Accessibility and quality of medical care for patients with chronic noncommunicable diseases during COVID-19 pandemic

Autor: Andrey Reshetnikov, Irina Frolova, Olga Abaeva, Nadezhda Prisyazhnaya, Tatyana Romanova, Sergey Romanov, Konstantin Sobolev
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: npj Primary Care Respiratory Medicine, Vol 33, Iss 1, Pp 1-7 (2023)
Druh dokumentu: article
ISSN: 2055-1010
DOI: 10.1038/s41533-023-00328-9
Popis: Abstract The purpose of this study is to conduct a comparative analysis of the impact of the accessibility and quality of medical care provided to patients with chronic noncommunicable diseases (CNCDs) during COVID-19 pandemic on the course and outcome of COVID-19 infection. The study included 132 patients hospitalized with a diagnosis of COVID-19 and having one or more concomitant CNCDs. The patients were divided into two groups based on the quality of the initial CNCD therapy they received. Group 1 involved 58 patients (42%) who received treatment according to clinical guidelines and had a compensated CNCD. Group 2 consisted of 76 patients (58%) who received treatment that was not in line with modern clinical guidelines and/or had a decompensated CNCD. All ‘red zone’ hospitalized patients were surveyed. In particular, they were asked questions related to the quality and accessibility of medical care during COVID-19 pandemic and their satisfaction with the medical care received during the pandemic. Reduced access to medical care (the failure to have the therapy received timely evaluated and adjusted) during COVID-19 pandemic affects the quality of the therapy received by patients with CNCDs. Generally, an unfavorable course and outcome of COVID-19 infection are typical for patients receiving a non-optimal CNCD therapy as compared to patients receiving a therapy that meets current clinical guidelines.
Databáze: Directory of Open Access Journals