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Article ; Online: Covid-19: pandemic healthcare centres should have already existed.

Sharma, Neel / Anderson, Diana

2020 Volume 369, Page(s) m1700

Keywords	covid19
Language	English
Publishing date	2020-04-30
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.m1700
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Article: Covid-19: pandemic healthcare centres should have already existed

Sharma, Neel / Anderson, Diana

BMJ

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #144018
Database	COVID19

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Book ; Online: Covid-19

Sharma, Neel / Anderson, Diana

pandemic healthcare centres should have already existed

2020

Keywords	LETTERS ; covid19
Language	English
Publishing date	2020-04-30 08:42:25.0
Publisher	BMJ Publishing Group Ltd
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Covid-19

Sharma, Neel / Anderson, Diana

BMJ

pandemic healthcare centres should have already existed

2020 , Page(s) m1700

Keywords	covid19
Language	English
Publisher	BMJ
Publishing country	uk
Document type	Article ; Online
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.m1700
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: "They seemed to be like cogs working in different directions": a longitudinal qualitative study on Long COVID healthcare services in the United Kingdom from a person-centred lens.

Fang, Chao / Baz, Sarah Akhtar / Sheard, Laura / Carpentieri, J D

BMC health services research

2024 Volume 24, Issue 1, Page(s) 406

Abstract: Background: The COVID-19 pandemic has presented significant challenges to the already over ... of the healthcare challenges associated with LC, existing qualitative studies have predominantly focused ... and sustainable delivery of person-centred care for people with LC across various healthcare settings ...

Abstract	Background: The COVID-19 pandemic has presented significant challenges to the already over-stretched healthcare system in the United Kingdom (UK). These challenges are particularly pronounced for people living with the novel condition of Long COVID (LC) as they often face persistent and fluctuating symptoms, encountering prolonged uncertainty when seeking medical support. Despite a growing understanding of the healthcare challenges associated with LC, existing qualitative studies have predominantly focused on individual experiences rather than examining the structural aspects of healthcare. Methods: A longitudinal qualitative study with 80 participants and 12 healthcare practitioners was conducted in the UK to explore the healthcare experiences of those with LC. In total, 178 interviews (with attrition) were collected across two rounds, from November 2021 to March 2022, and from June to October 2022. Results: Embracing a person-centred framework that recognises and nurtures interconnected individual, relational, and existential needs, we investigated healthcare experiences related to LC across primary, secondary, and specialist integrated care. Using this perspective, we identified three overarching themes. Theme 1 addresses the persistent hurdle of accessing primary care as the initial point of contact for LC healthcare; Theme 2 underscores the complexity of navigating secondary care; and Theme 3 encapsulates the distinctive challenges of developing LC integrated care. These themes are interlinked, as people with LC often had to navigate or struggle between the various systems, with practitioners seeking to collaborate across the breadth of their professional responsibilities. Conclusion: From a person-centred approach, we were able to identify the needs of those affected by lasting LC symptoms and comprehend how health services intricately influence these needs. The focus on healthcare systems also captures the nuanced impact that continuing healthcare struggles can have on people's identity. As such, our findings provide evidence to inform a more effective and sustainable delivery of person-centred care for people with LC across various healthcare settings and over time.
MeSH term(s)	Humans ; Post-Acute COVID-19 Syndrome ; Pandemics ; COVID-19/epidemiology ; United Kingdom/epidemiology ; Delivery of Health Care ; Qualitative Research
Language	English
Publishing date	2024-04-01
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/s12913-024-10891-7
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Article ; Online: "We are invisible to them"-Identifying the most vulnerable groups in humanitarian crises during the COVID-19 pandemic: The case of Rohingyas and the Host communities of Cox's Bazar.

Sultana, Rafia / Parray, Ateeb Ahmad / Hossain, Muhammad Riaz / Aktar, Bachera / Rashid, Sabina Faiz

PLOS global public health

2023 Volume 3, Issue 6, Page(s) e0000451

Abstract: ... significant impacts of COVID-19 was the loss of earning sources, especially for the already economically ... The COVID-19 pandemic has had an adverse impact on the Rohingya and the Bangladeshi host ... communities of Cox's Bazar, Bangladesh, during the COVID-19 pandemic. This study employed a systematic ...

