Challenges for asthma units in response to COVID-19: a qualitative group dynamics analysis
Por:
Rivera, CM, Crespo-Lessman, A, Arismendi, E, Munoz-Esquerre, M, Aguilar, X, Ausin, P, Bobolea, I, Duch, GD, Teixido, RP, Talaverano, GS, Sabardia, AS and Gall, XM
Publicada:
3 jun 2022
Ahead of Print:
1 abr 2021
Resumen:
Objective To develop a set of recommendations for the management of severe asthma during COVID-19 pandemic. Methods Eleven pneumologists and allergologists who were staff members of officially accredited asthma units in Catalonia (Spain) participated in a cross-section study based on three 2-hour virtual workshops (first: brainstorming, second: identification of impacts and challenges summarized in 10 topics, third: establishment of final recommendations by consensus). Results Impacts and challenges identified were improvement of referral protocols between different levels of care; assessment of the minimum number of function tests to be performed and promote the performance of spirometry in primary care; implementation of videoconferencing, mobile apps, telephone calls, or integral virtual platforms for the follow-up of patients, and definition of the model of care (face-to-face, telematics, mixed) according to the patient's individual needs; self-administration of biologics for domiciliary treatment; and empowerment of the role of nursing and hospital pharmacy in particular for follow-up and self-administration of biologics. The main recommendations included coordination between primary care and specialized care consultation, optimization of lung function testing, implementation of telemedicine, and the role of nursing and hospital pharmacy. Conclusion The specific proposals in response to the effect of COVID-19 pandemic focused on four areas of interest (coordination between primary care and specialized care, optimization of lung function testing, implementation of telemedicine, and empowerment of the role of nursing and hospital pharmacy) may be generalized to other health care settings, and help to introduce new ways of caring asthma patients in the COVID-19 context.
Filiaciones:
:
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Dept Resp Med, Barcelona, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red CIBER Enfermedade Resp CIBE, Madrid, Spain
Crespo-Lessman, A:
Univ Autonoma Barcelona, Inst Invest Biomed St Pau IIB St Pau, Hosp Santa Creu & St Pau, Dept Resp Med,Dept Med,Barcelona Resp Network BRN, Barcelona, Spain
Arismendi, E:
Inst Salud Carlos III, Ctr Invest Biomed Red CIBER Enfermedade Resp CIBE, Madrid, Spain
Univ Barcelona, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Hosp Clin Barcelona, Serv Pneumol, Barcelona, Spain
Munoz-Esquerre, M:
Univ Barcelona, Dept Resp Med, Inst Invest Biomed Bellvitge IDIBELL, Hosp Univ Bellvitge, Barcelona, Spain
Aguilar, X:
Univ Rovira & Virgili, Unidad Docente Joan XIII, Hosp Univ Joan XXIII, Serv Pneumol, Tarragona, Spain
Ausin, P:
Univ Pompeu Fabra, Inst Hosp del Mar Invest Med, Hosp del Mar, Serv Pneumol, Parc Salut Mar, Barcelona, Spain
Bobolea, I:
Inst Salud Carlos III, Ctr Invest Biomed Red CIBER Enfermedade Resp CIBE, Madrid, Spain
Univ Barcelona, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Hosp Clin Barcelona, Sect Allergol,Serv Pneumol & Resp Allergy, Barcelona, Spain
Duch, GD:
Univ Rovira & Virgili, Hosp Univ Joan XXIII, Serv Allergol, Tarragona, Spain
Teixido, RP:
Univ Lleida UdL, Hosp Univ Arnau Vilanova, Serv Pneumol, Dept Med, Lleida, Spain
Talaverano, GS:
Hosp Univ Dr Josep Trueta, Serv Pneumol, Girona, Spain
Sabardia, AS:
Consorci Corporacio Sanitaria Parc Tauli Sabadell, Serv Pneumol, Barcelona, Spain
Gall, XM:
Inst Salud Carlos III, Ctr Invest Biomed Red CIBER Enfermedade Resp CIBE, Madrid, Spain
Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Med, Serv Pneumol, Barcelona, Spain
Univ Autonoma Barcelona, Dept Cell Biol Physiol & Immunol, Barcelona, Spain
|