{"title":"\"Lessons from the COVID War\": An Incomplete Analysis of U.S. COVID-19 Policies","authors":"Robertson Leon S","doi":"10.36959/547/654","DOIUrl":"https://doi.org/10.36959/547/654","url":null,"abstract":"","PeriodicalId":93521,"journal":{"name":"Archives of community medicine","volume":"102 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Screening and Referral for High Risk Pregnancies Among Primary Health Care Workers in Rural Communities in Abia State, Nigeria","authors":"I. Nduka","doi":"10.36959/547/651","DOIUrl":"https://doi.org/10.36959/547/651","url":null,"abstract":"","PeriodicalId":93521,"journal":{"name":"Archives of community medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82541930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fitzsimons Michael G, A. Ana, Tankard Kelly, Onwugbufor Michael, Osho Asishana
{"title":"Transition of a Community Outreach Program to Virtual Learning during the COVID-19 Pandemic","authors":"Fitzsimons Michael G, A. Ana, Tankard Kelly, Onwugbufor Michael, Osho Asishana","doi":"10.36959/547/649","DOIUrl":"https://doi.org/10.36959/547/649","url":null,"abstract":"","PeriodicalId":93521,"journal":{"name":"Archives of community medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89852453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Motamedi Neda, G. Sasidhar, Tabor Ellen, Chen Louisa, Acevedo Alexis
Introduction: Patients with serious mental illnesses (SMI) have higher rates of metabolic illnesses, cardiovascular and respiratory disease, as well as social deficiencies such as poor housing, and limited support systems. This makes them vulnerable to relapses, symptom exacerbations, and a wide range of negative health and psychosocial outcomes especially during the COVID-19 pandemic. However, having appropriate strategies to address their needs and adequate accessibility to mental and medical health care services, can decrease the rate of psychiatrically/psychological and medical decomposition and save their life. The outreach to the patient with SMI during the pandemic was very challenging. Assertive Community Treatment (ACT) is an evidenced-based practice that offers treatment, rehabilitation, and support services to individuals that have been diagnosed with SMI. The Covid-19 pandemic caused an increase in the difficulty of accessing to ACT services as well. The current study evaluates the impact of COVID-19 on ACT services from March 2020 to February 2021 in NYC. Our aim is to make recommendations that would develop some interventions and action plans to improve ACT services during crisis. Method: This is a retrospective study on patients who are followed by Bronx ACT team affiliated with the Institute for Community Living (ICL) in NYC from March 2019 to February 2021. The study compared the number of hospitalizations and the number of visits in March 2019February 2020 (pre-Covid-19 period) to March 2020February 2021(Covid-19 period). Data analyzed with SPSS. Result: 68 patients were included in the study. A total of 311 hospitalizations registered. 189 from March 2019 to February 2020 and 129 from March 2021 to February 2021 which shown statistically meaningful decrease (P-value 0.026). A total 7968 Visits registered. 4201, from March 2019 to February 2020, 100% in person visit and 3767 from March 2021 to February 2021, 51% tele-visit and 49% in person visits, Which is statistically not meaningful (PV > 0.05). Discussion/Conclusion: Our study demonstrated that if essential services are defined and maintained while promoting staff resilience and wellness, along with giving psycho-education to patients and their family members, the rate of hospitalization in SMI patients during the Covid-19 pandemic can be reduced and these patients can remain healthy in the community. It’s also important to reiterate that Tele-health played a critical role to provide ACT services while lowering the patients and the healthcare-providers’ risk of Covid-19 infection. Check for updates wide range of psychological outcomes has been observed during the virus outbreak, at individual, community, national, and international levels. Specifically, at the individual level, people are also likely to experience fear of getting sick or dying, feeling helpless, and being stereotyped by others [3]. The prevalence of stress, anxiety, and depression, because of the pandemic in
{"title":"Impact of COVID-19 on Assertive Community Treatment (ACT) from March 2020 to February 2021 in Bronx, NY","authors":"Motamedi Neda, G. Sasidhar, Tabor Ellen, Chen Louisa, Acevedo Alexis","doi":"10.36959/547/650","DOIUrl":"https://doi.org/10.36959/547/650","url":null,"abstract":"Introduction: Patients with serious mental illnesses (SMI) have higher rates of metabolic illnesses, cardiovascular and respiratory disease, as well as social deficiencies such as poor housing, and limited support systems. This makes them vulnerable to relapses, symptom exacerbations, and a wide range of negative health and psychosocial outcomes especially during the COVID-19 pandemic. However, having appropriate strategies to address their needs and adequate accessibility to mental and medical health care services, can decrease the rate of psychiatrically/psychological and medical decomposition and save their life. The outreach to the patient with SMI during the pandemic was very challenging. Assertive Community Treatment (ACT) is an evidenced-based practice that offers treatment, rehabilitation, and support services to individuals that have been diagnosed with SMI. The Covid-19 pandemic caused an increase in the difficulty of accessing to ACT services as well. The current study evaluates the impact of COVID-19 on ACT services from March 2020 to February 2021 in NYC. Our aim is to make recommendations that would develop some interventions and action plans to improve ACT services during crisis. Method: This is a retrospective study on patients who are followed by Bronx ACT team affiliated with the Institute for Community Living (ICL) in NYC from March 2019 to February 2021. The study compared the number of hospitalizations and the number of visits in March 2019February 2020 (pre-Covid-19 period) to March 2020February 2021(Covid-19 period). Data analyzed with SPSS. Result: 68 patients were included in the study. A total of 311 hospitalizations registered. 