Canadian Journal of Cardiology, Journal Year: 2023, Volume and Issue: 39(6), P. 824 - 825
Published: Feb. 11, 2023
Language: Английский
The Lancet Diabetes & Endocrinology, Journal Year: 2024, Volume and Issue: 12(2), P. 132 - 148
Published: Jan. 23, 2024
Language: Английский
Citations
10
Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)
Published: Feb. 12, 2025
Primary healthcare played a crucial role during the COVID-19 pandemic by preventing, timely diagnosing, and referring severe cases to hospitals, as well monitoring counseling patients via telemedicine. We used cross-sectional approach analyze severity outcomes of 174,540 treated in primary care Almaty between 2021 2022, age, sex, disease severity, comorbidities. Outpatients with were mainly aged 30–39 (20.3%) mild course (88.9%). Among adults, females predominated (≥ 60–25.5% vs. 19.2%, < 0.001), among children (0–17), boys − 21.2% 12.1% (p 0.001). A higher risk for moderate adverse was assessed older particularly those 60 compared younger groups (OR = 9.01, 95% CI: 7.72–10.51). Pregnant women had low 0.5, 0.38–0.65). Patients concomitant at likelihood 0.001, OR 2.51, 1.9–3.15 obesity, p 1.43, 1.27–1.6 diabetes mellitus, 1.16, 1.07–1.26 arterial hypertension, 2.5, 2.13–3.02 chronic obstructive pulmonary disease). The study emphasizes an often-overlooked impact on care, which is essential improving outpatient care.
Language: Английский
Citations
1
Telemedicine Reports, Journal Year: 2023, Volume and Issue: 4(1), P. 100 - 108
Published: May 1, 2023
Background: A steep increase in the use of delivery virtual care occurred during COVID-19 public health emergency (PHE) because easing up payment and coverage restrictions. With end PHE, there is uncertainty regarding continued parity for services. Methods: On November 8, 2022, The Mass General Brigham held Third Annual Virtual Care Symposium: Demystifying Clinical Appropriateness What's Ahead Pay Parity. Results: In one panels, experts from Mayo Clinic led by Dr. Bart Demaerschalk discussed key issues related to "Payment Coverage Parity In-Person Care: How Do We Get There?" discussions centered around current policies care, including state licensure laws evidence base outcomes, costs, resource utilization associated with care. panel discussion ended highlighting next steps targeting policymakers, payers, industry groups help strengthen case parity. Conclusions: To ensure viability delivery, legislators insurers must address between telehealth in-person visits. This will require a renewed focus on research clinical appropriateness, parity, equity access, economics
Language: Английский
Citations
11
Journal of Multidisciplinary Healthcare, Journal Year: 2024, Volume and Issue: Volume 17, P. 675 - 687
Published: Feb. 1, 2024
Purpose: Fear of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and lockdown measures may have an impact on health care utilization particularly for people with chronic diseases. We investigated changes in outpatient behavior pandemic phases among selected diseases Germany. Methods: The nationwide population-based telephone surveys German Health Update (GEDA) 2019/2020 (April 2019 to September 2020) GEDA 2021 (July December 2021) covered 4 out 7 from the pre-pandemic 4th wave. Data hypertension, diabetes major cardiovascular (CVD) past 12 months visiting a general practitioner (GP) or specialist (excluding dentist) weeks was collected using standardized questionnaire. Proportions odds ratios were derived logistic regression models adjusted age, sex, education federal states. Results: Among 27,967 participants aged ≥ 16 years, 8,449, 2,497 1,136 individuals had CVD. Participants these visited GP significantly more often than overall study population, irrespective phases. Compared phase, significant reduction specialist-visiting found first wave hypertension (34.3% vs 24.1%), (39.5% 25.5%) CVD (41.9% 25.6%). GP-visiting lower only (53.0% 46.0%). No difference compared phase. Conclusion: observed decrease at beginning not second half despite ongoing pandemic. Further studies are required examine whether temporary ambulatory affected disease management Keywords: service utilization, outpatients, SARS-CoV-2, disease, cardiometabolic diseases, diabetes, Germany
Language: Английский
Citations
3
JACC Advances, Journal Year: 2025, Volume and Issue: 4(4), P. 101653 - 101653
Published: March 14, 2025
Language: Английский
Citations
0
Cureus, Journal Year: 2025, Volume and Issue: unknown
Published: March 20, 2025
