&lt;p&gt;Preserving Vision in the COVID-19 Pandemic: Focus on Health Equity&lt;/p&gt;

Mike, Elise V.; Laroche, Daniel

doi:10.2147/opth.s262586

Cited by 9 publications

(6 citation statements)

References 28 publications

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“…At the level of policy and government, recommendations have focused on strategies for health policy makers and health care funders to enable access both to the infrastructure required for patients to participate in virtual care (ie, inclusive design standards, broadband internet, and digital devices) and the availability of virtual care services to entire populations (eg, by appropriately reimbursing virtual care) [13,15,23,25,[30][31][32][33]. In addition, policy-focused recommendations have emphasized the clarity of public health messaging about COVID-19 and related restrictions, and the role of digital technologies in enhancing the accuracy and reach of such messaging [24,29].…”

Section: Recommended Strategies To Promote Health Equitymentioning

confidence: 99%

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Shaw¹,

Brewer²,

Veinot³

2021

JMIR Form Res

126

117

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Background The COVID-19 health crisis has disproportionately impacted populations who have been historically marginalized in health care and public health, including low-income and racial and ethnic minority groups. Members of marginalized communities experience undue barriers to accessing health care through virtual care technologies, which have become the primary mode of ambulatory health care delivery during the COVID-19 pandemic. Insights generated during the COVID-19 pandemic can inform strategies to promote health equity in virtual care now and in the future. Objective The aim of this study is to generate insights arising from literature that was published in direct response to the widespread use of virtual care during the COVID-19 pandemic, and had a primary focus on providing recommendations for promoting health equity in the delivery of virtual care. Methods We conducted a narrative review of literature on health equity and virtual care during the COVID-19 pandemic published in 2020, describing strategies that have been proposed in the literature at three levels: (1) policy and government, (2) organizations and health systems, and (3) communities and patients. Results We highlight three strategies for promoting health equity through virtual care that have been underaddressed in this literature: (1) simplifying complex interfaces and workflows, (2) using supportive intermediaries, and (3) creating mechanisms through which marginalized community members can provide immediate input into the planning and delivery of virtual care. Conclusions We conclude by outlining three areas of work that are required to ensure that virtual care is employed in ways that are equity enhancing in a post–COVID-19 reality.

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Section: Recommended Strategies To Promote Health Equitymentioning

confidence: 99%

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Shaw¹,

Brewer²,

Veinot³

2021

JMIR Form Res

126

117

View full text Add to dashboard Cite

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“…It is important to note that long COVID, particularly in vulnerable groups, may be complicated by long‐term conditions, notably diabetes, hypertension, ischemic heart disease, and chronic mental health conditions 26,71,81 . Hence, there is an argument for resourcing whole‐patient primary care support rather than (or in addition to) providing ring‐fenced funding solely for long COVID.…”

Section: The Case For Strengthening Primary Care Servicesmentioning

confidence: 99%

Long COVID and Health Inequities: The Role of Primary Care

et al. 2021

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An estimated 700,000 people in the United States have “long COVID,” that is, symptoms of COVID‐19 persisting beyond three weeks. COVID‐19 and its long‐term sequelae are strongly influenced by social determinants such as poverty and by structural inequalities such as racism and discrimination. Primary care providers are in a unique position to provide and coordinate care for vulnerable patients with long COVID. Policy measures should include strengthening primary care, optimizing data quality, and addressing the multiple nested domains of inequity.

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“…Regarding the clinical evaluations in outpatient services, avoiding the congestion of waiting rooms, reprogramming patients who were not urgently seen, disinfecting rooms with special disinfectant at each time interval, placing the UV lamp for 10-15 minutes were among the few useful measures in preventing the transmission of the infection. All patients in the emergency room presented for admission are recommended: epidemiological survey questionnaire, temperature monitoring, chest CT and COVID-19 emergency test (4, 6,7,8,9).…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic pathology treated during Covid-19 at the Ophthalmology Clinic of “Sf. Spiridon” County Clinical Emergency Hospital in Iaşi, Romania

Bogdănici

2021

MSJ

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Within the current epidemiological context and due to the increased risk of infectivity, this article focuses on the practical activity of "Sf. Spiridon" Ophthalmology Clinic in Iaşi, during the emergency period (March 16 th -May 16 th , 2020), the evaluated ocular pathology and the approached strategy from the point of view of med ical and surgical vision. Material and methods: As an Emergency Hospital and Tertiary Center of Moldova, Romania "Sf. Spiridon" Hospital in Iaşi was the only hospital in the region that dealt with all the urgent ophthalmological pathology during COVID-19. The clinic worked due to the established protocol, the patient's circuit was changed, with the buffer zone for the suspicious COVID-19 patient, where the patient was hospitalized until the negative PCR result. All patients having a negative PCR test benefited from both medical and / or surgical treatment depending on the type of ocular pathology. Results: 619 patients were examined in the emergency room, of which 61 patients were hospitalized in Clinic I Ophthalmology, "Sf. Spiridon" Hospital in Iaşi, between March 16 and May 16, 2020. Most patients (59%) came from the neighboring counties (Suceava, Vaslui, Piatra Neamţ, Bacău) the rest being from Iaşi (41%). The age varied from 2 to 87 years, the average age being 51.72 ± 22.16. Most frequently, patients were hospitalized with retinal detachment (29.5%), trauma (24.6%) and corneal sclerosis (13.1%), most cases being surgical. The average length of stay was 6.3 days. The average time of surgery stages was 45 minutes. The condition at discharge was in 60% of cases improved and 30% cured. All patients tested negative for COVID-19 PCR. Visual acuity and IOP showed slightly higher / lower changes at discharge than a t the time of admission. Depending on the diagnosis, the average stay for the patients with retinal detachment was about 4 days, while for patients with glaucoma (13 days) or ulcer corneal (12 days), the long-term hospitalization exceeded 12 days. The multivariate analysis showed that about 10% of the number of days spent in hospital (dependent variable) can be e xplained by the diagnosis of hospitalization and the type of intervention. Correlated with the status of discharge, the number of days spent in hospital did not differ significantly. Conclusions: Most of the ophthalmological activity during the pandemic was surgical, due to the large number of trauma cases from neighboring counties, being the only non-COVID-19 hospital in the North-eastern region of Romania. Complying with the protocol suggested by

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<p>Preserving Vision in the COVID-19 Pandemic: Focus on Health Equity</p>

Cited by 9 publications

References 28 publications

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Long COVID and Health Inequities: The Role of Primary Care

Ophthalmic pathology treated during Covid-19 at the Ophthalmology Clinic of “Sf. Spiridon” County Clinical Emergency Hospital in Iaşi, Romania

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