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The impact of COVID-19 on the care of people living with noncommunicable diseases in low- and middle-income countries: an online survey of physicians and pharmacists in nine countries.
Bullen, Chris; McCormack, Jessica; Calder, Amanda; Parag, Varsha; Subramaniam, Kannan; Majumdar, Anurita; Huang, Pai-Hui; Devi, Ratna; El Bizri, Luna; Goodyear-Smith, Felicity.
Afiliación
  • Bullen C; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
  • McCormack J; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
  • Calder A; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
  • Parag V; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
  • Subramaniam K; Medical Affairs and Clinical Research, Viatris Ltd, Auckland, New Zealand.
  • Majumdar A; Medical Affairs and Clinical Research, Pfizer PFE Private Limited (A Viatris Company), Singapore.
  • Huang PH; Medical Affairs and Clinical Research, Viatris Taiwan, Taipei, Taiwan.
  • Devi R; International Alliance of Patient's Organizations, IAPO, London, UK.
  • El Bizri L; Higher Institute of Public Health, St Joseph's University, Beirut, Lebanon.
  • Goodyear-Smith F; Professor of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
Prim Health Care Res Dev ; 22: e30, 2021 06 14.
Article en En | MEDLINE | ID: mdl-34120672
BACKGROUND: The global COVID-19 pandemic has disrupted healthcare worldwide. In low- and middle-income countries (LMICs), where people may have limited access to affordable quality care, the COVID-19 pandemic has the potential to have a particularly adverse impact on the health and healthcare of individuals with noncommunicable diseases (NCDs). A World Health Organization survey found that disruption of delivery of healthcare for NCDs was more significant in LMICs than in high-income countries. However, the study did not elicit insights into the day-to-day impacts of COVID-19 on healthcare by front-line healthcare workers (FLHCWs). AIM: To gain insights directly from FLHCWs working in countries with a high NCD burden, and thereby identify opportunities to improve the provision of healthcare during the current pandemic and in future healthcare emergencies. METHODS: We recruited selected frontline healthcare workers (general practitioners, pharmacists, and other medical specialists) from nine countries to complete an online survey (n = 1347). Survey questions focused on the impact of COVID-19 pandemic on clinical practice and NCDs; barriers to clinical care during the pandemic; and innovative responses to the many challenges presented by the pandemic. FINDINGS: The majority of FLHCWs responding to our survey reported that their care of patients had been impacted both adversely and positively by the public health measures imposed. Most FLHCs (95%) reported a deterioration in the mental health of their patients. CONCLUSIONS: Continuity of care for NCDs as part of pandemic preparedness is needed so that chronic conditions are not exacerbated by public health measures and the direct impacts of the pandemic.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Continuidad de la Atención al Paciente / Atención a la Salud / Países en Desarrollo / Enfermedades no Transmisibles / COVID-19 Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Prim Health Care Res Dev Año: 2021 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Continuidad de la Atención al Paciente / Atención a la Salud / Países en Desarrollo / Enfermedades no Transmisibles / COVID-19 Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Prim Health Care Res Dev Año: 2021 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Reino Unido