Abstract	The COVID-19 pandemic has had an adverse impact on the Rohingya and the Bangladeshi host communities, which have been well documented in the literature. However, the specific groups of people rendered most vulnerable and marginalized during the pandemic have not been studied comprehensively. This paper draws on data to identify the most vulnerable groups of people within the Rohingya and the host communities of Cox's Bazar, Bangladesh, during the COVID-19 pandemic. This study employed a systematic sequential method to identify the most vulnerable groups in the context of Rohingya and Host communities of Cox's Bazar. We conducted a rapid literature review (n = 14 articles) to list down Most vulnerable groups (MVGs) in the studied contexts during the COVID-19 pandemic and conducted four (04) group sessions with humanitarian providers and relevant stakeholders in a research design workshop to refine the list. We also conducted field visits to both communities and interviewed community people using In-depth interviews (n = 16), Key-informant Interviews (n = 8), and several informal discussions to identify the most vulnerable groups within them and their social drivers of vulnerabilities. Based on the feedback received from the community, we finalized our MVGs criteria. The data collection commenced from November 2020 to March 2021. Informed consent was sought from all participants, and ethical clearance for this study was obtained from the IRB of BRAC JPGSPH. The most vulnerable groups identified in this study were: single female household heads, pregnant and lactating mothers, persons with disability, older adults, and adolescents. Our analysis also found some factors that may determine the different levels of vulnerabilities and risks faced by some groups more than others in the Rohingya and host communities during the pandemic. Some of these factors include economic constraints, gender norms, food security, social safety-security, psychosocial well-being, access to healthcare services, mobility, dependency, and a sudden halt in education. One of the most significant impacts of COVID-19 was the loss of earning sources, especially for the already economically vulnerable; this had far-reaching consequences on individuals' food security and food consumption. Across the communities, it was found that the economically most affected group was single female household heads. The elderly and pregnant and lactating mothers face challenges seeking health services due to their restricted mobility and dependency on other family members. Persons living with disabilities from both contexts reported feelings of inadequacy in their families, exacerbated during the pandemic. Additionally, the shutdown in the formal education, and informal learning centres in both communities had the most significant impact on the adolescents during the COVID-19 lockdown. This study identifies the most vulnerable groups and their vulnerabilities amid the COVID-19 pandemic in the Rohingya and Host communities of Cox's Bazar. The reasons behind their vulnerabilities are intersectional and represent deeply embedded patriarchal norms that exist in both communities. The findings are essential for the humanitarian aid agencies and policymakers for evidence-based decision-making and service provisions for addressing the vulnerabilities of the most vulnerable groups.
Language	English
Publishing date	2023-06-08
Publishing country	United States
Document type	Journal Article
ISSN	2767-3375
ISSN (online)	2767-3375
DOI	10.1371/journal.pgph.0000451
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Article ; Online: HIV epidemic amidst COVID-19 pandemic in India: a conundrum for the country's healthcare system.

Ray, Ishita / Hasan, Mohammad Mehedi / Shah, Pritik A / Sahito, Abdul Moiz / Sarkar, Anusua / Ghosh, Diya / Bardhan, Mainak / Mukerjee, Nobendu / Essar, Mohammad Yasir

Epidemiology and infection

2022 Volume 150, Page(s) e112

Abstract: ... The coronavirus disease 2019 (COVID-19) pandemic has only exposed the cracks in the Indian healthcare ... COVID-19 has impacted India's already existing HIV epidemic and tries to put forth recommendations based ... the country and spread awareness about HIV among the masses. COVID-19 pandemic has reversed years of progress ...

