The Impact of COVID 19 Precautionary Measures on Management of Chronic Disease Patients Following in Primary Health Care Centers Jeddah, Saudi Arabia, 2020
DOI:
https://doi.org/10.47672/ajhmn.799Keywords:
Chronic diseases' patients, Covid-19, pandemic, health care services.Abstract
Purpose: Since the declaration of the wide and progressive spread of COVID-19 as a pandemic, the health systems worldwide are facing challenges in the balance between applying recommended precautionary measures for COVID-19, while maintain providing essential routine health care to other groups like chronic diseases' patients. The current study aims to explore impact of precautionary measures of COVID-19 on chronic diseases' patients in Jeddah, Saudi Arabia.
Methodology: Through an analytical cross-sectional study; a representative sample of chronic diseases' patients were selected randomly from primary health care centers in Jeddah. They were invited to respond to a valid questionnaire designed to collect data about the impact of Covid 19 pandemic measures on chronic diseases’ patients. The questionnaire is adapted from valid published questionnaires conceptualized around the impact of Covid 19 measures on chronic patients. Chi-square test was used to identify association between the health status and the independent variables. P-value <0.05 was considered as an indication for significance.
Results: Out of all respondents (n=386) there was almost equal distribution of females (52.3%) and males (47.7%), and remarkable dominance of Saudis (91.7%); two thirds (62.7%) reported one chronic disease while the rest had two or more diseases. Considerable proportions faced difficulties in medical appointments (43.8%), reaching physicians (30.1%) and obtaining medicines (16.6%) during the pandemic. The health status of 23.3% became worse; especially among those with low income (46.4%), those who needed emergency care (57.1%) and all who did not get it p<0.005.
Conclusion and recommendations: The precautionary measures of COVID-19 have an impact on the care, health status of chronic diseases' patients. Efforts should be made to plan for innovative measures to ensure providing essential health care to chronic diseases' patients during pandemics.
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References
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506.
World Health Organization. Naming the coronavirus disease (COVID-19) and the virus that causes it. World Health Organization. 2020.
Basu S. Non-communicable disease management in vulnerable patients during Covid-19. Indian J Med Ethics. 2020;5(2).
Saqib MAN, Siddiqui S, Qasim M, Jamil MA, Rafique I, Awan UA, et al. Effect of COVID-19 lockdown on patients with chronic diseases. Diabetes Metab Syndr Clin Res Rev. 2020;14(6):1621–3.
Danhieux K, Buffel V, Pairon A, Benkheil A, Remmen R, Wouters E, et al. The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium. BMC Fam Pract. 2020;21(1):1–6.
Klimek L, Jutel M, Bousquet J, Agache I, Akdis CA, Hox V, et al. Management of patients with chronic rhinosinusitis during the COVID-19 pandemic—An EAACI position paper. Allergy Eur J Allergy Clin Immunol. 2021;76(3):677–88.
Hacker KA, Briss PA, Richardson L, Wright J, Petersen R. COVID-19 and Chronic Disease: The Impact Now and in the Future. Prev Chronic Dis. 2021;18.
Sanyaolu A, Okorie C, Marinkovic A, Patidar R, Younis K, Desai P, et al. Comorbidity and its Impact on Patients with COVID-19. SN Compr Clin Med. 2020;1–8.
Leung C. Clinical features of deaths in the novel coronavirus epidemic in China. Reviews in Medical Virology. 2020. p. e2103.
Pramesh CS, Badwe RA. Cancer management in India during COVID-19. N Engl J Med. 2020;382(20):e61.
World Health Organization. COVID-19 significantly impacts health services for noncommunicable diseases [Internet]. 2020 [cited 2020 Oct 1]. Available from: https://www.who.int/news-room/detail/01-06-2020-covid-19-significantly-impacts-health-services-for-noncommunicable-diseases
Ameen F, Amna T, Alghamdi AAA, AlKahtani MDF. Covid-19 pandemic outburst in Saudi Arabia: A glimpse. Saudi Journal of Biological Sciences. 2020.
Oliver, N., Barber, X., Roomp, K., & Roomp K. The Covid19Impact Survey: Assessing the Pulse of the COVID-19 Pandemic in Spain via 24 questions. 2020.
Rajendran S, Jayagopal P. Accessing Covid19 Epidemic Outbreak in Tamilnadu and the Impact of Lockdown through Epidemiological Models and Dynamic systems. Measurement. 2020;
Medical Economics. Top Challenges Number 7: Treating patients with chronic conditions [Internet]. 2019. Available from: https://www.medicaleconomics.com/view/top-challenges-number-7-treating-patients-chronic-conditions
Singh K, Kaushik A, Johnson L, Jaganathan S, Jarhyan P, Deepa M, et al. Patient experiences and perceptions of chronic disease care during the COVID-19 pandemic in India: a qualitative study. BMJ Open. 2021;11(6):e048926.
Yadav UN, Rayamajhee B, Mistry SK, Parsekar SS, Mishra SK. A Syndemic Perspective on the Management of Non-communicable Diseases Amid the COVID-19 Pandemic in Low- and Middle-Income Countries. Front Public Heal. 2020;8:508.
Czeisler MÉ, Marynak K, Clarke KEN, Salah Z, Shakya I, Thierry JM, et al. Delay or Avoidance of Medical Care Because of COVID-19–Related Concerns — United States, June 2020. MMWR Morb Mortal Wkly Rep. 2020;69(36):1250–7.
Chudasama Y V., Gillies CL, Zaccardi F, Coles B, Davies MJ, Seidu S, et al. Impact of COVID-19 on routine care for chronic diseases: A global survey of views from healthcare professionals. Diabetes Metab Syndr Clin Res Rev. 2020;14(5):965–7.
Amu H, Dowou RK, Boateng LA, Tarkang EE. Implications of covid-19 for the management of chronic non-communicable diseases in sub-Saharan Africa: Application of the chronic care model. Pan Afr Med J. 2020;35(Suppl 2):94.
Singh K, Kondal D, Mohan S, Jaganathan S, Deepa M, Venkateshmurthy NS, et al. Health, psychosocial, and economic impacts of the COVID-19 pandemic on people with chronic conditions in India: a mixed methods study. BMC Public Health. 2021;21(1):685.
Barach P, Fisher SD, Adams MJ, Burstein GR, Brophy PD, Kuo DZ, et al. Disruption of healthcare: Will the COVID pandemic worsen non-COVID outcomes and disease outbreaks? Vol. 59, Progress in Pediatric Cardiology. 2020. p. 101254.
Jacobson AM, Hauser ST, Willett J, Wolfsdorf JI, Herman L. Consequences of irregular versus continuous medical follow-up in children and adolescents with insulin-dependent diabetes mellitus. J Pediatr. 2017;131(5):727–33.
Lange SJ, Ritchey MD, Goodman AB, Dias T, Twentyman E, Fuld J, et al. Potential Indirect Effects of the COVID-19 Pandemic on Use of Emergency Departments for Acute Life-Threatening Conditions — United States, January–May 2020. MMWR Morb Mortal Wkly Rep. 2020;69:795–800.
Adom D, Adu Mensah J. The Psychological Distress and Mental Health Disorders from COVID-19 Stigmatization in Ghana. SSRN Electron J. 2020;100186.
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Copyright (c) 2021 Dr. Jawaher Saleh Mitwalli, Dr.Nouf khaled Njaifan, Dr. Rania Mansor Harere, Dr.Nuha Tariq Sharaf, Dr.Afnan Sabri Owaidah, Dr. Kholoud Mohammed Bamookrah
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