Changes to care delivery at nine international pediatric diabetes clinics in response to the COVID ‐19 global pandemic
| Autor: | Sarah D. Corathers, Jessica Wang, Wei Liu, Carmel E. Smart, Katherine J. Souris, Catherine Pihoker, Nikhil Tandon, Frida Sundberg, Ananta Addala, Jennifer R. Law, Deborah A. Bowlby, Elizabeth J. Mayer-Davis, Michael Yao, Bruce R. King, Michael Seid, Angelica Cristello Sarteau, Gun Forsander, Amira A. Ramadan, Faisal Malik, Terry Headley |
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| Rok vydání: | 2021 |
| Předmět: |
Technology education
Telemedicine Quality management Endocrinology Diabetes and Metabolism media_common.quotation_subject MEDLINE 030209 endocrinology & metabolism Comorbidity Global Health Pediatrics Literacy 03 medical and health sciences 0302 clinical medicine Nursing COVID‐19 Diabetes Mellitus Internal Medicine Humans Medicine Pediatrics Perinatology and Child Health 030212 general & internal medicine Child Pandemics Qualitative Research media_common SARS-CoV-2 business.industry Brief Report COVID-19 Workload Quality Improvement Data sharing Pediatrics Perinatology and Child Health Type 1 Diabetes Brief Reports business Delivery of Health Care Qualitative research |
| Zdroj: | Pediatric Diabetes |
| ISSN: | 1399-5448 1399-543X |
| DOI: | 10.1111/pedi.13180 |
| Popis: | Background Pediatric diabetes clinics around the world rapidly adapted care in response to COVID-19. We explored provider perceptions of care delivery adaptations and challenges for providers and patients across nine international pediatric diabetes clinics. Methods Providers in a quality improvement collaborative completed a questionnaire about clinic adaptations, including roles, care delivery methods, and provider and patient concerns and challenges. We employed a rapid analysis (RA) to identify main themes. Results Providers described adaptations within multiple domains of care delivery, including provider roles and workload, clinical encounter and team meeting format, care delivery platforms, self-management technology education, and patient-provider data sharing. Providers reported concerns about potential negative impacts on patients from COVID-19 and the clinical adaptations it required, including fears related to telemedicine efficacy, blood glucose and insulin pump/pen data sharing, and delayed care-seeking. Particular concern was expressed about already vulnerable patients. Simultaneously, providers reported 'silver linings' of adaptations that they perceived as having potential to inform care and self-management recommendations going forward, including time-saving clinic processes, telemedicine, lifestyle changes compelled by COVID-19, and improvements to family and clinic staff literacy around data sharing. Conclusions Providers across diverse clinical settings reported care delivery adaptations in response to COVID-19 --particularly telemedicine processes-- created challenges and opportunities to improve care quality and patient health. To develop quality care during COVID-19, providers emphasized the importance of generating evidence about which in-person or telemedicine processes were most beneficial for specific care scenarios, and incorporating the unique care needs of the most vulnerable patients. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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