COVID-19 driven care changes in high risk patients from an outpatient to a community setting - A cross-sectional study.
Pflege
; 33(4): 219-227, 2020 08.
Article
in English
| MEDLINE | ID: covidwho-982155
ABSTRACT
Background:
COVID-19 has led to a change in care for patients with chronic conditions, involving a transfer of drug administration from an outpatient to a community setting.AIM:
To investigate patient preferences for treatment settings in the light of the current pandemic.METHODS:
Patients, who prior to the pandemic had attended two different outpatient clinics in a university hospital for their infusions or injections, were interviewed by telephone. The semi-structured interviews were analyzed using qualitative and quantitative methods.RESULTS:
Out of 49 patients with either anti-inflammatory or immunoglobulin treatments (response rate 83 %), 24 (49.0 %) switched from subcutaneous (sc) injections in the hospital to the community setting, 18 (36.7 %) from intravenous infusions (iv) in the hospital to sc administration at home and 7 (14.3 %) moved to iv at home. During the pandemic 38 (80.9 %) wanted to continue their treatment at home, but after the pandemic 22 (46.8 %) would opt to go back to the hospital. Satisfaction was high with both settings, slightly favoring drug administration in hospital. Qualitative data shows that patients while emphasizing the importance of the relationship with the healthcare team, had increased concerns about safety as a result of COVID-19.CONCLUSIONS:
The experience during the COVID-19 pandemic has increased self-management-skills in some patients, but long-term follow-up is needed. It has repercussions for future shared decision making for patients and their healthcare teams.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Chronic Disease
/
Coronavirus Infections
/
Community Health Services
/
Pandemics
/
Ambulatory Care
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
Pflege
Journal subject:
Nursing
Year:
2020
Document Type:
Article
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