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Rheumatology practice amidst the COVID-19 pandemic: a pragmatic view
Vasco C Romão1,2, Inês Cordeiro1,2, Carla Macieira1
1Rheumatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon Academic Medical Centre, Lisbon, Portugal.
Insights
The COVID-19 pandemic impacted chronic disease care, particularly for rheumatology patients. This viewpoint offers strategies for managing rheumatology care during and after the pandemic, focusing on team management and patient communication.
Area of Science:
- Rheumatology
- Public Health
- Healthcare Management
Background:
- The COVID-19 pandemic significantly disrupted healthcare, impacting patients with chronic diseases like rheumatic and musculoskeletal conditions.
- Healthcare resources were redirected, and social restrictions complicated patient care and follow-up.
- Rheumatology departments faced challenges in adapting to the new healthcare landscape.
Purpose of the Study:
- To provide a practical approach for managing rheumatology patient care during the COVID-19 pandemic.
- To outline strategies for adapting to evolving restrictions and preparing for future waves.
- To identify lessons learned for post-pandemic rheumatology practice.
Main Methods:
- Reviewing the impact of the pandemic on rheumatology care.
- Proposing preventive team management strategies.
- Recommending optimized patient communication and care reorganization.
Main Results:
- Adaptation strategies are crucial for maintaining continuity of care for rheumatology patients.
- Proactive team management and enhanced patient communication are key to navigating disruptions.
- Planning for progressive lifting of restrictions and potential future waves is essential.
Conclusions:
- Healthcare providers must implement adaptive strategies to ensure ongoing care for patients with rheumatic diseases.
- Effective communication and flexible care models are vital for resilient rheumatology services.
- Lessons from the pandemic can inform and improve future rheumatology practice and patient outcomes.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has come with many challenges for healthcare providers and patients alike. In addition to the direct burden it has placed on societies and health systems, it had a significant impact in the care of patients with chronic diseases, as healthcare resources were deployed to fight the crisis, and major travel and social restrictions were adopted. In the field of rheumatology, this has required notable efforts from departments and clinicians to adapt to the novel status quo and assure the follow-up of patients with rheumatic and musculoskeletal diseases. In the present viewpoint, we provide a practical approach to tackle this reality. Key measures include setting up preventive team management strategies, optimising communication with patients and reorganising patient care in all its dimensions. We then anticipate the nuances of rheumatology practice as restrictive measures are progressively lifted, while an effective vaccine is still pending. This includes the need to reimpose the same strategy as further waves unfold. Finally, we look ahead and address the lessons we can incorporate into post-COVID-19 rheumatology.
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