the benefits of permanently incorporating it as a tool for providers to utilize in the future of medicine

    Chapter 10 Telepractice in adult speech-language pathology during COVID-19

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    This collection is the first of its kind to examine the impact of the COVID-19 pandemic on the caseloads and clinical practice of speech-language pathologists. The volume synthesises existing data on the wide-ranging effects of COVID-19 on the communication, swallowing, and language skills of individuals with COVID infection. Featuring perspectives of scholars and practitioners from around the globe, the book examines the ways in which clinicians have had to modify their working practices to prioritise patient and clinician safety, including the significant increase in the use of telepractice during the pandemic. The volume also reflects on changes in training and education which have seen educators in the field redesign their clinical practicum in order to best prepare students for professional practice in an age of COVID-19 and beyond, as the field continues to grapple with the long-term effects of the pandemic. Offering a holistic treatment of the impact of COVID-19 on the work of speech-language pathologists, this book will be of interest to students, researchers, and clinicians working in the discipline

    Telemedicine in Elderly Hypertensive and Patients with Chronic Diseases during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

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    Background: One aspect of the distancing measures imposed in response to the COVID-19 pandemic is that telemedicine consultations have increased exponentially. Among these consultations, the assessment and follow-up of patients with chronic diseases in a non-presential setting has been strengthened considerably. Nevertheless, some controversy remains about the most suitable means of patient follow-up. Objective: To analyze the impact of the telemedicine measures implemented during the COVID-19 period on chronic patients. Material and Methods: A systematic review was carried out using the following databases: PubMed, Pro-Quest, and Scopus. The systematic review followed the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search equation utilized descriptors sourced from the Medical Subject Headings (MeSH) thesaurus. The search equation was: “hypertension AND older AND primary care AND (COVID-19 OR coronavirus)” and its Spanish equivalent. Results: The following data were obtained: 14 articles provided data on 6,109,628 patients and another 4 articles focused on a study population of 9684 physicians. Telemedicine was less likely to be used by elderly patients (OR 0.85; 95% C.I. 0.83–0.88; p = 0.05), those of Asian race (OR 0.69; 95% C.I. 0.66–0.73; p = 0.05), and those whose native language was not English (OR 0.89; 95% C.I. 0.78–0.9; p = 0.05). In primary care, lower use of telemedicine was associated with residents of rural areas (OR 0.81; p = 0.05), patients of African American race (OR 0.65, p = 0.05), and others (OR 0.64; p = 0.05). A high proportion (40%) of physicians had no prior training in telemedicine techniques. The highest quality in terms of telephone consultation was significantly associated with physicians who did not increase their prescription of antibiotherapy during the pandemic (OR = 0.30, p = 0.05) or prescribe more tests (OR 0.06 p = 0.05), i.e., who maintained their former clinical criteria despite COVID-19. Conclusions: Telemedicine is of proven value and has been especially useful in the COVID-19 pandemic. A mixed remote–presential model is most efficient. Appropriate training in this area for physicians and patients, together with correct provision, is essential to prevent errors in implementation and us

    The Effectiveness Of Telemedicine To Improve Quality Of Life For Patients In The COVID-19 Pandemic

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    Background: COVID-19 delivers the effects of health services in form. Health services began to enforce health protocols, especially social distancing. Medical consultations carried out during medical visits become remote medical consultations by maximizing electronic health technology (e-health), telehealth, and/or telemedicine. The use of health technology has increased research on telemedicine’s effectiveness on patients' health-related quality of life (HRQoL). The aim of this study is to analyze the effectiveness of telemedicine in improving the quality of life of chronic disease patients that require regular visits to health providers during the COVID-19 pandemic during Covid-19 Pandemic. Methods: The research was descriptive. A systematic review with source data from Pubmed, ScienceDirect, and Sage databases with the keyword "COVID-19 and telemedicine and health-related quality of life". Criteria were limited to all clinical study articles published during the COVID-19 pandemic in Indonesian or English and published during the COVID-19 pandemic. Results: Eleven (11) articles were successfully selected. Telemedicine was used for kidney transplantation or minor stroke patients, amyotrophic lateral sclerosis (ALS), cancer, adrenal insufficiency, chronic obstructive pulmonary disease (COPD), and primary antibody deficiency patients. The instruments used to measure HRQoL were generic (the EQ-5D and SF-36) and specific for some diseases. The results showed that telemedicine could maintain HRQoL and reduce depression or anxiety. Conclusion: Telemedicine is a feasible and effective intervention to maintain HRQoL and reduce the consequences of social distancing during the COVID-19 pandemic. The recommendation is telemedicine must continue to be developed in health services even though the COVID-19 pandemic is over

    Covid-19: yesterday, today and tomorrow. The quality of Covid-19 management and the evaluation of the “Health” chapter of the Recovery Plan.

