Rural Telehealth Use during the COVID-19 Pandemic: How Long-term Infrastructure Commitment May Support Rural Health Care Systems Resilience

BackgroundEarly studies suggested that presentations with unexplained acute abdominal pain were associated with increased long-term rates of hospital attendance and self-harm, especially in women, but few studies were large enough for definitive findings.AimsTo test the hypothesis that such presentations are followed by higher long-term utilisation rates of secondary health care even excluding further abdominal symptoms, and particularly for self-harm, than presentations with acute appendicitis.MethodNew hospital attendance rates, liaison psychiatry attendances and self-harm attendances of patients with normal appendices at emergency appendicectomy were compared with those of appendicitis patients.ResultsAttendance rates of all kinds were significantly higher for normal appendix patients than for appendicitis patients, with equal strengths of finding for males and females.ConclusionsPeople with normal appendices at emergency appendicectomy show higher long-term rates of hospital attendance. This has implications for how these patients are best managed by health care systems.

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Potential long term adverse health outcomes of COVID-19

Bangladesh Critical Care Journal ◽

10.3329/bccj.v9i1.53055 ◽

2021 ◽

Vol 9 (1) ◽

pp. 38-40

Author(s):

Dibanur Rashid Siddiqua ◽

Md Shahadat Hossain

Keyword(s):

Health Care ◽

Health Outcomes ◽

Potential Risk ◽

Health Care Systems ◽

Persistent Symptoms ◽

Adverse Health ◽

Adverse Health Outcomes ◽

Care Systems ◽

Post Infectious

The coronavirus disease 2019(COVID-19) pandemic poses an extraordinary challenges to patients, communities and overall health care systems. It has resulted in millions of people infected worldwide and has indirectly devastated even more individuals with prolonged post-infectious symptoms. The burden of survivors having post-COVID symptoms is likely to be huge. Multidisciplinary post-COVID-19 clinics are now playing a pivotal role addressing both persistent symptoms and potential long term sequelae. In this review, we tried to summarize the adverse health outcomes based on current evidences, assess the potential risk of long-term complications and make certain recommendations. Bangladesh Crit Care J March 2021; 9(1): 38-40

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COVID-19 containment policies through time may cost more lives at metapopulation level

10.1101/2020.04.22.20075093 ◽

2020 ◽

Cited By ~ 3

Author(s):

Konstans Wells ◽

Miguel Lurgi

Keyword(s):

Health Care ◽

Decision Making ◽

Health Care Systems ◽

Informed Decision ◽

Mitigation Strategies ◽

Disease Spread ◽

Informed Decision Making ◽

Short Term ◽

Care Systems

AbstractThe rapid and pandemic spread of COVID-19 has led to unprecedented containment policies in response to overloaded health care systems. Disease mitigation strategies require informed decision-making to ensure a balance between the protection of the vulnerable from disease and the maintenance of global economies. We show that temporally restricted containment efforts, that have the potential to flatten epidemic curves, can result in wider disease spread and larger epidemic sizes in metapopulations. Longer-term rewiring of metapopulation networks or the enforcement of feasible long-term measures that decrease disease transmissions appear to be more efficient than temporarily restricted intensive mitigation strategies (e.g. short-term mass quarantine). Our results may inform balanced containment strategies for short-term disease spread mitigation in response to overloaded health care systems and longer-term epidemiological sizes.

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