Healthcare Transformation in the Post-Coronavirus Pandemic Era

Jazieh, Abdul Rahman; Kozlakidis, Zisis

doi:10.3389/fmed.2020.00429

Cited by 71 publications

(51 citation statements)

References 49 publications

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“…Remote consultation through telemedicine is becoming popular in many countries with improved technology and adoption of regulatory and legal framework. 16 These telehealth opportunities or virtual clinics could be used to invite eligible men and women to screening. As a result of rationing of personal protective equipments (PPEs) in the face of supply shortage, screening appointments may be given on selected days of the week to examine a large number of participants on a single day.…”

Section: Managing Screening Invitations or Offering Screening In Opportunistic Settingsmentioning

confidence: 99%

Cancer Screening in the Coronavirus Pandemic Era: Adjusting to a New Situation

Basu

Alhomoud

Taghavi

et al. 2021

JCO Global Oncology

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PURPOSE The coronavirus-induced pandemic has put great pressure on health systems worldwide. Nonemergency health services, such as cancer screening, have been scaled down or withheld as a result of travel restrictions and resources being redirected to manage the pandemic. The present article discusses the challenges to cancer screening implementation in the pandemic environment, suggesting ways to optimize services for breast, cervical, and colorectal cancer screening. METHODS The manuscript was drafted by a team of public health specialists with expertise in implementation and monitoring of cancer screening. A scoping review of literature revealed the lack of comprehensive guidance on continuation of cancer screening in the midst of waxing and waning of infection. The recommendations in the present article were based on the advisories issued by different health agencies and professional bodies and the authors' understanding of the best practices to maintain quality-assured cancer screening. RESULTS A well-coordinated approach is required to ensure that essential health services such as cancer management are maintained and elective services are not threatened, especially because of resource constraints. In the context of cancer screening, a few changes in invitation strategies, screening and management protocols and program governance need to be considered to fit into the new normal situation. Restoring public trust in providing efficient and safe services should be one of the key mandates for screening program reorganization. This may be a good opportunity to introduce innovations (eg, telehealth) and consider de-implementing non–evidence-based practices. It is necessary to consider increased spending on primary health care and incorporating screening services in basic health package. CONCLUSION The article provides guidance on reorganization of screening policies, governance, implementation, and program monitoring.

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Section: Managing Screening Invitations or Offering Screening In Opportunistic Settingsmentioning

confidence: 99%

Cancer Screening in the Coronavirus Pandemic Era: Adjusting to a New Situation

Basu

Alhomoud

Taghavi

et al. 2021

JCO Global Oncology

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“…Telehealth services have now been used in the large-scale screening of patients, for remote clinical encounters, or supervising patient care by experts [ 19 , 20 ]. Telehealth provides higher convenience and a better patient-centered approach, helping to improve the flow of healthcare systems [ 21 ]. Telehealth refers to the delivery of different health care services for patients through the technologies of telecommunication, and includes (1) telemedicine and (2) telehealthcare.…”

Section: Management Of Copd’s Patients In the Covid-19 Pandemicmentioning

confidence: 99%

Management Challenges in Chronic Obstructive Pulmonary Disease in the COVID-19 Pandemic: Telehealth and Virtual Reality

Rutkowski

2021

JCM

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For the treatment of chronic obstructive pulmonary disease (COPD), early diagnosis and unconditionally correct management at the initial stage of the disease are very important when the symptoms are not yet too worrying. In this way, the progress of the disease can be slowed down, as can the occurrence of late, life-threatening symptoms. Pulmonary rehabilitation is an essential component of the management of COPD. The selection of appropriate exercises, which are determined during the classification of patients into a suitable improvement program, is of key importance in the process of rehabilitation. The coronavirus disease 2019 (COVID-19) pandemic has resulted in major limitations to public health care. Health systems were largely unprepared for an outbreak of this magnitude. Searching for new, attractive technologies that help patients with chronic diseases seems to be justified. This may be driven by telehealth platforms, likewise with the use of virtual reality (VR). Analysis of the available literature indicates promising effectiveness, high patient acceptance, and high motivations to undertake physical activity with the use of such a solution. Thus, the management of patients with COPD during the COVID-19 pandemic should include options for remote delivery of pulmonary rehabilitation, including home-based, telerehabilitation, and computer-based virtual programs.

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“…The global nature, scale, and rapidity of spread across nations, continents, and the globe will require international collaboration to assess these measures on their timing, effectiveness, and resource implications; whether the nature of the measures and their implementation was proportionate to the risk; whether the health and legal assessments of the partial scientific evidence were successful; and the effect of sovereign nations adopting different approaches on the extent of international spread of COVID-19. 9 This assessment of COVID-19-related responses should be integrated into the wider discussion of high-quality health systems. 10 High-quality health systems represent a new generation of health systems that are judged primarily on their effects, including the equitable distribution of improved health, the confidence of people in the system's efficacy, and the system's wider economic benefit.…”

Section: Global Health and Data-driven Policies For Emergency Responses To Infectious Disease Outbreaksmentioning

confidence: 99%