Advances in the work of multidisciplinary teams for the care of patients with severe uncontrolled asthma. A post-COVID vision (TEAM 2.0 project). / Avances en el trabajo de equipos multidisciplinares para la atención al paciente con asma grave no controlada. Una visión post-COVID (Proyecto TEAM 2.0).

Asthma is a chronic respiratory disease with a high health, social and economic impact, particularly in the case of Severe Uncontrolled Asthma (SUA). For this reason, new strategies are especially necessary to improve its approach, with a personalized approach to each patient and from a multidisciplinary perspective, in addition to integrating the new telemedicine and telepharmacy practices promoted as a result of the COVID-19 pandemic. In this context, the TEAM 2.0 project ("Work in Multidisciplinary Asthma Teams") has been developed, following the TEAM project carried out in 2019, with the aim of updating and prioritizing good multidisciplinary work practices in SUA in a post pandemic context and analyze the progress made. A coordinating group, made up of eight multidisciplinary teams of hospital pharmacists, pulmonologists, and allergists, carried out an updated bibliographic review, sharing of good multidisciplinary practices, and analysis of advances. Through five regional meetings with other experts with experience in SUA, the good practices identified were shared and subjected to debate, evaluation and prioritization. In total, 23 good multidisciplinary work practices in SUA, grouped into five work areas: 1) Organization of work in multidisciplinary teams, 2) Patient education, self-management and adherence, 3) Health results, data monitoring and persistence, 4) Telepharmacy and experiences implemented during the COVID-19 pandemic and 5) Training and research, were evaluated and prioritized by 57 professionals from the field of Hospital Pharmacy, Pulmonology, Allergology and Nursing. This work has made it possible to update the roadmap of priority actions to continue advancing in optimal models of care for patients with AGNC in a post-COVID-19 context.

"We All had to Respond to the Pandemic and our Patient Needs": Social Workers' Perspectives of Integrated Healthcare Agencies' Response to COVID-19 Pandemic

[...]data comparison between pre-pandemic mental health studies and an analysis for the beginning of the pandemic showed a dramatic increase in prevalence of mental health problems that included depression and anxiety (Wu et al., 2020). According to Kamnitzer and colleagues (2020), social workers proactively supported patients when the pandemic hit. [...]the current study will add to the emerging literature by asking how did integrated healthcare agencies respond to behavioral health care needs during the pandemic from the point of view of social workers in these settings. [...]VAGLAHS used the combined efforts of interdisciplinary leaderships and a widespread laboratory surveillance program in their skilled nursing facility, inpatient psychiatry unit, inpatient admissions, temporary shelter units, residential rehabilitation treatment center, and dialysis patients (Jatt et al., 2020).