Caring for Older Adults With Diabetes During the COVID-19 Pandemic

Sy, Sarah; Munshi, Medha

doi:10.1001/jamainternmed.2020.2492

Cited by 23 publications

(37 citation statements)

References 8 publications

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“…Based on the studies' data, these services are presented as nine sub-themes of access to homecare, tele health services, routine/outpatient healthcare services, oral, mental and palliative services, medications, and chronic and other primary healthcare services. Studies have identified a higher prevalence of known risk factors for suicide [ 30 , 33 ], increased risks of mental and physical health problems [ 32 ], susceptibility to the effects of stress and major depression [ 12 , 29 ], probability of mental disorders [ 12 ] as well as preexisting or experience of loneliness [ 19 , 30 , 33 , 35 ]. In addition, among the older people during the COVID-19 pandemic, the need to improving positive coping strategies [ 33 ] and more substantial psychosocial support [ 11 ] are considered as mental health strategies.…”

Section: Resultsmentioning

confidence: 99%

“…During COVID-19 pandemic, the number of physician consultations seems to have decreased [ 21 ] and some concerns about the maintenance of routine care of the older patients have been raised [ 21 ]. Limited access to routine health care [ 10 ] and reduced accessibility of health care for older patients [ 24 , 30 , 35 ] has potentially contributed to an increase in the number of delayed or missed medical appointments [ 30 ] and medical comorbidities [ 30 , 35 ] among the elderly. Studies also raised the importance of medication delivery services, particularly on the establishment of medication impress systems [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

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Factors influencing access and utilization of health services among older people during the COVID − 19 pandemic: a scoping review

et al. 2021

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Background Access to healthcare and service utilization are both considered essential factors for improving the general health and wellbeing of older people, especially at the time of COVID-19 pandemic. The aim of the study is to explore factors affecting healthcare access and health service utilization for older people during the pandemic. Methods PubMed, Web of Science, Scopus and Embase were systematically searched for relevant articles. Access, utilization, health, elderly and COVID-19 were used as keywords in the search strategy. A total of 4308 articles were identified through the initial database search; 50 articles were included in the review as passing the eligibility criteria. The searches were conducted up to August 2021. Data extraction was performed, and evidence was descriptively illustrated. Thematic analysis was used to explore factors influencing the elderly’s access and utilization of healthcare services, using Max QDA10, a qualitative analysis software. Results Among articles included in the review (n = 50), a majority of the studies were from the United States (36%), followed by India (8%). According to the main healthcare services, a large number of articles (18%) were related to mental health services, followed by digital health services (16%). Factors were identified at an individual, provider and systems level. Seven main themes emerged from the thematic analysis, as determinants of elderly’s access and utilization of healthcare services during COVID-19 pandemic. These included: access to non-COVID related services, access to COVID-related services, literacy and education, accommodation challenges, perceived attitudes of aging, and policies and structures, and social determinants. Conclusion Mental health and digital health services were identified as major issues influencing or contributing to or influencing older people’s health during the COVID-19 pandemic. We also argue on the importance of a rounded view, as attention to a range of factors is vital for policy decisions towards sustainable care and equitable interventions for improving the health of older people.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Factors influencing access and utilization of health services among older people during the COVID − 19 pandemic: a scoping review

et al. 2021

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“…intermittent CGM) [73,74]. However, the suitability of these telemedicine activities for the individual should be carefully considered, as they may not be effective in all cases [71,75].…”

Section: Tzd Thiazolidinedionementioning

confidence: 99%

Diabetes and Frailty: An Expert Consensus Statement on the Management of Older Adults with Type 2 Diabetes

et al. 2021

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Prognosis and appropriate treatment goals for older adults with diabetes vary greatly according to frailty. It is now recognised that changes may be needed to diabetes management in some older people. Whilst there is clear guidance on the evaluation of frailty and subsequent target setting for people living with frailty, there remains a lack of formal guidance for healthcare professionals in how to achieve these targets.

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“…Unlike other situations, this pandemic has potential to last for many months and even a short-term disruption in care can be catastrophic for individuals with diabetes [39]. A pre-pandemic study found that at least three out of four people with diabetes were not adequately controlling the four major factors that increase the risk of serious complications-blood glucose, blood pressure, blood cholesterol and smoking.…”

Section: The Long-term Impact Of Covid-19 and Diabetesmentioning

confidence: 99%

COVID-19 and Diabetes: Unintended Medical, Financial and Societal Consequences

Jacobs¹,

Services²,

Ellis³

2021

J Diabet Res Rev Rep

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Even In the absence of a pandemic, diabetes is a costly medical condition that can have a devastating impact on older adults. In the current COVID-19 pandemic, the presence of diabetes among adults is well established a risk for longer hospitalizations and likelihood of death. Beyond the direct combined health effects of COVID-19 and diabetes, the added financial strain, absence of regular care due to physician office closures and social isolation has the potential to worsen diabetes outcomes. In this paper, we explore the impact of the COVID-19 pandemic on adults with diabetes and diabetes-related complications. This review considers the financial, social and behavioral consequences of having diabetes during a global pandemic and the long-term health implications for adults residing in a country where reducing your risk for contracting COVID-19 might in turn, increase your risk of worsening long-term health outcomes. It also examines the financial implications of uncontrolled disease spread and the widespread mortality among elderly Americans in conjunction with the combined effects of changes in diet, physical activity and personal care caused by the pandemic.

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Caring for Older Adults With Diabetes During the COVID-19 Pandemic

Cited by 23 publications

References 8 publications

Factors influencing access and utilization of health services among older people during the COVID − 19 pandemic: a scoping review

Factors influencing access and utilization of health services among older people during the COVID − 19 pandemic: a scoping review

Diabetes and Frailty: An Expert Consensus Statement on the Management of Older Adults with Type 2 Diabetes

COVID-19 and Diabetes: Unintended Medical, Financial and Societal Consequences

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