Changes in the availability of medical care to patients with chronic non-infectious diseases during the COVID-19 pandemic: A literature review
- Authors: Frolova I.A.1, Abaeva O.P.2, Romanov S.V.1, Tarlovskaya E.I.1,3
-
Affiliations:
- Volga District Medical Center
- Sechenov First Moscow State Medical University (Sechenov University)
- Volga Research Medical University
- Issue: Vol 21, No 2 (2022)
- Pages: 211-222
- Section: COVID-19
- URL: https://journals.rcsi.science/1728-2810/article/view/126184
- DOI: https://doi.org/10.17816/socm109320
- ID: 126184
Cite item
Abstract
The coronavirus pandemic has caused adjustments to be made to the organization of medical care for the population worldwide. The reorganization of medical institutions to provide emergency, outpatient, and inpatient medical care to infected patients required huge financial and personnel costs and caused a kind of bias towards reducing the medical services provided to patients with chronic non-infectious diseases, which in turn determine the main levels of morbidity, premature mortality, and disability of the population. The availability of medical care to patients with chronic non-infectious diseases has decreased in all the countries that were impacted by COVID-19. This situation has not gone unnoticed by the medical community and as a result, various ways to overcome this problem have been proposed. The proposed article presents an analytical review of various types of Russian and foreign medical sources including articles, orders, statements, interviews, and surveys devoted to the problem of addressing the availability of various types of medical care. The review presents the most obvious and widespread problems in public health during the pandemic. It also analyzes the methods used in various countries, including Russia, to overcome the decline in the availability of medical care. The wide range of problems described that arose in domestic and foreign healthcare during the COVID-19 pandemic, and the variety of ways to solve them, allow us to conclude that this study is relevant. A literary review of articles (reviews, original research, interview data, and telephone surveys) published from March 2020 to March 2022 was conducted on the impact of the COVID-19 pandemic on the availability of medical care for somatic patients in the Russian Federation and several foreign countries. The methods of bibliographic, informational and semantic search for sources in Google Scholar, PubMed and Scopus databases were used. A system analysis of the sources was performed.
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##article.viewOnOriginalSite##About the authors
Irina A. Frolova
Volga District Medical Center
Email: frolova-ir@yandex.ru
ORCID iD: 0000-0003-2274-6543
SPIN-code: 9716-6221
physician-therapist
Russian Federation, Nizhny NovgorodOlga P. Abaeva
Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: abaevaop@inbox.ru
ORCID iD: 0000-0001-7403-7744
SPIN-code: 5602-2435
MD, Dr. Sci. (Med.), associate professor
Russian Federation, MoscowSergey V. Romanov
Volga District Medical Center
Email: pomcdpo@mail.ru
ORCID iD: 0000-0002-1815-5436
SPIN-code: 9014-6344
MD, Dr. Sci. (Med.), associate professor
Russian Federation, Nizhny NovgorodEkaterina I. Tarlovskaya
Volga District Medical Center; Volga Research Medical University
Email: etarlovskaya@mail.ru
ORCID iD: 0000-0002-9659-7010
SPIN-code: 5007-4647
MD, Dr. Sci. (Med.), Professor
Russian Federation, Nizhny Novgorod; Nizhny NovgorodReferences
- Statement on availability of medical care. 40th World Medical Assembly [Internet]. Vienna, September 1988 [cited 27 January 2023]. Available from: https://www.wma.net/policies-post/wma-statement-on-access-to-health-care/
- Health and human rights [Internet]. WHO, 2017 [cited 27 January 2023]. Available from: http://www.who.int/mediacentre/factsheets/fs323/ru/
- Krom IL, Erugina MV, Orlova MM, et al. Public health determinants in social context. Saratov Journal of Medical Scientific Research. 2017;13(2):292–295. (In Russ).
- Shigaev NN, Krom IL, Erugina MV, Dorogoikin DL. Interdisciplinary analysis of social-determined risks of children’s population health. Modern problems of science and education. 2016;2:65. (In Russ).
- Kontseptsiya razvitiya zdravookhraneniya RF do 2020 g. [Internet]. MINZDRAVSOC [cited 27 January 2023]. Available from: http://www.minzdravsoc.ru. (In Russ).
