During the COVID-19 pandemic, adults with chronic conditions delayed or avoided seeking preventative and general medical care, leading to adverse consequences for morbidity and mortality. In order to bring patients back into care, we, in this qualitative study, sought to understand the foremost health-related needs of our multi-morbid ambulatory patients to inform future outreach interventions. Via a telephone-based survey of our high-risk patients, defined using a validated EPIC risk model for hospitalization and ED visits, we surveyed 214 participants an open-ended question, "What is your top health concern that you would like to speak with a doctor or nurse about". We found 4 major themes: 1) primary care matters, 2) disruptions in health care, 3) COVID-19's impact on physical and mental health, and 4) amplified social vulnerabilities. Our results suggest that interventions that reduce barriers to preventative services and disruptions to healthcare delivery are needed.
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http://dx.doi.org/10.2147/IJGM.S370815 | DOI Listing |
Clin Res Cardiol
October 2024
Department of Cardiology, Saolta Group, Galway University Hospital, Health Service Executive and University of Galway, Galway, H91 TK33, Ireland.
Background: Independent testing of home blood pressure (BP) measurement (HBPM) devices is often lacking, particularly among older and multi-morbid patients.
Methods: We studied the Bpro G2 (using tonometry), Omron HeartGuide (using occlusive oscillometric technology), and Heartisans (using photoplethysmography) wrist watch HBPM devices against a gold standard brachial sphygmomanometer. To test device performance, we used the ISO81060-2 protocol (though this protocol cannot formally validate cuffless devices).
Background: Sub-Saharan Africa is experiencing a dual burden of chronic human immunodeficiency virus and non-communicable diseases. A pragmatic parallel arm cluster randomised trial (INTE-AFRICA) scaled up 'one-stop' integrated care clinics for HIV-infection, diabetes and hypertension at selected facilities in Uganda. These clinics operated integrated health education and concurrent management of HIV, hypertension and diabetes.
View Article and Find Full Text PDFInt J Gen Med
August 2022
Department of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, New York, NY, USA.
Eur Geriatr Med
June 2022
Department of Medicine (Geriatric Medicine), University College Cork, Wilton, T12 DC4A, Cork, Ireland.
Purpose: To assess medication-related quality-of-life (MRQoL) in multi-morbid older adults with polypharmacy and correlations with medications, frailty and health-related QoL.
Methods: With a cross sectional study of multi-morbid geriatric medicine outpatients, we assessed MRQoL (MRQol-LSv1), frailty status, potentially inappropriate medications, Medication Adherence Rating Scale (MARS), health-related-QoL (Short-Form 12, SF12) and medication burden (Living with Medicines Questionnaire, LMQv2).
Results: One-in-four (n = 59) of 234 outpatient attendees met inclusion criteria.
ESC Heart Fail
December 2020
Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Aims: An increasing proportion of patients with heart failure with reduced ejection fraction (HFrEF) have co-morbidities. The effect of these co-morbidities on modes of death and the effect of disease-modifying agents in multi-morbid patients is unknown.
Methods And Results: We performed a prospective cohort study of ambulatory patients with HFrEF to assess predictors of outcomes.
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