PLoS ONE,
Год журнала:
2024,
Номер
19(12), С. e0316335 - e0316335
Опубликована: Дек. 31, 2024
Background
A
large
number
of
individuals
suffer
from
post-COVID-19
condition
(PCC),
characterised
by
persistent
symptoms
following
a
SARS-CoV-2
infection
with
an
impact
on
daily
personal
and
professional
activities.
This
study
aims
at
examining
which
(health)
care
services
are
used
PCC
patients
in
the
German
federal
state
Lower
Saxony,
how
these
manage
their
condition.
The
perspectives
patients,
informal
caregivers
general
practitioners
(GPs)
will
be
considered.
Methods
employ
mixed
methods
design.
Patients’
perspective
evaluated
through
online
survey
of:
(1)
21,000
adult
diagnosis
(ICD10
U09.9!)
statutory
health
insurance
claims
data
2022
(“AOK
survey”)
(2)
self-selected
sample
proven
2023
(“public
survey”).
Additional
sources
(n
=
27,275)
25–30
semi-structured
interviews.
Informal
’
collected
GPs’
four
focus
groups
involving
six
to
eight
participants
each
all
registered
practicing
GPs
Saxony
(approximately
5,000).
All
descriptively
analysed.
In
addition,
correlation
analyses
multivariable
regression
conducted,
for
example
factors
influencing
affected
individuals’
use
medical
services.
Interview
group
subjected
qualitative
content
analysis.
economic
analysis
determine
costs
payers,
society.
project
conclude
expert
workshop
discuss
results
derive
recommendations.
Discussion
provide
multidimensional
description
situation
needs
PCC,
recommendations
improving
care.
Trial
registration
VePoKaP
is
Clinical
Trials
Register
(
DRKS00032846
).
European Journal of General Practice,
Год журнала:
2024,
Номер
30(1)
Опубликована: Окт. 21, 2024
Background
The
management
of
the
long-term
sequelae
coronavirus
disease
2019
(COVID-19)
infection,
known
as
post-COVID-19
syndrome
(PCS),
continues
to
challenge
medical
community,
largely
owing
a
significant
gap
in
understanding
its
aetiology,
diagnosis
and
effective
treatment.
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 19, 2024
AbstractBackground:
Long
COVID-19challenges
health
and
social
systems
globally.
International
research
finds
major
inequalities
in
prevalence
healthcare
utilization
as
patients
describe
difficulties
with
accessing
care.
In
order
to
improve
long-term
outcomes
it
is
vital
understand
any
underlying
access
barriers,
for
which
relevant
evidence
on
long
COVID-19
thus
far
lacking
a
universal
system
like
Austria.
This
study
aims
comprehensively
identify
barriers
facilitators
faced
by
Austria
explore
potential
socioeconomic
demographic
drivers
care
access.
Methods:
Applying
an
exploratory
qualitative
approach,
we
conducted
semi-structured
interviews
15
experts
including
medical
professionals
senior
officials
well
focus
groups
18
confirmed
diagnosis
reflecting
varying
participant
characteristics
(age,
gender,
urbanicity,
occupation,
education,
insurance
status)
(July-Nov
2023).
Data
were
analysed
following
thematic
framework
drawing
comprehensive
‘access
care’
model.
Results:
Based
expert
patient
experiences,
several
emerged
along
all
dimensions
of
the
Main
themes
included
scepticism
stigma
professionals,
finding
knowledgeable
doctors,
limited
specialist
capacities
ambulatory
sector,
waiting
times
care,
statutory
coverage
treatments
resulting
high
out-of-pocket
payments.
Patients
experienced
constant
self-organization
their
pathway
stressful,
emphasizing
need
multidisciplinary
centralized
coordination.
Facilitators
supportive
environments,
telemedicine,
informal
information
provided
nationwide
patient-led
support
group.
Differences
experiences
emerged,
among
others,
women
younger
gender-
age-based
stigmatization.
Complementary
reduced
financial
strain,
however,
did
not
ease
capacity
constraints,
particularly
challenging
those
living
rural
areas.