Abstract	India has the third-largest burden of human immunodeficiency virus (HIV) infection in the world. The coronavirus disease 2019 (COVID-19) pandemic has only exposed the cracks in the Indian healthcare infrastructure concerning HIV. The prevalence of HIV in India is more among the destitute or sections of society shrouded by years of social stigma such as prostitutes, truck drivers, transsexuals and intravenous drug users. National AIDS Control Organisation and The Joint United Nations Programme on HIV/AIDS (UNAIDS) organisation have many several efforts over the years to set up counselling and testing centres all over the country and spread awareness about HIV among the masses. COVID-19 pandemic has reversed years of progress made by the same. HIV patients are biologically more susceptible to COVID-19, and the lockdown has led to the loss of jobs, economic crises, shortage of drugs and necessities such as food and housing among this vulnerable population, which can result in lowered CD4-T cell counts in the coming months and make way for dangerous opportunistic infection outbreaks in this population increasing the overall HIV burden of India. This article explores how COVID-19 has impacted India's already existing HIV epidemic and tries to put forth recommendations based on the evidence found to be better prepared in treating the HIV-positive population in India in the face of another catastrophe like the COVID-19.
MeSH term(s)	Acquired Immunodeficiency Syndrome/epidemiology ; COVID-19/epidemiology ; Communicable Disease Control ; Delivery of Health Care ; HIV Infections/epidemiology ; Humans ; India/epidemiology ; Pandemics
Language	English
Publishing date	2022-05-26
Publishing country	England
Document type	Journal Article
ZDB-ID	632982-2
ISSN	1469-4409 ; 0950-2688
ISSN (online)	1469-4409
ISSN	0950-2688
DOI	10.1017/S095026882200098X
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Article ; Online: Older People in the Context of COVID-19:A European Perspective

Pentaris, Panagiotis / Willis, Paul B / Ray, Mo / Deusdad, Blanca / Lonbay, Sarah / Niemy, Mia / Donnelly, Sarah

Pentaris , P , Willis , P B , Ray , M , Deusdad , B , Lonbay , S , Niemy , M & Donnelly , S 2020 , ' Older People in the Context of COVID-19 : A European Perspective ' , Journal of Gerontological Social Work . https://doi.org/10.1080/01634372.2020.1821143

2020

Abstract: The Coronavirus pandemic and associated measures for the protection of the public have impacted ... differently on different parts of the population and across different nations. In many areas, COVID-19 has ... also either exacerbated already existing or created new inequalities in relation to specific parts ...

Abstract	The Coronavirus pandemic and associated measures for the protection of the public have impacted differently on different parts of the population and across different nations. In many areas, COVID-19 has also either exacerbated already existing or created new inequalities in relation to specific parts of the population. Older individuals are one group in society that has been widely impacted, while social isolation/shielding measures have placed them in higher risk of loneliness, isolation, financial deprivation and mental health challenges, to name a few. This commentary reflects on such inequalities across four European nations (the United Kingdom (UK), Republic of Ireland, Finland, Spain) and draws attention to the critical role of Gerontological Social Work (GSW), while emphasizing the ways in which social work can intervene. First, we identify common concerns for the rights of older people that span across all four nations and second, we identify significant roles for GSW practitioners at the individual, community and policy levels and conclude with a call for GSW in these four nations to be reimagined in a time of global crisis.
Keywords	/dk/atira/pure/core/keywords/centre_for_research_in_health_and_social_care ; SPS Centre for Research in Health and Social Care ; Older people ; Social work ; Human rights ; COVID-19 ; Pandemic ; Ageism ; /dk/atira/pure/researchoutput/pubmedpublicationtype/D016428 ; Journal Article ; covid19
Language	English
Publishing date	2020-09-24
Publishing country	uk
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: If we could turn back time: Imagining time-variable, competency-based medical education in the context of COVID-19.

Caretta-Weyer, Holly A / Chan, Teresa / Bigham, Blair L / Kinnear, Benjamin / Huwendiek, Sören / Schumacher, Daniel J

Medical teacher

2021 Volume 43, Issue 7, Page(s) 774–779

Abstract: ... standards as usual and were judged to have already met them. This paper discusses the impacts of the COVID ... The COVID-19 pandemic has exposed a paradox in historical models of medical education ... 19 pandemic on the current workforce, provides an analysis of how competency-based medical education ...

