Decentralisation of healthcare system due to COVID-19 and its impact on hospital based laboratories - Pandemic panic patients’ reflection?

Jayamani, Jayagandan; Thangaraju, Pugazhenthan; Thangaraju, Eswaran; Venkatesan, Sajıtha

doi:10.1016/j.jrt.2020.100003

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…This should be the first initiative to be prepared for any upcoming waves of existing COVID-19 or any such pandemic in future. 25 Every nation should develop their own unified HIMS and sufficiently large databases for archiving health records of its entire population. The records of each individual can be linked to their social security number like Aadhar number in India or to medical insurance numbers.…”

Section: Technology Based Strategiesmentioning

confidence: 99%

COVID-19 pandemic and quick evolution of telemedicine: A gap analysis

Jayamani¹,

Thangaraju

Gowda

et al. 2022

Healthc Low Resour Settings

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Telemedicine though not a newer concept to healthcare community, it is relatively a new acquaintance to both healthcare providers and the general public. Since 11th of March 2020, the day when WHO declared COVID-19 infection as pandemic, the telemedicine services had achieved quick popularity. In fact this pandemic boosted a solid foundation for telemedicine and now it is one among the scope of services offered by any reputed healthcare organization globally. This article aims to emphasize how a symbiosis between telemedicine, POCT and mobile health units can help to deliver a high quality healthcare eliminating the risk of infection spread to both patients and health care providers. The methodology adopted includes collective viewpoints of authors which are based upon working experience gained during the current pandemic and literature review of recent and relevant articles related to process and pitfalls of telemedicine. Literature search was conducted by searching using key words and phrases like ‘Telemedicine’, ‘COVID-19 and Telemedicine’ and ‘Non- Communicable Diseases management during pandemic’. The scope and gaps observed by literature survey and personal experience included infrastructure, awareness and training of both health care providers and patient population, utilization of POCT devices, internet connectivity, need for an nationwide unified Health Information Management System (HIMS) to aid easy access to patient health information and easy referrals to higher centers. In summary telemedicine is an absolute necessity during this on-going pandemic and its enhancement by integration with artificial intelligence and machine learning algorithms is a real need of hour.

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Section: Technology Based Strategiesmentioning

confidence: 99%

COVID-19 pandemic and quick evolution of telemedicine: A gap analysis

Jayamani¹,

Thangaraju

Gowda

et al. 2022

Healthc Low Resour Settings

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“…Visiting health facilities during COVID‐19 is high risk due to congestion [ 5 ]. The U.S. Centers for Disease Control and Prevention has recommended that “HIV facility visits should be limited to those deemed medically essential, to reduce the risk and burden to recipients of care and health care providers” [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Distribution of antiretroviral therapy through private pharmacies and postal courier services during COVID‐19 in Botswana: acceptability and reach of two out‐of‐facility individual differentiated service delivery models

et al. 2021

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IntroductionThe advent of COVID‐19 has put pressure on health systems as they implement measures to reduce the risk of transmission to people living with HIV (PLHIV) and healthcare workers. For two out‐of‐facility individual differentiated service delivery (DSD) models, we assessed acceptability of antiretroviral therapy (ART) distribution through private pharmacies and reach of home delivery of ART through courier services during the COVID‐19 pandemic in Botswana.MethodsFrom 24 July to 24 August 2020, we conducted exit interviews with PLHIV receiving ART from 10 high‐volume public facilities in Gaborone, and mapped and conducted an online survey with private pharmacies to assess willingness and capacity to dispense ART to PLHIV enrolled in the Botswana national ART program. We piloted ART home delivery from September 2020 to January 2021 in Gaborone and Kweneng East districts for PLHIV accessing ART at two Tebelopele Wellness Clinics. We used cascade analysis to measure the enrolment and eventual reach (percentage of those reached amongst those who are eligible) of ART home delivery.ResultsSixty‐one PLHIV and 42 private pharmacies participated. Of the PLHIV interviewed, 37 (61%) indicated willingness to access ART from private pharmacies and pay BWP50 (∼US$4) per refill for a maximum of two refills per year. All private pharmacies surveyed were willing to provide ART, and 26 (62%) would charge a dispensing fee (range = BWP50–100; ∼US$4–8) per refill. All pharmacies operated 12 h/day, 6 days/week and on public holidays. In the home delivery pilot, 650 PLHIV were due for refills, 69.5% (n = 452) of whom were eligible for home delivery. Of these, 361 were successfully offered home delivery and 303 enrolled (enrolment = 83.9%: female = 87.2%, male = 77.8%, p = 0.013). A total of 276 deliveries were made, a reach of 61%.ConclusionsProviding ART through private pharmacies and home delivery was acceptable in Botswana during COVID‐19. Surveyed pharmacies were willing and able to dispense ART to PLHIV attending public sector facilities for free or for a nominal fee. Additionally, using courier services for ART home delivery is a novel and viable model in countries with a reliable courier service like Botswana and should be scaled up, particularly in urban areas.

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Decentralisation of healthcare system due to COVID-19 and its impact on hospital based laboratories - Pandemic panic patients’ reflection?

Cited by 2 publications

References 9 publications

COVID-19 pandemic and quick evolution of telemedicine: A gap analysis

COVID-19 pandemic and quick evolution of telemedicine: A gap analysis

Distribution of antiretroviral therapy through private pharmacies and postal courier services during COVID‐19 in Botswana: acceptability and reach of two out‐of‐facility individual differentiated service delivery models

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