Conclusions:
The
findings
this
indicate
call
action
situation
empowering
both
providers
via
increased
offerings,
strengthened
interdisciplinary
treatment
structures
funding.
Our
insights
potentially
lay
necessary
foundation
future
quantitative
inequality
research.
Visceral Medicine,
Год журнала:
2024,
Номер
unknown, С. 1 - 11
Опубликована: Окт. 29, 2024
Long-term
sequelae
following
acute
SARS-CoV-2
infection
appear
to
be
common
in
patients
with
inflammatory
bowel
diseases
(IBDs).
We
examined
the
frequency
and
characteristics
of
post-COVID-symptoms
IBD
(IBD-COVID),
comparing
them
two
control
cohorts:
infected
household
members
IBD-COVID
without
(CONT-COVID)
SARS-COV-2
(IBD-no-COVID).
A
questionnaire
for
retrospective
documentation
possible
post-COVID-19
symptoms
was
distributed
controls
from
eight
referral
centers.
The
319
IBD-COVID,
108
CONT-COVID,
221
IBD-no-COVID
were
similar
terms
sex,
age,
comorbidities.
occurrence
duration
fatigue
cohort
correlated
activity.
Other
complaints
such
as
reduced
cognitive
performance
(p
<
0.05)
sleeping
disorders
even
more
patients.
Persistent
hematochezia
0.001),
abdominal
pain
0.005),
diarrhea
0.0001),
anal
problems
0.01)
often
than
CONT-COVID
cohort.
Furthermore,
typical
IBD-associated
persist
a
longer
period
after
an
infection.
Frequency
post-COVID
is
higher
compared
controls.
After
infection,
number
outpatient
consultations
increased
(7.8%
vs.
10.9%,
p
=
0.008).
Fatigue,
impairment,
sleep
disturbances
are
prevalent
among
Tight
activity
could
suitable
tool
avoid
problems.
Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 1, 2024
Against
the
background
of
inadequate
healthcare
provision
for
children
and
adolescents
with
post-COVID-19
syndrome
(PCS),
a
model
project
was
initiated
in
Bavaria
(PoCoKiBa:
Post-COVID
Kids
Bavaria),
offering
specialized
diagnostics
care.
The
aim
this
study
to
explore
describe
experiences
satisfaction
PCS,
as
well
their
parents,
provided
project.
PLoS ONE,
Год журнала:
2024,
Номер
19(12), С. e0316335 - e0316335
Опубликована: Дек. 31, 2024
Background
A
large
number
of
individuals
suffer
from
post-COVID-19
condition
(PCC),
characterised
by
persistent
symptoms
following
a
SARS-CoV-2
infection
with
an
impact
on
daily
personal
and
professional
activities.
This
study
aims
at
examining
which
(health)
care
services
are
used
PCC
patients
in
the
German
federal
state
Lower
Saxony,
how
these
manage
their
condition.
The
perspectives
patients,
informal
caregivers
general
practitioners
(GPs)
will
be
considered.
Methods
employ
mixed
methods
design.
Patients’
perspective
evaluated
through
online
survey
of:
(1)
21,000
adult
diagnosis
(ICD10
U09.9!)
statutory
health
insurance
claims
data
2022
(“AOK
survey”)
(2)
self-selected
sample
proven
2023
(“public
survey”).
Additional
sources
(n
=
27,275)
25–30
semi-structured
interviews.
Informal
’
collected
GPs’
four
focus
groups
involving
six
to
eight
participants
each
all
registered
practicing
GPs
Saxony
(approximately
5,000).
All
descriptively
analysed.
In
addition,
correlation
analyses
multivariable
regression
conducted,
for
example
factors
influencing
affected
individuals’
use
medical
services.
Interview
group
subjected
qualitative
content
analysis.
economic
analysis
determine
costs
payers,
society.
project
conclude
expert
workshop
discuss
results
derive
recommendations.
Discussion
provide
multidimensional
description
situation
needs
PCC,
recommendations
improving
care.
Trial
registration
VePoKaP
is
Clinical
Trials
Register
(
DRKS00032846
).