Abstract	The COVID-19 pandemic has exposed a paradox in historical models of medical education: organizations responsible for applying consistent standards for progression have needed to adapt to training environments marked by inconsistency and change. Although some institutions have maintained their traditional requirements, others have accelerated their programs to rush nearly graduated trainees to the front lines. One interpretation of the unplanned shortening of the duration of training programs during a crisis is that standards have been lowered. But it is also possible that these trainees were examined according to the same standards as usual and were judged to have already met them. This paper discusses the impacts of the COVID-19 pandemic on the current workforce, provides an analysis of how competency-based medical education (CBME) in the context of the pandemic might have mitigated wide-scale disruption, and identifies structural barriers to achieving an ideal state. The paper further calls upon universities, health centres, governments, certifying bodies, regulatory authorities, and health care professionals to work collectively on a truly time-variable model of CBME. The pandemic has made clear that time variability in medical education already exists and should be adopted widely and formally. If our systems today had used a framework of outcome competencies, sequenced progression, tailored learning, focused instruction, and programmatic assessment, we may have been even more nimble in changing our systems to care for our patients with COVID-19.
MeSH term(s)	COVID-19 ; Competency-Based Education ; Curriculum ; Education, Medical ; Humans ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2021-05-23
Publishing country	England
Document type	Journal Article
ZDB-ID	424426-6
ISSN	1466-187X ; 0142-159X
ISSN (online)	1466-187X
ISSN	0142-159X
DOI	10.1080/0142159X.2021.1925641
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Article ; Online: Mass food challenges in a vacant COVID-19 stepdown facility: Exceptional opportunity provides a model for the future.

Byrne, Aideen M / Trujillo, Juan / Fitzsimons, John / Mohammed, Tariq / Ghent, Robert / O'Carroll, Cathryn / Coghlan, David / Hourihane, Jonathan O'B / Alsalemi, Ali / Cassidy, Aoife / Corbet, Eva / Creighton, Rita / d'Art, Yvonne / Farren, Linda / Flanagan, Rachel / Flynn, Niamh / Franklin, Ruth / Gray, Claire / Harding, Paul /

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology

2021 Volume 32, Issue 8, Page(s) 1756–1763

Abstract: ... for healthcare delivery in the post-COVID-19 era. ... Background: Internationally, the COVID-19 pandemic severely curtailed access to hospital ... facilities for those awaiting elective/semi-elective procedures. For allergic children in Ireland, already ...

Abstract	Background: Internationally, the COVID-19 pandemic severely curtailed access to hospital facilities for those awaiting elective/semi-elective procedures. For allergic children in Ireland, already waiting up to 4 years for an elective oral food challenge (OFC), the restrictions signified indefinite delay. At the time of the initiative, there were approx 900 children on the Children's Health Ireland (CHI) waiting list. In July 2020, a project was facilitated by short-term (6 weeks) access to an empty COVID stepdown facility built, in a hotel conference centre, commandeered by the Health Service Executive (HSE), Ireland. The aim of this study was to achieve the rapid roll-out of an offsite OFC service, delivering high throughput of long waiting patients, while aligning with existing hospital policies and quality standards, international allergy guidelines and national social distancing standards. Methods: The working group engaged key stakeholders to rapidly develop an offsite OFC facility. Consultant paediatric allergists, consultant paediatricians, trainees and allergy clinical nurse specialists were seconded from other duties. The facility was already equipped with hospital beds, bedside monitors (BP, pulse and oxygen saturation) and bedside oxygen. All medication and supplies had to be brought from the base hospital. Daily onsite consultant anaesthetic cover was resourced and a resuscitation room equipped. Standardized food challenge protocols were created. Access to the onsite hotel chef facilitated food preparation. A risk register was established. Results: After 6 weeks of planning, the remote centre became operational on 7/9/2020, with the capacity of 27 OFC/day. 474 challenges were commenced: 465 (98%) were completed and 9 (2%) were inconclusive. 135 (29%) OFCs were positive, with 25 (5%) causing anaphylaxis. No child required advanced airway intervention. 8 children were transferred to the base hospital. The CHI allergy waiting list was reduced by almost 60% in only 24 days. Conclusions: Oral food challenges remain a vital tool in the care of allergic children, with their cost saving and quality-of-life benefits negatively affected by a delay in their delivery. This project has shown it is possible to have huge impacts on a waiting list efficiently, effectively and safely with good planning and staff buy-in-even in a pandemic. Adoption of new, flexible and efficient models of service delivery will be important for healthcare delivery in the post-COVID-19 era.
MeSH term(s)	Allergens ; Allergists ; COVID-19 ; Child ; Humans ; Pandemics ; SARS-CoV-2
Chemical Substances	Allergens
Language	English
Publishing date	2021-07-28
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1057059-7
ISSN	1399-3038 ; 0905-6157 ; 0906-5784
ISSN (online)	1399-3038
ISSN	0905-6157 ; 0906-5784
DOI	10.1111/pai.13580
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