Wasilewski Marina B, Szigeti Zara, Sheppard Christine L, Minezes Jacqueline, Hitzig Sander L, Mayo Amanda L, Robinson Lawrence R, Lung Maria, Simpson Robert
St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Department of Occupational Science and Occupational Therapy & Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, CA.
St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, CA.
Int J Integr Care. 2023 Jun 16;23(2):27. doi: 10.5334/ijic.6952. eCollection 2023 Apr-Jun.
During the COVID-19 pandemic, discharge timelines were accelerated and patients were moved across the continuum of care, from acute to post-acute care, to relieve the strain in health system capacity. This study aimed to investigate the COVID-19 care pathway from the perspective of patients, caregivers, and healthcare providers to understand their experiences with care and recovery within and across care settings.
A qualitative descriptive study. Patients and their families from an inpatient COVID-19 unit and healthcare providers from an acute or rehabilitation COVID-19 unit were interviewed.
A total of 27 participants were interviewed. Three major themes were identified: 1) The perceived quality and pace of COVID-19 care improved from acute care to inpatient rehabilitation; 2) Care transitions were especially distressing; and 3) Recovery from COVID-19 stagnated in the community.
Inpatient rehabilitation was viewed as higher quality due to the slower paced care. Care transitions were distressing for stakeholders and enhanced integration between acute and rehabilitation care were suggested to improve patient handover. A lack of rehabilitation access led to recovery stagnating for patients discharged to the community. Telerehab may improve the transition to home and ensure access to adequate rehabilitation and support in the community.
在新冠疫情期间，出院时间线被加快，患者在整个护理连续体中流转，从急性护理转向急性后护理，以缓解卫生系统能力方面的压力。本研究旨在从患者、护理人员和医疗服务提供者的角度调查新冠护理途径，以了解他们在护理环境内和跨护理环境的护理及康复经历。
一项定性描述性研究。对来自新冠住院病房的患者及其家属以及来自急性或康复新冠病房的医疗服务提供者进行了访谈。
共访谈了27名参与者。确定了三个主要主题：1）从急性护理到住院康复，新冠护理的感知质量和节奏有所改善；2）护理过渡尤其令人痛苦；3）新冠康复在社区中停滞不前。
由于护理节奏较慢，住院康复被视为质量更高。护理过渡对利益相关者来说令人痛苦，建议加强急性护理和康复护理之间的整合，以改善患者交接。缺乏康复途径导致出院到社区的患者康复停滞。远程康复可能会改善向家庭的过渡，并确保在社区中获得足够的康复和支持。
