Widening Disparities Among Patients With Rheumatic Diseases in the <scp>COVID</scp>‐19 Era: An Urgent Call to Action

Feldman, Candace H.; Ramsey‐Goldman, Rosalind

doi:10.1002/art.41306

Cited by 21 publications

(22 citation statements)

References 16 publications

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“…Travel and tourism account for over 10% of global GDP and one of the industries affected directly by COVID-19 [ 39 ]. Numerous international and national sports, conferences, and concerts have been canceled due to the pandemic causing massive losses in the host nation [ 103 ].…”

Section: Discussionmentioning

confidence: 99%

“…The economic impact was explored through trade volumes, event cancellation, and workforce impact based on 2018–2019 database [ [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] ]. Additional information was collected by examining the changes in the workforce, stock market, and major industries since the introduction of COVID-19 in January 2020 compared to 2019.…”

Section: Methodsmentioning

confidence: 99%

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The impact of COVID-19 on globalization

et al. 2020

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Globalization has altered the way we live our lives and earn a livelihood. Consequently, trade and travel have been recognized as significant determinants of the spread of disease. Additionally, rise in urbanization and the closer integration of the world economy has facilitated global interconnectedness. Therefore, globalization has emerged as an essential mechanism of disease transmission . This paper aims to examine the potential impacts of COVID-19 on globalization and global health in terms of mobility, trade, travel, and countries most impacted. The effect of globalization was operationalized in terms of mobility, economy, and healthcare systems. The mobility of individuals and its magnitude was assessed using airline and seaport trade data and travel information. The economic impact was measured based on the workforce, event cancellations, food and agriculture, academic institutions, and supply chain. The healthcare capacity was assessed by consideration of healthcare systems indicators and preparedness of countries. Utilizing a technique for order of preference by similarity to ideal solution (TOPSIS) we calculated a pandemic vulnerability index (PVI) creating a quantitative measure of the potential global health. The pandemic has placed an unprecedented burden on the world's economy, healthcare, and globalization through the travel, events cancellation, employment workforce, food chain, academia, and healthcare capacity. Based on PVI results, certain countries are more vulnerable than others. In Africa, more vulnerable countries include South Africa and Egypt; in Europe, they are Russia, Germany, and Italy; in Asia and Oceania, they are India, Iran, Pakistan, Saudi Arabia, and Turkey; and for the Americas, they are Brazil, USA, Chile, Mexico, and Peru. The impact on mobility, economy, and healthcare systems has only started to manifest. The findings of this study may help in the planning and implementation of strategies at the country level to help ease this emerging burden.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The impact of COVID-19 on globalization

et al. 2020

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“…At present, the coronavirus pandemic has placed a disproportionate burden of disease on the most vulnerable and marginalized members of society. We hope the medical community can emerge from the pandemic with renewed commitment to social justice [29]. We can and must do better for this group of particularly disadvantaged patients.…”

Section: Discussionmentioning

confidence: 97%

Challenges of caring for homeless patients with rheumatic and musculoskeletal disorders in Los Angeles

et al. 2020

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Homelessness is a public health crisis. Homeless individuals have significantly worse health outcomes than the general population. We have begun examining challenges of caring for homeless patients with rheumatic and musculoskeletal diseases. Difficulties include physical environment, food and financial insecurity, access to healthcare, low health literacy, and comorbid mental illness, and substance abuse. Based on known prevalences of rheumatic and musculoskeletal diseases (RMSDs), we extrapolate that there are thousands of homeless with rheumatoid arthritis (RA), systemic lupus erythematosus, psoriatic arthritis, gout, and osteoarthritis. We present preliminary observations of disparities in the care of homeless patients with RA seen at the Los Angeles County Medical Center of the Keck School of Medicine of the University of Southern California. They tended to be African American males, missed appointments, utilized emergency services frequently, tended not to be on medications, and exhibited severe disease. We reviewed the available literature on homelessness and homeless healthcare to consider what further studies might be helpful and what interventions might improve the care of patients with RMSDs. We identified several aspirational and practical recommendations. These include ensuring access to healthcare for the homeless (indeed for all); reducing disparities through policy, tailored care, and enhanced social services; and recognizing and treating disease early. Developing better approaches for the care of these homeless has obvious and important implications for other underserved populations needing rheumatologic care, patients with early arthritis, or situations where rheumatologists are unavailable. We believe that physicians have a special responsibility to mitigate inequities in this particularly disadvantaged population.

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“…Indices of social vulnerability are place-based variables that incorporate factors such as race/ethnicity and socioeconomic status to encode the vulnerability to adverse health outcomes and other types of hazards (39). Community social vulnerability, along with health care resources, plays an important role in predicting health care capacity in responding to the COVID-19 pandemic (40). Social vulnerability can interact with pre-existing medical conditions and access to medical resources, such as prescription drugs, to produce inequities in COVID-19 outcomes (41).…”

Section: Investigating Geographic Health Disparities Of the Covid-19 mentioning

confidence: 99%

Incorporating Geographic Information Science and Technology in Response to the COVID-19 Pandemic

Smith

Mennis

2020

Prev. Chronic Dis.

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What is already known about this topic? Incorporating geographic information science and technology (GIS&T) into COVID-19 pandemic surveillance, modeling, and response enhances understanding and control of the disease. What is added by this report? Applications of GIS&T include developing spatial data infrastructures for surveillance and data sharing, incorporating mobility data in infectious disease forecasting, using geospatial technologies for digital contact tracing, integrating geographic data in COVID-19 modeling, investigating geographic social vulnerabilities and health disparities, and communicating the status of the disease or status of facilities for return-to-normal operations. What are the implications for public health practice? Protections for individual privacy and close collaboration among the fields of geography, medicine, public health, and public policy to use GIS&T are imperative.

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Widening Disparities Among Patients With Rheumatic Diseases in the COVID‐19 Era: An Urgent Call to Action

Cited by 21 publications

References 16 publications

The impact of COVID-19 on globalization

The impact of COVID-19 on globalization

Challenges of caring for homeless patients with rheumatic and musculoskeletal disorders in Los Angeles

Incorporating Geographic Information Science and Technology in Response to the COVID-19 Pandemic

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