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Addressing Inequalities in Long Covid Healthcare: A Mixed-Methods Study on Building Inclusive Services
Ghazala Mir1, Jordan Mullard2, Amy Parkin3,4
1Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Summary
Disadvantaged groups face significant health inequities in Long Covid (LC) care, experiencing diagnostic delays and low trust. Targeted inclusion strategies are needed to improve access and equity in LC services.
Area of Science:
- Public Health
- Health Services Research
- Health Equity
Background:
- Long Covid (LC) disproportionately affects women, deprived populations, and ethnic minorities, who experience significant health inequities.
- These groups often have limited access to support services, highlighting disparities in Long Covid care.
Purpose of the Study:
- To identify health inequities within Long Covid (LC) care pathways.
- To explore inclusion strategies that address the priorities of individuals with Long Covid.
Main Methods:
- A mixed-methods study combining qualitative interviews with patients and experts.
- Analysis of primary care records from North West London and data from 10 Long Covid clinics across England.
- Framework analysis of qualitative data informed quantitative analysis of patient records.
Main Results:
- Disadvantaged groups reported delayed diagnoses, specialist referrals, and low trust in healthcare.
- Long Covid clinics confirmed under-referral of disadvantaged populations.
- Clinics implemented various strategies to improve access, but these were not widespread.
Conclusions:
- Current strategies offer a starting point for developing inclusive Long Covid care pathways.
- Future research should evaluate initiatives aimed at improving specialist access and trust for disadvantaged groups.
- Health systems must identify and target under-represented populations with sensitive inclusion initiatives.
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