Assessing COVID-19 pandemic's impact on essential diabetes care in Manila, the Philippines: A mixed methods study.

Autor:	Malijan GMB; San Lazaro Hospital-Nagasaki University Collaborative Research Office, Manila, Philippines., Besa JJV; College of Medicine, University of the Philippines Manila, Manila, Philippines.; Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines., Mendoza J; College of Medicine, University of the Philippines Manila, Manila, Philippines., Uy EJB; Asia Pacific Center for Evidence-Based Healthcare, Manila, Philippines., Yan LL; Global Health Research Center, Duke Kunshan University, Jiangsu Province, China.; School of Public Health, Wuhan University, Wuhan, China., Østbye T; Global Health Research Center, Duke Kunshan University, Jiangsu Province, China.; Department of Family Medicine and Community Health, Duke University, Durham, North Carolina, United States of America., Palileo-Villanueva L; College of Medicine, University of the Philippines Manila, Manila, Philippines.; Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Jan 23; Vol. 4 (1), pp. e0002333. Date of Electronic Publication: 2024 Jan 23 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0002333
Abstrakt:	The COVID-19 pandemic directly increased mortality and morbidity globally. In addition, it has had extensive indirect ill effects on healthcare service delivery across health systems worldwide. We aimed to describe how patient access to diabetes care was affected by the pandemic in Manila, the Philippines. We used an explanatory, sequential mixed method approach including a cross-sectional survey (n = 150) and in-depth interviews of patients (n = 19), focus group discussions of healthcare workers (n = 22), and key informant interviews of health facility administrators (n = 3) from October 2021 to January 2022. Larger proportions of patients reported absence of livelihood (67.3%), being in the lowest average monthly household income group (17.3%), and disruptions in diabetes care (54.0%) during the pandemic. They identified the imposition of lockdowns, covidization of the healthcare system, and financial instability as contributors to the reduced availability, accessibility, and affordability of diabetes-related consultations, medications, and diagnostics. At least a quarter of the patients experienced catastrophic health expenditures across all areas of diabetes care during the pandemic. Most healthcare workers and administrators identified telemedicine as a potential but incomplete tool for reaching more patients, especially those deemed lost to follow-up. In the Philippines, the pandemic negatively impacted access to essential diabetes care. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Malijan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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