Background: The COVID-19 pandemic proved to be a formidable crisis leading massive disruptions in healthcare delivery that compromised routine access care across the United States. strain of on system limited outpatient visits and regular follow-up for all patients. Patients struggling with social determinants health (SDOH) have long suffered from exacerbated this issue. chronic cardiac conditions need ensure highest quality accessibility can highly disruptive their health. Thus, patients who also struggle SDOH were population was particularly vulnerable pandemic. Methods: A retrospective analysis performed assess impact urban underserved patient population. Data collected University Health System Kansas City, MO, between 2019 2022. This safety-net hospital selected because 66% its are Medicare, Medicaid, or uninsured, making strong representation larger U.S. SDOH. report in-person, cardiology scheduled during specified timeframe generated demographic data visit status. All completed resulted no-show included, other excluded. No-show rates calculated overall within each subgroup analyzed by dividing number no-shows total scheduled. percent change year whole stratified gender, race, ethnicity, insurance Results: increased 12 out 17 (71.0%) subgroups including male patients, Black non-Hispanic "other" category those Self-Pay Discount Program, Medicaid MC Plus. These groups had suggesting nearly greater than third not receiving cardiovascular they needed end 2022 observed following subgroups: 1,915 (35.08%), 490 (39.3%), 873 (36.2%), Plus 689 (32.9%). Conclusion: significantly visits, among populations, highlighting vulnerability low socioeconomic status disruption underscores continued development strategies consistent crises. employs many outreach programs help yet still seen. Other studies demonstrated telehealth may serve as bridge addressing gaps Further research is required short long-term impacts missed appointments continue developing solutions improving
Language: Английский
Citations
0
Telemedicine Journal and e-Health, Journal Year: 2025, Volume and Issue: unknown
Published: May 5, 2025
Background: The use of virtual care (VC) among individuals with chronic disease is well-documented, yet evidence on quality outcomes, such as frequency subsequent hospitalizations, emergency department (ED) visits, and mortality, fragmented. This systematic review aimed to synthesize namely outpatient encounters, hospital admissions, ED associated VC outpatients diseases. Methods: A search strategy was developed applied six electronic databases (Embase, MEDLINE, the Cochrane Library, PsycINFO, Web Science, CINAHL) for articles published between January 1, 2013 July 6, 2024. Eligible studies included synchronous (e.g., live, video, or audio based) a patient health provider. narrative synthesis compared in-person care, considering types specialty, components, follow-up duration, outcomes. Results: After reviewing 5,679 abstracts, 24 were included. Studies predominantly from United States (n = 11), followed by Australia 3) Canada 2). durations ranged 2 weeks years, 14 having 6 months less. reported no difference lower rates admissions 18/20), visits 11/12), mortality 12/14) who used those had visits. Half 3/6) more encounters patients using initial encounter Conclusion: indicated that fewer different volume people conditions but may be an increased number Robust research at scale considers consumed associations outcomes over longer periods required.
Language: Английский
Citations
0
American Heart Journal, Journal Year: 2023, Volume and Issue: 263, P. 169 - 176
Published: June 25, 2023
Language: Английский
Citations
9
The American Journal of Managed Care, Journal Year: 2024, Volume and Issue: 30(1), P. e11 - e18
Published: Jan. 18, 2024
Objectives: Limited research has assessed how virtual care (VC) affects cardiovascular disease (CVD) risk management, especially in community clinic settings. This study change patients' CVD management during the COVID-19 pandemic and factor control among patients who had primarily in-person or VC visits. Study Design: Retrospective interrupted time- series analysis. Methods: Data came from an electronic health record shared by 52 clinics for index (March 1, 2019, to February 29, 2020) follow-up (July 2020, 28, 2022) periods. Analyses compared period changes slope level of population monthly means 10-year reversible score, blood pressure (BP), hemoglobin A1c (HbA1c) whose completed visits were person vs VC. Propensity score weighting minimized confounding. Results: There 10,028 6593 analyses, 9874 5390 BP 8221 4937 HbA1c analyses. The group was more commonly younger, female, White, urban. Mean risk, mean systolic BP, percentage measurements that 140/90 mm Hg higher increased significantly periods both groups. Rate between these same all outcomes groups, regardless modality. Conclusions: Among with receiving a majority via not associated longitudinal trends key factors.
Language: Английский
Citations
1
Canadian Journal of Cardiology, Journal Year: 2022, Volume and Issue: 39(6), P. 716 - 725
Published: Dec. 5, 2022
Language: Английский
Citations
6