- Title
- Changes to care delivery at nine international pediatric diabetes clinics in response to the COVID-19 global pandemic
- Creator
- Sarteau, Angelica Cristello; Souris, Katherine Janine; Liu, Wei; Malik, Faisal; Pihoker, Catherine; Seid, Michael; Smart, Carmel; Sundberg, Frida; Tandon, Nikhil; Yao, Michael; Headley, Terry; Mayer-Davis, Elizabeth; Wang, Jessica; Ramadan, Amira A.; Addala, Ananta; Bowlby, Deborah; Corathers, Sarah; Forsander, Gun; King, Bruce; Law, Jennifer R.
- Relation
- Pediatric Diabetes Vol. 22, Issue 3, p. 463-468
- Publisher Link
- http://dx.doi.org/10.1111/pedi.13180
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2021
- Description
- Background: Pediatric diabetes clinics around the world rapidly adapted care in response to COVID-19. We explored provider perceptions of care delivery adaptations and challenges for providers and patients across nine international pediatric diabetes clinics. Methods: Providers in a quality improvement collaborative completed a questionnaire about clinic adaptations, including roles, care delivery methods, and provider and patient concerns and challenges. We employed a rapid analysis to identify main themes. Results: Providers described adaptations within multiple domains of care delivery, including provider roles and workload, clinical encounter and team meeting format, care delivery platforms, self-management technology education, and patient-provider data sharing. Providers reported concerns about potential negative impacts on patients from COVID-19 and the clinical adaptations it required, including fears related to telemedicine efficacy, blood glucose and insulin pump/pen data sharing, and delayed care-seeking. Particular concern was expressed about already vulnerable patients. Simultaneously, providers reported 'silver linings' of adaptations that they perceived as having potential to inform care and self-management recommendations going forward, including time-saving clinic processes, telemedicine, lifestyle changes compelled by COVID-19, and improvements to family and clinic staff literacy around data sharing. Conclusions: Providers across diverse clinical settings reported care delivery adaptations in response to COVID-19 - particularly telemedicine processes - created challenges and opportunities to improve care quality and patient health. To develop quality care during COVID-19, providers emphasized the importance of generating evidence about which in-person or telemedicine processes were most beneficial for specific care scenarios, and incorporating the unique care needs of the most vulnerable patients.
- Subject
- COVID-19; pediatrics; quality improvement; qualitative research; type 1 diabetes; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1461882
- Identifier
- uon:46326
- Identifier
- ISSN:1399-543X
- Language
- eng
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