Patient Experiences with a Tertiary Care Post-COVID-19 Clinic.

Autor:	Garg A; Department of Internal Medicine, Division of General Internal Medicine, University of Iowa, Iowa City, IA, USA., Subramain M; Institute for Clinical and Translational Science, University of Iowa, Iowa City, IA, USA., Barlow PB; Department of Internal Medicine, Division of General Internal Medicine, University of Iowa, Iowa City, IA, USA.; Institute for Clinical and Translational Science, University of Iowa, Iowa City, IA, USA., Garvin L; Department of Psychiatry, University of Iowa, Iowa City, IA, USA., Hoth KF; Department of Psychiatry, University of Iowa, Iowa City, IA, USA.; Iowa Neuroscience Institute, University of Iowa, Iowa City, IA, USA., Dukes K; Department of Internal Medicine, Division of General Internal Medicine, University of Iowa, Iowa City, IA, USA.; Center for Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affair Healthcare system (ICVAHCS), Iowa City, IA, USA.; Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, IA, USA., Hoffman RM; Department of Internal Medicine, Division of General Internal Medicine, University of Iowa, Iowa City, IA, USA.; Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA., Comellas AP; Department of Internal Medicine, Division of Pulmonary, Critical Care and Occupational Medicine, University of Iowa, Iowa City, IA, USA.
Jazyk:	angličtina
Zdroj:	Journal of patient experience [J Patient Exp] 2023 Jan 17; Vol. 10, pp. 23743735231151539. Date of Electronic Publication: 2023 Jan 17 (Print Publication: 2023).
DOI:	10.1177/23743735231151539
Abstrakt:	Post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PASC) is a complex condition with multisystem involvement. We assessed patients' experience with a PASC clinic established at University of Iowa in June 2020. A survey was electronically mailed in June 2021 asking about (1) symptoms and their impact on functional domains using the Patient-Reported Outcomes Measurement Information System (PROMIS) measures (Global Health and Cognitive Function Abilities) (2) satisfaction with clinic services, referrals, barriers to care, and recommended support resources. Survey completion rate was 35% (97/277). Majority were women (67%), Caucasian (93%), and were not hospitalized (76%) during acute COVID-19. As many as 50% reported wait time between 1 and 3 months, 40% traveled >1 h for an appointment and referred to various subspecialities. Participants reported high symptom burden-fatigue (77%), "brain fog" (73%), exercise intolerance (73%), anxiety (63%), sleep difficulties (56%) and depression (44%). On PROMIS measures, some patients scored significantly low (≥1.5 SD below mean) in physical (22.7%), mental (15.9%), and cognitive (17.6%) domains. Approximately 61% to 93% of participants were satisfied with clinical services. Qualitative analysis added insight to their experience with healthcare. Participants suggested potential strategies for optimizing recovery, including continuity of care, a co-located multispecialty clinic, and receiving timely information from emerging research. Participants appreciated that physicians validated their symptoms and provided continuity of care and access to specialists. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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