- Starodubov VI, Ulumbekova GE. Russian healthcare: problems and solutions. HEALTHCARE MANAGEMENT: news, views, education. 2015;1(1):12–27. (In Russ).
- Kochkina NN, Krasil’nikova MD, Shishkin SV. Dostupnost’ i kachestvo meditsinskoi pomoshchi v otsenkakh naseleniya. Moscow: ID VShE; 2015. (In Russ).
- Reshetnikov AV. Mediko-sotsiologicheskii monitoring: Rukovodstvo. Moscow: Meditsina; 2003. (In Russ).
- Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi: 10.1186/s12885-021-08100-3
- Galbraith AA, Soumerai SB, Ross-Degnan D, et al. Delayed and forgone care for families with chronic conditions in high-deductible health plans. J Gen Intern Med. 2012;27(9):1105–1111. doi: 10.1007/s11606-011-1970-8
- Cunningham PJ. Compromises are becoming tougher: problems with paying medical bills are increasing for families in the United States, 2003–2007. Center for Studying Health System Change / Trackind report; October 2008;21:1–5.
- Chen G, McGeorge R. Spillover Effects Of The COVID-19 Pandemic Could Drive Long-Term Health Consequences For Non-COVID-19 Patients. 2020 Oct 23 [Internet]. Health Affairs [cited 27 January 2023]. Available from: https://www.healthaffairs.org/do/10.1377/hblog20201020.566558/full/
- Arutyunov GP, Tarlovskaya EI, Arutyunov AG, et al. Clinical features of post-COVID-19 period. Results of the international register «Dynamic analysis of comorbidities in SARS-CoV-2 survivors (AKTIV SARS-CoV-2)». Data from 6-month follow-up. Russian Journal of Cardiology. 2021;26(10):4708. (In Russ). doi: 10.15829/1560-4071-2021-4708
- Woolf SH, Chapman DA, Sabo RT, et al. Excess Deaths From COVID-19 and Other Causes, March-July 2020. JAMA. 2020;324(15):1562–1564. doi: 10.1001/jama.2020.19545
- Ammerman B, Burke T, Jacobucci R, McClure K. COVID-19 and suicidal thoughts and behaviors in the U.S. J Psychiatr Res. 2021;134:32–38. doi: 10.1016/j.jpsychires.2020.12.037
- Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation. 1999;99(16):2192–2217. doi: 10.1161/01.cir.99.16.2192
- Hamel L, Kearney A, Kirzinger A, et al. KFF Health Tracking Poll [Internet]. 2020 June 26 [cited 27 January 2023]. Available from: https://www.kff.org/racial-equity-and-health-policy/report/kff-health-tracking-poll-june-2020/
- Whaley CM, Pera MF, Cantor J, et al. Changes in health services use among commercially insured US populations during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e2024984. doi: 10.1001/jamanetworkopen.2020.24984
- Buzin VN, Salagay OO, Son IM. The effectiveness of the Russian healthcare system during the COVID-19 epidemic: public opinion. Profilakticheskaya Meditsina. 2021;24(2):7–13. (In Russ). doi: 10.17116/profmed2021240217
- Czeisler ME, Marynak K, Kristie EN, et al. Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns — United States, June 2020. MMWR Morb Mortal Wkly Rep. 2020;69(36):1250–1257. doi: 10.15585/mmwr.mm6936a4
- Shock to the system: COVID-19’s long-term impact on the NHS [Internet]. The Health Foundation [cited 27 January 2023]. Available from: https://www.health.org.uk/news-and-comment/blogs/shock-to-the-systemcovid-19s-long-term-impact-on-the-nhs
- Bhatt AS, Moscone A, McElrath EE, et al. Declines in hospitalizations for acute cardiovascular conditions during the СOVID-19 pandemic: a multicenter tertiary care experience. J Am Coll Cardiol. 2020;76(3):280–288. doi: 10.1016/j.jacc.2020.05.038
- Kościelecka KE, Kuć AG, Kubik DM, Męcik-Kronenberg T. Impact of the COVID-19 pandemic on the availability of medical care among oncological patients. Wiadomości Lekarskie. 2021;74(7). doi: 10.36740/WLek202107101
