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  1. Article ; Online: Continuing Chronic Disease Care During COVID-19 and Beyond.

    Hong, Wei-Zhen / Chan, Gek-Cher / Chua, Horng-Ruey

    Journal of the American Medical Directors Association

    2020  Volume 21, Issue 7, Page(s) 991–992

    MeSH term(s) Adult ; Ambulatory Care/organization & administration ; Betacoronavirus ; COVID-19 ; Chronic Disease/therapy ; Continuity of Patient Care/organization & administration ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Singapore/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-05-16
    Publishing country United States
    Document type Letter
    ZDB-ID 2171030-2
    ISSN 1538-9375 ; 1525-8610
    ISSN (online) 1538-9375
    ISSN 1525-8610
    DOI 10.1016/j.jamda.2020.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5971: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Continuing Chronic Disease Care During COVID-19 and Beyond

    Hong, Wei-Zhen / Chan, Gek-Cher / Chua, Horng-Ruey

    Journal of the American Medical Directors Association

    2020  Volume 21, Issue 7, Page(s) 991–992

    Keywords General Nursing ; Health Policy ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2171030-2
    ISSN 1538-9375 ; 1525-8610
    ISSN (online) 1538-9375
    ISSN 1525-8610
    DOI 10.1016/j.jamda.2020.05.013
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5971: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  4. Article ; Online: Continuing chronic care services during a pandemic: results of a mixed-method study.

    Sumner, Jennifer / Bundele, Anjali / Chong, Lin Siew / Teng, Gim Gee / Kowitlawakul, Yanika / Mukhopadhyay, Amartya

    BMC health services research

    2022  Volume 22, Issue 1, Page(s) 1009

    Abstract: ... clinic visits before and during the COVID-19 pandemic, including operational metrics and attendee profile ... Methods: We evaluated the effectiveness of care provision at a re-structured chronic care clinic and ... continuity of care while adhering to COVID-19 containment measures. Qualitatively, five themes emerged ...

    Abstract Background: Patients with chronic diseases have seen unprecedented changes to healthcare practices since the emergence of COVID-19. Traditional 'on-site' clinics have had to innovate to continue services. Whether these changes are acceptable to patients and are effective for care continuation are largely unreported.
    Methods: We evaluated the effectiveness of care provision at a re-structured chronic care clinic and elicited the patient experiences of care and self-management. We conducted a convergent, parallel, mixed-methods study. Adult patients attending a chronic care clinic were included. We extracted data from 4,849 clinic visits before and during the COVID-19 pandemic, including operational metrics and attendee profile. We also conducted fifteen interviews with patients from the same clinic using a semi-structured interview guide.
    Results: Re-structuring the chronic clinic, including the introduction of teleconsultations, home-delivery of prescriptions and use of community-based phlebotomy services, served to maintain continuity of care while adhering to COVID-19 containment measures. Qualitatively, five themes emerged. Patients were able to adjust to healthcare practice changes and adapt their own lifestyles, although poor self-management practices were adopted. While most were apprehensive about attending the clinic, they valued ongoing care access and were reassured by the on-site containment measures.
    Conclusions: Continuation of routine services is desired by patients and can be achieved through the adoption of containment measures, by greater collaboration with community partners, and the use of technology. Patients adapted to service changes, but poor self-management was evident. To prevent chronic disease relapse, services must strive to innovate rather than suspend services during pandemics.
    MeSH term(s) Adult ; Ambulatory Care Facilities ; COVID-19/epidemiology ; COVID-19/therapy ; Humans ; Long-Term Care ; Pandemics/prevention & control
    Language English
    Publishing date 2022-08-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-022-08380-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Continuing chronic care services during a pandemic

    Jennifer Sumner / Anjali Bundele / Lin Siew Chong / Gim Gee Teng / Yanika Kowitlawakul / Amartya Mukhopadhyay

    BMC Health Services Research, Vol 22, Iss 1, Pp 1-

    results of a mixed-method study

    2022  Volume 8

    Abstract: ... data from 4,849 clinic visits before and during the COVID-19 pandemic, including operational metrics ... continuity of care while adhering to COVID-19 containment measures. Qualitatively, five themes emerged ... services. Whether these changes are acceptable to patients and are effective for care continuation are ...

    Abstract Abstract Background Patients with chronic diseases have seen unprecedented changes to healthcare practices since the emergence of COVID-19. Traditional ‘on-site’ clinics have had to innovate to continue services. Whether these changes are acceptable to patients and are effective for care continuation are largely unreported. Methods We evaluated the effectiveness of care provision at a re-structured chronic care clinic and elicited the patient experiences of care and self-management. We conducted a convergent, parallel, mixed-methods study. Adult patients attending a chronic care clinic were included. We extracted data from 4,849 clinic visits before and during the COVID-19 pandemic, including operational metrics and attendee profile. We also conducted fifteen interviews with patients from the same clinic using a semi-structured interview guide. Results Re-structuring the chronic clinic, including the introduction of teleconsultations, home-delivery of prescriptions and use of community-based phlebotomy services, served to maintain continuity of care while adhering to COVID-19 containment measures. Qualitatively, five themes emerged. Patients were able to adjust to healthcare practice changes and adapt their own lifestyles, although poor self-management practices were adopted. While most were apprehensive about attending the clinic, they valued ongoing care access and were reassured by the on-site containment measures. Conclusions Continuation of routine services is desired by patients and can be achieved through the adoption of containment measures, by greater collaboration with community partners, and the use of technology. Patients adapted to service changes, but poor self-management was evident. To prevent chronic disease relapse, services must strive to innovate rather than suspend services during pandemics.
    Keywords Chronic disease management ; Ambulatory care ; COVID-19 ; Self-management ; Health services research ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2022-08-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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