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  4. The impact of the COVID-19 virus and pandemic on healthcare utilization, access, delivery, experiences, and outcomes in the spinal cord injuries/dysfunction population: A scoping review study

The impact of the COVID-19 virus and pandemic on healthcare utilization, access, delivery, experiences, and outcomes in the spinal cord injuries/dysfunction population: A scoping review study

PLOS ONE, 2024 · DOI: https://doi.org/10.1371/journal.pone.0297384 · Published: February 22, 2024

Spinal Cord InjuryCOVID-19Healthcare

Simple Explanation

This study reviewed existing research on how the COVID-19 pandemic affected healthcare for adults with spinal cord injuries or dysfunction (SCI/D). It looked at changes in healthcare access, how care was delivered, and patient experiences and outcomes. The review found that the pandemic generally had a negative impact on healthcare access and outcomes for people with SCI/D. Virtual care became more common and was generally well-received, but it couldn't replace all in-person care. More research is needed to understand the long-term effects of the pandemic on this population, especially regarding specific health outcomes and the effectiveness of different care approaches.

Study Duration
Not specified
Participants
24 studies included in the review
Evidence Level
Scoping Review

Key Findings

  • 1
    The pandemic negatively impacted healthcare utilization, access, and outcomes for individuals with SCI/D, although no studies quantified these changes.
  • 2
    Virtual care was generally well-received by the SCI/D population as a way to maintain continuity of care.
  • 3
    The SCI/D population faced challenges in maintaining caregiving support during the pandemic.

Research Summary

This scoping review aimed to identify and summarize the literature on the impact of the COVID-19 pandemic and virus on healthcare, health outcomes, and experiences in the adult SCI/D population. The review found limited research focused specifically on the healthcare impacts of the pandemic on individuals with SCI/D, with only 11 out of 24 articles directly addressing healthcare-related topics. The review highlighted the need for more quantitative research to assess changes in healthcare utilization, access, delivery, and patient outcomes, as well as further investigation into the impact of the COVID-19 virus on individuals with SCI/D.

Practical Implications

Improve Healthcare Access

Develop interventions, guidelines, resources, or policies to ensure healthcare services are accessible and safe for the SCI/D population.

Enhance Virtual Care

Implement a blended model of both virtual and in-person care delivery to meet the diverse needs of the SCI/D population.

Address Caregiving Support

Conduct in-depth investigations of shifts in caregiving support and homecare services to understand and map changes during the pandemic.

Study Limitations

  • 1
    The review may have missed relevant articles by excluding certain types of publications, such as opinion pieces and conference abstracts.
  • 2
    The search strategy may not have fully captured studies investigating non-traumatic spinal cord injury (NTSCD) due to poorly defined terms.
  • 3
    The review did not quantify changes in healthcare utilization, access, delivery, or outcomes due to limited quantitative data in the included studies.

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