- Diegoli H, Magalhaes PC, Martins SO, et al. Decrease in hospital admissions for transient ischemic attack, mild, and moderate stroke during the COVID-19 Era. Stroke. 2020;51(8):2315–2321. doi: 10.1161/STROKEAHA.120.030481
- Lange SJ, Ritchey MD, Goodman AB, et al. Potential indirect effects of the COVID-19 pandemic on use of emergency departments for acute life-threatening conditions — United States, January–May 2020. MMWR Morb Mortal Wkly Rep. 2020;69(25):795–800. doi: 10.15585/mmwr.mm6925e2
- Mafham MM, Spata E, Goldacre R, et al. COVID-19 pandemic and admission rates for and management of acute coronary syndromes in England. Lancet. 2020;396(10248):381–389. doi: 10.1016/S0140-6736(20)31356-8
- Range G, Hakim R, Motreff P. Where have the ST-segment elevation myocardial infarctions gone during COVID-19 lockdown? Eur Heart J Qual Care Clin Outcomes. 2020;6(3):223–224. doi: 10.1093/ehjqcco/qcaa034
- De Filippo O, D’Ascenzo F, Angelini F, et al. Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy. N Engl J Med. 2020;383(1):88–89. doi: 10.1056/NEJMc2009166
- Metzler B, Siostrzonek P, Binder RK, et al. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J. 2020;41(19):1852. doi: 10.1093/eurheartj/ehaa314
- Xiang D, Xiang X, Zhang W, et al. Management and Outcomes of Patients With STEMI During the COVID-19 Pandemic in China. J Am Coll Cardiol. 2020;76(11):1318–1324. doi: 10.1016/j.jacc.2020.06.039
- Igarashi Y, Yabuki M, Norii T, et al. Quantitative analysis of the impact of COVID-19 on the emergency medical services system in Tokyo. Acute Med Surg. 2021;8(1):e709. doi: 10.1002/ams2.709
- Prezant DJ, Lancet EA, Zeig-Owens R, et al. System impacts of the COVID-19 pandemic on New York City’s emergency medical services. J Am Coll Emerg Physicians Open. 2020;1(6):1205–1213. doi: 10.1002/emp2.12301
- Fagoni N, Perone G, Villa GF, et al. The Lombardy Emergency Medical System Faced with COVID-19: The Impact of Out-of-Hospital Outbreak. Prehosp Emerg Care. 2021;25(1):1–7. doi: 10.1080/10903127.2020.1824051
- Tapilina VS. Sotsial’no-ekonomicheskaya differentsiatsiya i zdorov’e naseleniya Rossii. EKO Journal. 2002;2:114–125. (In Russ).
- Blumenthal D, Fowler EJ, Abrams M, Collins S.R. Covid-19 — Implications for the Health Care System. N Engl J Med. 2020;383(15):1483–1488. doi: 10.1056/NEJMsb2021088
- Park S, Stimpson JP. Trends in Self-reported Forgone Medical Care Among Medicare Beneficiaries During the COVID-19 Pandemic. JAMA Health Forum. 2021;2(12):e214299. doi: 10.1001/jamahealthforum.2021.4299
- COVID-19 is affecting Black, Indigenous, Latinx, and other people of color the most [Internet]. The COVID Tracking Project [cited 27 January 2023]. Available from: https://covidtracking.com/race
- Timerbulatov VM, Timerbulatov MV. Health care during and after COVID-19. Herald of the Academy of Sciences of the Republic of Bashkortostan. 2020;35(2):77–87. (In Russ). doi: 10.24411/1728-5283-2020-10209
- Cox C, Krutika T, Kamal R. How have health spending and utilization changed during the coronavirus pandemic? [Internet]. Peterson-KFF Health System Tracker [cited 27 January 2023]. Available from: https://www.healthsystemtracker.org/chart-collection/how-have-healthcare-utilization-and-spending-changed-so-far-during-the-coronavirus-pandemic/
- A Survey Examining How COVID-19 is Affecting and is Perceived by the Nation’s Physicians. Part one of three: COVID-19’s Impact on Physicians’ Practices and Their Patients [Internet]. The Physicians Foundation [cited 27 January 2023]. Available from: www.physiciansfoundation.org
