PharmacoEconomics, Год журнала: 2023, Номер 42(3), С. 253 - 259
Опубликована: Дек. 12, 2023
Язык: Английский
BMC Health Services Research, Год журнала: 2023, Номер 23(1)
Опубликована: Апрель 6, 2023
Disruptions to healthcare services during the COVID-19 pandemic are well-recognised problems. However, a dearth of research exists on disabled people's experiences with accessing these services. A scoping review was undertaken identify and explore experience people in between 2020 6 February 2023.
Язык: Английский
Процитировано
25
Frontiers in Public Health, Год журнала: 2023, Номер 11
Опубликована: Март 28, 2023
The COVID-19 pandemic has been a challenge for the public health system and highlighted disparities. vaccines have effectively protected against infection severe disease, but some patients continue to suffer from symptoms after their condition is resolved. These post-acute sequelae, or long COVID, continues disproportionately affect based on social determinants of (SDOH). This paper uses World Health Organization's (WHO) SDOH conceptual framework explore how influences COVID outcomes.
Язык: Английский
Процитировано
24
Frontiers in Public Health, Год журнала: 2024, Номер 11
Опубликована: Янв. 30, 2024
Introduction Data on ethnic and racial differences in symptoms health-related impacts following SARS-CoV-2 infection are limited. We aimed to estimate the 3 6 months after first infection. Methods Participants included adults with enrolled a prospective multicenter US study between 12/11/2020 7/4/2022 as primary cohort of interest, well SARS-CoV-2-negative account for non-SARS-CoV-2-infection impacts, who completed enrollment 3-month surveys ( N = 3,161; 2,402 SARS-CoV-2-positive, 759 SARS-CoV-2-negative). Marginal odds ratios were estimated using GEE logistic regression individual symptoms, health status, activity level, missed work COVID-19 illness, comparing each ethnicity or race referent group (non-Hispanic white), adjusting demographic factors, social determinants health, substance use, pre-existing conditions, vaccination survey time point, interactions status point. Results Following infection, majority similar over groups. At months, Hispanic participants more likely than non-Hispanic report fair/poor (OR: 1.94; 95%CI: 1.36–2.78) reduced (somewhat less, OR: 1.47; 1.06–2.02; much 2.23; 1.38–3.61). by not present. Other/Multiple white 1.90; 95% CI: 1.25–2.88), 1.72; 1.21–2.46; 2.08; 1.18–3.65). Asian 1.88; 1.13–3.12); Black reported (OR, 2.83; 1.60–5.00); 1.83; 1.10–3.05), 1.60; 1.02–2.51; 2.49; 1.40–4.44), 2.25; 1.27–3.98). Discussion Awareness outcomes may inform clinical public efforts advance equity long-term outcomes.
Язык: Английский
Процитировано
6
Nucleic Acids Research, Год журнала: 2022, Номер 51(D1), С. D1512 - D1518
Опубликована: Окт. 19, 2022
LitCovid (https://www.ncbi.nlm.nih.gov/research/coronavirus/)-first launched in February 2020-is a first-of-its-kind literature hub for tracking up-to-date published research on COVID-19. The number of articles has increased from 55 000 to ∼300 over the past 2.5 years, with consistent growth rate ∼10 per month. In addition rapid growth, COVID-19 pandemic evolved dramatically. For instance, Omicron variant now accounted 98% new infections United States. response continuing evolution pandemic, this article describes significant updates last 2 years. First, we introduced long Covid collection consisting survivors experiencing ongoing multisystemic symptoms, including respiratory issues, cardiovascular disease, cognitive impairment, and profound fatigue. Second, provided annotations latest strains vaccines mentioned literature. Third, improved several existing features more accurate machine learning algorithms annotating topics classifying relevant been widely used millions accesses by users worldwide various information needs continues play critical role collecting, curating standardizing knowledge
Язык: Английский
Процитировано
22
Journal of Clinical Nursing, Год журнала: 2023, Номер 33(1), С. 162 - 177
Опубликована: Май 4, 2023
Abstract Aims and Objectives In this study, we aimed to characterize the impact of long COVID on quality life approaches symptom management among Black American adults. Background As a novel condition, qualitative evidence concerning symptoms their can inform refinement diagnostic criteria care plans. However, underrepresentation Americans in research is barrier achieving equitable for all patients. Design We employed an interpretive description study design. Methods recruited convenience sample 15 adults with COVID. analysed anonymized transcripts from race‐concordant, semi‐structured interviews using inductive, thematic analysis approach. followed SRQR reporting guidelines. Results identified four themes: (1) The personal identity pre‐existing conditions; (2) Self‐management strategies symptoms; (3) Social determinants health management; (4) Effects interpersonal relationships. Conclusion Findings demonstrate comprehensive ramifications lives also articulate how conditions, social risk factors, distrust due systemic racism, nature relationships complicate management. Relevance Clinical Practice Care that support access implementation integrative therapies may be best suited meet needs Clinicians should prioritize eliminating patient exposure discrimination, implicit bias, microaggressions. This particular concern patients who have are difficult objectively quantify, such as pain fatigue. No Patient or Public Contribution While perspectives experiences were focus not involved design conduct data interpretation, writing manuscript.
