Articles: pandemics.
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Restrictions due to the COVID-19 pandemic resulted in a sudden shift to a predominantly remote consulting model in primary care from March 2020. Little evidence exists examining the experience of remote consulting for people living with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) or fibromyalgia, with the current literature focusing on the challenges faced by clinicians and people living with these conditions. Clinical guidance highlights the importance of building therapeutic relationships and personalising care, but it is unclear how this translates into a remote or virtual consulting space. ⋯ Remote consulting has presented new challenges for primary care, and it is important to identify which groups of patients are most suited. This study explores the views from a group of patients that are associated with some complexity, and complements the literature that explores the ability to deliver relationship-based care when consulting digitally/remotely. Recommendations from the findings will be created for use by patients and clinicians alike.
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The COVID-19 pandemic compelled clinicians to change access to primary health care as face-to-face consultations were a risk to patients and staff. Video consultations (VCs) were frequently substituted as a proxy for a clinical examination. ⋯ While video use overall was low, patients from lower socioeconomic backgrounds had less access to VCs with their GPs in the initial lockdown, which may have had negative impacts on health. The pandemic was an unprecedented event, and primary care rapidly pivoted to online care. However, to mitigate health inequalities, primary care must implement methods to cater for all patients and minimise the risk of digital health exclusion.
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[This corrects the article DOI: 10.1371/journal.pmed.1004240.].
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Arts-On-Prescription (AOP) programmes are growing in popularity in European primary care. To meet social distancing rules of the COVID-19 pandemic, AOP workshops were moved onto online video conferencing platformism. It is unknown whether the format (in-person versus online) affects how patients perceive these programmes and their overall success. ⋯ Participants valued the workshops as a space for peer support and patient empowerment. These findings must be viewed in the context of social isolation arising from lockdown. Online delivery offers potential for widening access to arts interventions. Further research should explore the opinions of vulnerable groups.
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Acta clinica Croatica · Jul 2023
TRENDS IN PROSTATE CANCER DIAGNOSIS DURING THE COVID-19 PANDEMIC: SINGLE-INSTITUTION EXPERIENCE.
The aim of this study was to compare the number of biopsy and surgical procedures on prostate, as well as the number of newly diagnosed, histologically confirmed cases of prostate cancer during the COVID-19 pandemic at Zagreb University Hospital Center (UHC). We retrospectively collected and processed a total of 1344 histopathologic findings of the prostate at the Zagreb UHC. ⋯ To our knowledge, this is the first study of this kind that is based on the number of prostate cancer diagnoses in Croatia. By observing the early period of the pandemic, our results provide important guidelines for monitoring and understanding the long-term consequences of the pandemic on the prostate cancer morbidity and mortality.