Scoping review of rehabilitation care models for post COVID-19 condition = Revisión exploratoria de los modelos de atención de rehabilitación para la afección posterior a la COVID-19
Articolo
Data di Pubblicazione:
2022
Citazione:
Scoping review of rehabilitation care models for post COVID-19 condition = Revisión exploratoria de los modelos de atención de rehabilitación para la afección posterior a la COVID-19 / S. Décary, W. De Groote, C. Arienti, C. Kiekens, P. Boldrini, S.G. Lazzarini, M. Dugas, T. Stefan, L. Langlois, F. Daigle, F. Naye, A. Leblanc, S. Negrini. - In: BULLETIN OF THE WORLD HEALTH ORGANIZATION. - ISSN 0042-9686. - 100:11(2022 Nov 01), pp. 676-688. [10.2471/BLT.22.288105]
Abstract:
Objective To systematically map the current evidence about the characteristics of health systems, providers and patients to design rehabilitation care for post coronavirus disease 2019 (COVID-19) condition. Methods We conducted a scoping review by searching the databases: MEDLINE®, Embase®, Web of Science, Cochrane COVID-19 Registry and Cochrane Central Register of Controlled Trials, from inception to 22 April 2022. The search strategy included terms related to (i) post COVID-19 condition and other currently known terminologies; (ii) care models and pathways; and (iii) rehabilitation. We applied no language or study design restrictions. Two pairs of researchers independently screened title, abstracts and full-text articles and extracted data. We charted the evidence according to five topics: (i) care model components and functions; (ii) safe delivery of rehabilitation; (iii) referral principles; (iv) service delivery settings; and (v) health-care professionals. Findings We screened 13 753 titles and abstracts, read 154 full-text articles, and included 37 articles. The current evidence is conceptual and expert based. Care model components included multidisciplinary teams, continuity or coordination of care, people-centred care and shared decision-making between clinicians and patients. Care model functions included standardized symptoms assessment, telehealth and virtual care and follow-up system. Rehabilitation services were integrated at all levels of a health system from primary care to tertiary hospital-based care. Health-care workers delivering services within a multidisciplinary team included mostly physiotherapists, occupational therapists and psychologists. Conclusion Key policy messages include implementing a multilevel and multiprofessional model; leveraging country health systems’ strengths and learning from other conditions; financing rehabilitation research providing standardized outcomes; and guidance to increase patient safety.
Tipologia IRIS:
01 - Articolo su periodico
Elenco autori:
S. Décary, W. De Groote, C. Arienti, C. Kiekens, P. Boldrini, S.G. Lazzarini, M. Dugas, T. Stefan, L. Langlois, F. Daigle, F. Naye, A. Leblanc, S. Negrini
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