Scoping review of rehabilitation care models for post COVID-19 condition
(c) 2022 The authors; licensee World Health Organization..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:100 |
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| Enthalten in: |
Bulletin of the World Health Organization - 100(2022), 11 vom: 01. Nov., Seite 676-688 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Décary, Simon [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 04.11.2022 Date Revised 25.12.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.2471/BLT.22.288105 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM348385188 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a (c) 2022 The authors; licensee World Health Organization. | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
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| 700 | 1 | |a Arienti, Chiara |e verfasserin |4 aut | |
| 700 | 1 | |a Kiekens, Carlotte |e verfasserin |4 aut | |
| 700 | 1 | |a Boldrini, Paolo |e verfasserin |4 aut | |
| 700 | 1 | |a Lazzarini, Stefano Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Dugas, Michèle |e verfasserin |4 aut | |
| 700 | 1 | |a Stefan, Théo |e verfasserin |4 aut | |
| 700 | 1 | |a Langlois, Léa |e verfasserin |4 aut | |
| 700 | 1 | |a Daigle, Frédérique |e verfasserin |4 aut | |
| 700 | 1 | |a Naye, Florian |e verfasserin |4 aut | |
| 700 | 1 | |a LeBlanc, Annie |e verfasserin |4 aut | |
| 700 | 1 | |a Negrini, Stefano |e verfasserin |4 aut | |
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