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    Introduction: The Covid-19 pandemic represented an unprecedented challenge for the healthcare world and the introduction of a new stronger and believable project plays a fundamental role for the quality of work and the provision of qualitative care. Aim: The survey provided by ASIQUAS aims to examines the impact of “Health” chapter included in the Recovery Plan, through the assessment of management quality of the Covid-19 pandemic. Methods: Starting from a literature review, in September 2021, a web-based survey has been conducted and administered by email. It has been taken into account measures widely used by different healthcare structures in order to analyze the projects implemented in the face of pandemic and to evaluate the new real possibility to invest funds in new healthcare structures and projects. Results: The survey consists of 19 multiple choices and respondents were from different types of structures, including regional departments and regional health agencies (1.4%), universities, research centers and IRCCS (11%), hospitals and university polyclinics (34.2%), Local Health Authorities (39.7%), socio-health organizations and Others (13,7%). The pandemic has highlighted many vulnerabilities at both hospitals and territorial level. The major weaknesses revealed by the survey are mainly due to.the lack of support from new staff units and poor availability of specific training tools for Covid-19 procedures. The Recovery Plan is still unclear with a lot of concern about the implementation and many limits of diffusion. Conclusions: It becomes essential to guarantee a new effective and interoperative model of integration. Today we can start more aware for the implementation of a system closer to everyone’s needs, making shortcomings the new strength and starting point

    Health-Related Quality of Life and Experiences of Sarcoma Patients during the COVID-19 Pandemic

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    Sarcomas are rare cancers with a spectrum of clinical needs and outcomes. We investigated care experiences and health-related quality of life (HRQoL) in sarcoma patients during the COVID-19 pandemic. Patients with appointments during the first two months of the UK lockdown were invited to complete a survey. Questions included views on care modifications, COVID-19 worry and psychosocial impact, and EORTC-QLQ-C30 items. 350 patients completed the survey; median age 58 (16–92) years. Care modifications included telemedicine (74%) and postponement of appointments (34%), scans (34%) or treatment (10%). Most felt the quality of care was not affected (72%), however, social life (87%) and emotional wellbeing (41%) were affected. Worry about COVID-19 infection was moderately high (mean 5.8/10) and significantly related to higher cancer-related worry; associated with lower emotional functioning irrespective of treatment intent. Curative patients (44%) with low resilient coping scores had significantly higher COVID-19 worry. Patients who did not know their treatment intent (22%) had significantly higher COVID-19 worry and insomnia. In summary, care experiences were generally positive; however, cancer-related worry, low resilient coping and uncertainty about treatment intent were associated with COVID-19 worry. These patients may benefit from additional psychological support during the pandemic and beyond.</jats:p

    Health-Related Quality of Life and Experiences of Sarcoma Patients during the COVID-19 Pandemic

    Get PDF
    Sarcomas are rare cancers with a spectrum of clinical needs and outcomes. We investigated care experiences and health-related quality of life (HRQoL) in sarcoma patients during the COVID-19 pandemic. Patients with appointments during the first two months of the UK lockdown were invited to complete a survey. Questions included views on care modifications, COVID-19 worry and psychosocial impact, and EORTC-QLQ-C30 items. 350 patients completed the survey; median age 58 (16–92) years. Care modifications included telemedicine (74%) and postponement of appointments (34%), scans (34%) or treatment (10%). Most felt the quality of care was not affected (72%), however, social life (87%) and emotional wellbeing (41%) were affected. Worry about COVID-19 infection was moderately high (mean 5.8/10) and significantly related to higher cancer-related worry; associated with lower emotional functioning irrespective of treatment intent. Curative patients (44%) with low resilient coping scores had significantly higher COVID-19 worry. Patients who did not know their treatment intent (22%) had significantly higher COVID-19 worry and insomnia. In summary, care experiences were generally positive; however, cancer-related worry, low resilient coping and uncertainty about treatment intent were associated with COVID-19 worry. These patients may benefit from additional psychological support during the pandemic and beyond
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