Язык: Английский
Процитировано
11
Pain, Год журнала: 2023, Номер 165(5), С. 1112 - 1120
Опубликована: Ноя. 9, 2023
Abstract Chronic overlapping pain conditions (COPCs) refer to that have similar central nervous system pathophysiologic mechanisms driving widespread as well common comorbid symptoms such fatigue and problems with sleep, memory, mood. If COPCs predict the onset of long COVID, this could offer a valuable orientation for COVID-related research clinical care. This retrospective cohort study aimed determine whether having COPC predicts COVID features using US electronic health records 1:1 propensity score matching without replacement. The cohorts included (1) people acute (n = 1,038,402), (2) influenza 262,092), (3) noninfected comprising routine healthcare encounter 1,081,593). Having increased risk in all 3 cohorts. Among those pre-existing by 1.47 (95% CI 1.46, 1.47). In cohort, 1.39 1.38, 1.40). 1.57 1.56, 1.59). These findings reinforce likelihood nociplastic play prominent role COVID. Recognizing ubiquitous nonspecific syndrome occurs frequently population can inform precision medicine therapies avoid pitfalls viewing exclusively framework postinfectious disease.
Язык: Английский
Процитировано
10
BMC Medicine, Год журнала: 2024, Номер 22(1)
Опубликована: Июнь 13, 2024
Abstract Background Seeking and obtaining effective health care for Long COVID remains a challenge in the USA. Women have particularly been impacted, as they are both at higher risk of developing facing gendered barriers to having symptoms acknowledged. clinics, which provide multidisciplinary coordinated care, emerged potential solution. To date, however, there has little examination U.S. patient experiences with clinics how patients may or not come access clinic. Methods We conducted semi-structured interviews 30 women aged 18 older who had experienced least 3 months, hospitalized acute COVID-19, seen one medical provider about their symptoms. Participants were asked seeking COVID. clinic-related responses analyzed using qualitative framework analysis identify key themes clinics. Results Of women, 43.3% ( n = 13) clinic by affiliated 30.0% 9) explored attempted see but time interview. expressed five concerning from clinics: (1) Access an issue, (2) Clinics stop shop, (3) Not all providers sufficient knowledge, (4) can offer validation (5) Treatment options critical urgent. Conclusions While is significant, findings indicate that ongoing challenges related quality coordination hamper contribute distress among care. Since uniquely positioned framed being place go manage complex symptoms, it wellbeing be properly resourced level complies emerging best practices.
Язык: Английский
Процитировано
3
Frontiers in Public Health, Год журнала: 2024, Номер 12
Опубликована: Май 30, 2024
The COVID-19 pandemic has been characterized by disparities in disease burden and medical care provision. Whether these extend to long COVID awareness receipt of is unknown. We aimed characterize for symptoms among populations who experience the United States (US).
Язык: Английский
Процитировано
2
Journal of General Internal Medicine, Год журнала: 2024, Номер unknown
Опубликована: Окт. 7, 2024
Язык: Английский
Процитировано
2
PLoS ONE, Год журнала: 2024, Номер 19(6), С. e0306077 - e0306077
Опубликована: Июнь 26, 2024
Introduction Research suggests that general practice can play an important role in managing long COVID. However, studies investigating the perspectives of practitioners (GPs) and patients are lacking knowledge regarding optimal COVID care is therefore limited. Aim To investigate GPs’ patients’ on topic its management practice. Methods Brief questionnaires (GP n = 11, Patient 7) in-depth semi-structured interviews 10, were conducted with GPs from Irish practices during July 2022-January 2023. Interviews via telephone audio recordings transcribed. A phenomenological analysis involving reflexive thematic constant comparison techniques was adopted. Results Analysis (male 7, female 3; median age 50yrs (IQR 39.5–56)) (males 2, 5; 58yrs 45-62yrs) generated four themes. These (1) Complex presentations (2) value standardising care, (3) choosing right path, (4) supportive collaborative doctor-patient relationships. Strong agreement observed among need for holistic integrated multidisciplinary care. Supportive relationships largely well received by also. strongly endorsed operations. Conclusion indicated structured, integrated, help optimise advised to incorporate these elements into their going forward. Future research examining stakeholder’s using larger longitudinal samples enhance generalisability evidence this area.
Язык: Английский
Процитировано
1