P108 Annual physiotherapy reviews in a specialist respiratory clinic for bronchiectasis: the impact of COVID-19 on an already strained workforce

F. Livingstone, R. Wagstaff, F. Rauf, A. Sullivan, L. Gardiner, R. Colclough
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Abstract

P108 Table 1Delivery of annual physiotherapy reviews before and during COVID-19Year Patients for review Patients reviewed % patients reviewed 31/03/2019–2020 392 226 57.7 01/04/2020–2021 408 130 31.9 ConclusionThe respiratory workforce has been central in the acute response to COVID-19, whilst reduced provision of pulmonary rehabilitation and specialist respiratory clinics has led to a significant reduction in access to care for patients with chronic respiratory conditions reliant on highly specialised management. It is anticipated that the consequences on chronic disease burden will continue to unfold long after the pandemic has been controlled.This research identifies a significant unmet need of physiotherapy within a specialist respiratory service, exacerbated by COVID-19. A wider exploration into respiratory workforce nationally will help to further understand the increased need in a COVID-19 world.ReferencesBTS. British Thoracic Society Guidelines for Bronchiectasis in Adults. Thorax, 2019 December;74(1):3.Chudasama Y., et al. Impact of COVID-19 on routine care for chronic diseases: A global survey of views from healthcare professionals. Diabetes Metab Syndr. 2020;14(5):965–967.NHS. The NHS Long Term Plan. 2019. [Online] Available at: www.longtermplan.nhs.uk [Accessed 15 June 2021].
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P108支气管扩张专科呼吸诊所的年度物理治疗回顾:COVID-19对已经紧张的劳动力的影响
P108表1在COVID-19年之前和期间进行年度物理治疗审查的患者接受审查的患者百分比接受审查的患者百分比2019年3月31日- 2020年392 226 57.7 2020年4月1日- 2021年408 130 31.9结论呼吸劳动力在COVID-19的急性反应中发挥了核心作用。同时,肺康复和专科呼吸诊所的减少导致依赖高度专业化管理的慢性呼吸疾病患者获得护理的机会大大减少。预计在大流行得到控制后很长一段时间内,对慢性病负担的影响将继续显现。这项研究发现,在专科呼吸服务中,物理治疗的需求未得到满足,这一需求因COVID-19而加剧。在全国范围内对呼吸系统劳动力进行更广泛的探索,将有助于进一步了解COVID-19世界中日益增长的需求。英国胸科学会成人支气管扩张指南。中国生物医学工程学报,2019;31(1):391 - 391。Chudasama Y.等。COVID-19对慢性病常规护理的影响:全球卫生保健专业人员意见调查中华糖尿病杂志,2014;14(5):965 - 967。NHS长期计划(2019年)[在线]可在:www.longtermplan.nhs.uk[访问日期:2021年6月15日]。
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