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Community-based anticipatory prescribing during COVID-19: a qualitative study.
Bárbara Costa Pereira Antunes1, Ben Bowers1, Stephen Barclay1
1Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
BMJ Supportive & Palliative Care
|June 1, 2022
Summary
Healthcare professionals found delivering anticipatory prescribing (AP) challenging during the COVID-19 pandemic. Rapid system changes were needed, with some potentially leading to lasting improvements in palliative care.
Area of Science:
- Palliative Care
- Health Services Research
- Epidemiology
Background:
- The COVID-19 pandemic significantly impacted healthcare delivery, particularly in community palliative care.
- Anticipatory prescribing (AP) is crucial for managing symptoms at the end of life.
Purpose of the Study:
- To explore healthcare professionals' experiences with anticipatory prescribing (AP) during the first wave of the COVID-19 pandemic in the UK.
- To identify challenges and adaptations in AP delivery.
Main Methods:
- Qualitative study utilizing semistructured interviews.
- Purposive sampling of 16 healthcare professionals in community palliative care.
- Inductive thematic analysis of interview data.
Main Results:
- Fears regarding AP delivery during the pandemic were not fully realized for COVID-19 patients; deaths were often too rapid for AP.
- AP for non-COVID deaths faced challenges due to reduced GP visits and increased reliance on remote consultations.
- Positive changes included improved drug supply collaboration, digital practices, enhanced helplines, and medication reuse policies.
Conclusions:
- Delivering anticipatory prescribing during the pandemic presented significant challenges, necessitating rapid adaptations in healthcare systems and practices.
- Several implemented changes, such as enhanced collaboration and digital tools, may offer sustainable benefits for future palliative care delivery.
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