189 from March 2019 to February 2020 and 129 from March 2021 to February 2021 which shown statistically meaningful decrease (P-value 0.026). A total 7968 Visits registered. 4201, from March 2019 to February 2020, 100% in person visit and 3767 from March 2021 to February 2021, 51% tele-visit and 49% in person visits, Which is statistically not meaningful (PV > 0.05). Discussion/Conclusion: Our study demonstrated that if essential services are defined and maintained while promoting staff resilience and wellness, along with giving psycho-education to patients and their family members, the rate of hospitalization in SMI patients during the Covid-19 pandemic can be reduced and these patients can remain healthy in the community. It’s also important to reiterate that Tele-health played a critical role to provide ACT services while lowering the patients and the healthcare-providers’ risk of Covid-19 infection. Check for updates wide range of psychological outcomes has been observed during the virus outbreak, at individual, community, national, and international levels. Specifically, at the individual level, people are also likely to experience fear of getting sick or dying, feeling helpless, and being stereotyped by others [3]. The prevalence of stress, anxiety, and depression, because of the pandemic in","PeriodicalId":93521,"journal":{"name":"Archives of community medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84603810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronavirus disease 2019 (COVID-19) has produced a dramatic change in the practice of general medicine (GM). Many of the aspects that were taken for granted in it have been profoundly altered. The most spectacular change has to do with telecare/telehealth: Remote consultations without the physical presence of the patient, which account for 80% of the total and which in all probability will be permanent. This situation affects the basic principles or tools of GM, especially the doctor-patient relationship that seems to disappear and consequently to crumble the practice. However, this article proposes another opposite view: The basic principles of GM doctor-patient relationship, continuity of care, contextualization and comprehensiveness are interwoven. In this way, even accepting the weakening of the doctorpatient relationship, the changes in the practice based on telecare may mean a reinforcement of the continuity of care, contextualization and comprehensiveness. What makes GM so effective and efficient is not the doctor-patient relationship in isolation, but the braiding of its set of basic principles/tools. Consequently, the braided group structure achieves a complex pattern that is greatly reinforced, achieving more strength, toughness and resistance to fatigue, suppressing cracks and supporting each other. Changes in the COVID-19 and post-COVID-19 era will greatly strengthen GM.
{"title":"General Medicine in the Time of Coronavirus Disease 2019 (Covid-19) and Beyond: Is it Falling Apart, Changing or Reinforcing? The Theory of the Braid Group","authors":"Turabian Jose Luis","doi":"10.36959/547/643","DOIUrl":"https://doi.org/10.36959/547/643","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) has produced a dramatic change in the practice of general medicine (GM). Many of the aspects that were taken for granted in it have been profoundly altered. The most spectacular change has to do with telecare/telehealth: Remote consultations without the physical presence of the patient, which account for 80% of the total and which in all probability will be permanent. This situation affects the basic principles or tools of GM, especially the doctor-patient relationship that seems to disappear and consequently to crumble the practice. However, this article proposes another opposite view: The basic principles of GM doctor-patient relationship, continuity of care, contextualization and comprehensiveness are interwoven. In this way, even accepting the weakening of the doctorpatient relationship, the changes in the practice based on telecare may mean a reinforcement of the continuity of care, contextualization and comprehensiveness. What makes GM so effective and efficient is not the doctor-patient relationship in isolation, but the braiding of its set of basic principles/tools. Consequently, the braided group structure achieves a complex pattern that is greatly reinforced, achieving more strength, toughness and resistance to fatigue, suppressing cracks and supporting each other. Changes in the COVID-19 and post-COVID-19 era will greatly strengthen GM.","PeriodicalId":93521,"journal":{"name":"Archives of community medicine","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74523836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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