Barriers and enablers of post-COVID-19 acute care follow-up in Nigeria from service providers' perspective: a nominal group technique.

Autor: Onu JU; Department of Mental Health, Nnamdi Azikwe University, Nnewi, Anambra State, Nigeria. ju.onu@unizik.edu.ng., Akase I; Department of Internal Medicine, College of Medicine, University of Lagos, Lagos, Nigeria., Ohaka J; Department of Community Medicine, River State University, Port-Harcourt, River State, Nigeria., Kida IM; Department of Internal Medicine, University of Maiduguri, Maiduguri, Borno State, Nigeria.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Apr 29; Vol. 24 (1), pp. 549. Date of Electronic Publication: 2024 Apr 29.
DOI: 10.1186/s12913-024-11032-w
Abstrakt: Background: Despite modest efforts to study and document the complications that arise after acute treatment of patients with coronavirus disease, its ramifications and regional variations are yet to be clearly understood. Progress in sub-Saharan Africa, notably Nigeria, has been impeded by patient disengagement from care and insufficient or non-existent follow-up arrangements. The aim of this study was to describe the barriers and enablers for follow-up services after discharge from COVID-19 care pathway in Nigeria.
Methods: Seventeen experts involved directly in the care of patients with COVID-19 participated in brainstorming using the nominal group technique during a national workshop to review the new guidelines for COVID-19 case management in Nigeria. Participants discussed the barriers and facilitators of post-acute care follow-up of patients discharged from COVID-19 pathway and ranked their recommendations to arrive at three major factors per question.
Results: Participants were mostly middle aged and predominantly clinicians. The top three barriers were patients' perception of their symptom severity, lack of organizational clarity/structure/policies on follow-up care after discharge, and financial constraints. Similarly, participants identified providers' initiated education on the reasons for follow-up at discharge, written organizational policies/structure and clarity and free follow-up services as the top three facilitators.
Conclusion: This study has enumerated barriers to follow-up care after discharge patients with coronavirus disease and highlighted providers, institutional and governmental responses that will facilitator follow-up care after discharge of patients with COVID-19. The implication is that, there is need for clear institutional guidelines for tracking and documenting post-COVID condition. In the future, it would be necessary to assess the achievements and shortcomings of post-COVID condition tracking in Nigeria through the use of implementation science outcomes.
(© 2024. The Author(s).)
Databáze: MEDLINE
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