tetano
Editor, Senior Moderator
Bull World Health Organ
. 2022 Nov 1;100(11):676-688.
doi: 10.2471/BLT.22.288105. Epub 2022 Oct 3.
Scoping review of rehabilitation care models for post COVID-19 condition
Simon Décary[SUP] 1 [/SUP], Wouter De Groote[SUP] 2 [/SUP], Chiara Arienti[SUP] 3 [/SUP], Carlotte Kiekens[SUP] 4 [/SUP], Paolo Boldrini[SUP] 5 [/SUP], Stefano Giuseppe Lazzarini[SUP] 3 [/SUP], Michèle Dugas[SUP] 6 [/SUP], Théo Stefan[SUP] 6 [/SUP], Léa Langlois[SUP] 6 [/SUP], Frédérique Daigle[SUP] 1 [/SUP], Florian Naye[SUP] 1 [/SUP], Annie LeBlanc[SUP] 6 [/SUP], Stefano Negrini[SUP] 7 [/SUP]
Affiliations
Abstract
in English, French, Spanish, Arabic, Chinese, Russian
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.
. 2022 Nov 1;100(11):676-688.
doi: 10.2471/BLT.22.288105. Epub 2022 Oct 3.
Scoping review of rehabilitation care models for post COVID-19 condition
Simon Décary[SUP] 1 [/SUP], Wouter De Groote[SUP] 2 [/SUP], Chiara Arienti[SUP] 3 [/SUP], Carlotte Kiekens[SUP] 4 [/SUP], Paolo Boldrini[SUP] 5 [/SUP], Stefano Giuseppe Lazzarini[SUP] 3 [/SUP], Michèle Dugas[SUP] 6 [/SUP], Théo Stefan[SUP] 6 [/SUP], Léa Langlois[SUP] 6 [/SUP], Frédérique Daigle[SUP] 1 [/SUP], Florian Naye[SUP] 1 [/SUP], Annie LeBlanc[SUP] 6 [/SUP], Stefano Negrini[SUP] 7 [/SUP]
Affiliations
- PMID: 36324552
- PMCID: PMC9589389
- DOI: 10.2471/BLT.22.288105
Abstract
in English, French, Spanish, Arabic, Chinese, Russian
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.