Impacts of health care service changes implemented due to COVID-19 on children and young people with long-term disability: A mapping review.
Dev Med Child Neurol
; 65(7): 885-899, 2023 07.
Article
in English
| MEDLINE | ID: covidwho-2192519
ABSTRACT
AIM:
To identify the research on childhood disability service adaptations and their impact on children and young people with long-term disability during the COVID-19 pandemic.METHOD:
A mapping review was undertaken. We searched the World Health Organization Global COVID-19 database using the search terms 'children', 'chronic/disabling conditions', and 'services/therapies'. Eligible papers reported service changes for children (0-19 years) with long-term disability in any geographical or clinical setting between 1st January 2020 and 26th January 2022. Papers were charted across the effective practice and organization of care taxonomy of health system interventions and were narratively synthesized; an interactive map was produced.RESULTS:
Reduction of face-to-face care and usual provision had a huge impact on children and families. Adoption of telehealth provided continuity for the care and management of some conditions. There was limited evidence of changes to mental health services, transitions of care, social care, or child-reported satisfaction or acceptability of service changes.INTERPRETATION:
The long-term impacts of service change during the pandemic need full evaluation. However, widespread disruption seems to have had a profound impact on child and carer health and well-being. Service recovery needs to be specific to the individual needs of children with a disability and their families. This should be done through coproduction to ensure that service changes meet needs and are accessible and equitable.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
Type of study:
Experimental Studies
/
Prognostic study
/
Reviews
Topics:
Long Covid
Limits:
Adolescent
/
Child
/
Humans
Language:
English
Journal:
Dev Med Child Neurol
Year:
2023
Document Type:
Article
Affiliation country:
Dmcn.15503
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