The Health and Social Needs of Patients Discharged From the Emergency Department With Suspected COVID-19
| Autor: | Brian J. Yun, Vanessa Adjei, Kendra Liburd, Michael DeLuca, Kristen Risley, Hazar Khidir, Rashmi Jasrasaria, Margaret E. Samuels-Kalow, Wendy Macias-Konstantopoulos |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Social Determinants of Health Telehealth Vulnerable Populations 01 natural sciences Patient Isolation 03 medical and health sciences COVID-19 Testing 0302 clinical medicine Intervention (counseling) Social needs Humans Medicine 030212 general & internal medicine 0101 mathematics Health needs Health Services Needs and Demand SARS-CoV-2 business.industry Brief Report Public health 010102 general mathematics Public Health Environmental and Occupational Health COVID-19 Emergency department medicine.disease Patient Discharge Telemedicine Health equity Food Insecurity Housing Medical emergency Emergency Service Hospital business Boston |
| Zdroj: | Public Health Rep |
| ISSN: | 1468-2877 0033-3549 |
| DOI: | 10.1177/0033354920982579 |
| Popis: | Health-related social needs (HRSNs), such as food or housing insecurity, are important drivers of disparities in outcomes during public health emergencies. We describe the development of a telehealth follow-up program in Boston, Massachusetts, for patients discharged from the emergency department after coronavirus disease 2019 (COVID-19) testing to identify patients with worsening clinical symptoms, to screen for unmet HRSNs, and to deliver self-isolation counseling and risk-reduction strategies for socially vulnerable people. We prioritized telephone calls to patients with public health insurance and patients without primary care physicians. In the first 43 days of operation, March 30–May 12, 2020, our intervention reached 509 patients, with 209 (41.1%) patients reporting an HRSN, most commonly related to food, housing, or utilities. Thirty-one (6.1%) patients required assessment by a clinician for clinical worsening. This public health intervention may be useful for other institutions developing programs to address the social and health needs of patients discharged with suspected COVID-19. |
| Databáze: | OpenAIRE |
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