- Babamiri M, Alipour N, Heidarimoghadam R. Research on reducing burnout in health care workers in critical situations such as the COVID-19 outbreak. Work. 2020;66(2):379–380. doi: 10.3233/WOR-203189
- Restauri N, Sheridan AD. Burnout and Posttraumatic Stress Disorder in the Coronavirus Disease 2019 (COVID-19) Pandemic: Intersection, Impact, and Interventions. J Am Coll Radiol. 2020;17(7):921–926. doi: 10.1016/j.jacr.2020.05.021
- Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52:102066. doi: 10.1016/j.ajp.2020.102066
- COVID-19 healthcare delivery impacts [Internet]. HHS.gov [cited 27 January 2023]. Available from: https://files.asprtracie.hhs.gov/documents/covid-19-healthcare-delivery-impacts.pdf/
- Rose S. Medical student education in the time of COVID 19. JAMA. 2020;323(21):2131–2132. doi: 10.1001/jama.2020.5227
- Kagramanyan IN, Kupeeva IA, Tarasenko AI, Efimova AO. Glavnye vyzovy pandemii COVID19 s tochki zreniya meditsinskogo obrazovaniya v Rossiiskoi Federatsii. National Health Care (Russia). 2020;1(1):9–15. (In Russ).
- Mian A, Khan S. Medical education during pandemics: a UK perspective. BMC Med. 2020;18(1):100. doi: 10.1186/s12916-020-01577-y
- Cury P, Pacca F, Miranda S, et al. COVID-19 and medical education in a Brazilian medical school: how to deal with the current complex problems happening in the world? «When life gives you lemons, make lemonade». Med Ed Publish. 2020;9(1):195. doi: 10.15694/mep.2020.000195.1
- FDA drug shortages [Internet]. U.S. Food & Drug Administration [cited 27 January 2023]. Available from: https://www.accessdata.fda.gov/scripts/drugshortages/default.cfm
- Iacobucci G. Drug shortages leave primary care staff exposed to abuse from frustrated patients. BMJ. 2022;377:o1100. doi: 10.1136/bmj.o1100
- Turbucz B, Major M, Zelko R, Hanko B. Proposal for Handling of Medicine Shortages Based on a Comparison of Retrospective Risk Analysis. Int J Environ Res Public Health. 2022;19(7):4102. doi: 10.3390/ijerph19074102
- McKay D, Yang H, Elhai J, Asmundson GB. Anxiety regarding contracting COVID-19 related to interoceptive anxiety sensations: The moderating role of disgust propensity and sensitivity. J Anxiety Disord. 2020;73:102233. doi: 10.1016/j.janxdis.2020.102233
- Kludacz-Alessandri M, Walczak R, Hawrysz L, Korneta P. The Quality of Medical Care in the Conditions of the COVID-19 Pandemic, with Particular Emphasis on the Access to Primary Healthcare and the Effectiveness of Treatment in Poland. J Clin Med. 2021;10(16):3502. doi: 10.3390/jcm10163502
- Murashko MA. Pervaya pandemiya tsifrovoi epokhi: uroki dlya natsional’nogo zdravookhraneniya. National Health Care (Russia). 2020;1(1):4–8. (In Russ).
- Centers for Medicare & Medicaid Services (CMS) recommendations re-opening facilities to provide non-emergent non-COVID-19 healthcare [Internet]. CMS [cited 27 January 2023]. Available from: https://www.cms.gov/files/document/covid-recommendations-reopening-facilities-provide-non-emergent-care.pdf
- Thornton J. The «virtual wards» supporting patients with covid-19 in the community. BMJ. 2020;369:m2119. doi: 10.1136/bmj.m2119
- ways COVID-19 may forever upend the U.S. health care industry [Internet]. STAT [cited 27 January 2023]. Available from: https://www.statnews.com/2020/05/19/9-ways-covid-19-forever-upend-health-care/
- Samoilova AV. Rol’ Roszdravnadzora v obespechenii kachestvennoi i bezopasnoi meditsinskoi pomoshchi v period rasprostraneniya novoi koronavirusnoi infektsii (COVID-19). National Health Care (Russia). 2020;1(1):16–22. (In Russ).