Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider Perceptions
A novel, complex chronic condition emerged from the COVID-19 pandemic: long COVID. The persistent long COVID symptoms can be multisystem and varied. Effective long COVID management requires multidisciplinary, collaborative models of care, which continue to be developed and refined. Alberta’s provinc...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/12/7/730 |
| _version_ | 1797212587977342976 |
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| author | Kiran Pohar Manhas Sidney Horlick Jacqueline Krysa Katharina Kovacs Burns Katelyn Brehon Celia Laur Elizabeth Papathanassoglou Chester Ho |
| author_facet | Kiran Pohar Manhas Sidney Horlick Jacqueline Krysa Katharina Kovacs Burns Katelyn Brehon Celia Laur Elizabeth Papathanassoglou Chester Ho |
| author_sort | Kiran Pohar Manhas |
| collection | DOAJ |
| description | A novel, complex chronic condition emerged from the COVID-19 pandemic: long COVID. The persistent long COVID symptoms can be multisystem and varied. Effective long COVID management requires multidisciplinary, collaborative models of care, which continue to be developed and refined. Alberta’s provincial health system developed a novel long COVID pathway. We aimed to clarify the perspectives of multidisciplinary healthcare providers on the early implementation of the provincial long COVID pathway, particularly pathway acceptability, adoption, feasibility, and fidelity using Sandelowki’s qualitative description. Provider participants were recruited from eight early-user sites from across the care continuum. Sites represented primary care (n = 4), outpatient rehabilitation (n = 3), and COVID-19 specialty clinics (n = 2). Participants participated in structured or semi-structured virtual interviews (both group and 1:1 were available). Structured interviews sought to clarify context, processes, and pathway use; semi-structured interviews targeted provider perceptions of pathway implementation, including barriers and facilitators. Analysis was guided by Hsieh and Shannon as well as Sandelowski. Across the eight sites that participated, five structured interviews (n = 13 participants) and seven semi-structured interviews (n = 15 participants) were completed. Sites represented primary care (n = 4), outpatient rehabilitation (n = 3), and COVID-19 specialty clinics (n = 2). Qualitative content analysis was used on transcripts and field notes. Provider perceptions of the early implementation outcomes of the provincial long COVID pathway revealed three key themes: process perceptions; awareness of patient educational resources; and challenges of evolving knowledge. |
| first_indexed | 2024-04-24T10:44:46Z |
| format | Article |
| id | doaj.art-a52ed5b7490e4a80bbbf7389b7bc477c |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-04-24T10:44:46Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-a52ed5b7490e4a80bbbf7389b7bc477c2024-04-12T13:18:51ZengMDPI AGHealthcare2227-90322024-03-0112773010.3390/healthcare12070730Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider PerceptionsKiran Pohar Manhas0Sidney Horlick1Jacqueline Krysa2Katharina Kovacs Burns3Katelyn Brehon4Celia Laur5Elizabeth Papathanassoglou6Chester Ho7Neurosciences, Rehabilitation and Vision, Strategic Clinical Network, Alberta Health Services, 10301 Southport Lane SW, Calgary, AB T2W 1S7, CanadaSchool of Public Health, University of Alberta, Edmonton, AB T6G 1C9, CanadaNeurosciences, Rehabilitation and Vision, Strategic Clinical Network, Alberta Health Services, 10301 Southport Lane SW, Calgary, AB T2W 1S7, CanadaSchool of Public Health, University of Alberta, Edmonton, AB T6G 1C9, CanadaFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB T6G 2E1, CanadaWomen’s College Hospital Institute for Health System Solutions and Virtual Care, Toronto, ON M5S 1B2, CanadaNeurosciences, Rehabilitation and Vision, Strategic Clinical Network, Alberta Health Services, 10301 Southport Lane SW, Calgary, AB T2W 1S7, CanadaNeurosciences, Rehabilitation and Vision, Strategic Clinical Network, Alberta Health Services, 10301 Southport Lane SW, Calgary, AB T2W 1S7, CanadaA novel, complex chronic condition emerged from the COVID-19 pandemic: long COVID. The persistent long COVID symptoms can be multisystem and varied. Effective long COVID management requires multidisciplinary, collaborative models of care, which continue to be developed and refined. Alberta’s provincial health system developed a novel long COVID pathway. We aimed to clarify the perspectives of multidisciplinary healthcare providers on the early implementation of the provincial long COVID pathway, particularly pathway acceptability, adoption, feasibility, and fidelity using Sandelowki’s qualitative description. Provider participants were recruited from eight early-user sites from across the care continuum. Sites represented primary care (n = 4), outpatient rehabilitation (n = 3), and COVID-19 specialty clinics (n = 2). Participants participated in structured or semi-structured virtual interviews (both group and 1:1 were available). Structured interviews sought to clarify context, processes, and pathway use; semi-structured interviews targeted provider perceptions of pathway implementation, including barriers and facilitators. Analysis was guided by Hsieh and Shannon as well as Sandelowski. Across the eight sites that participated, five structured interviews (n = 13 participants) and seven semi-structured interviews (n = 15 participants) were completed. Sites represented primary care (n = 4), outpatient rehabilitation (n = 3), and COVID-19 specialty clinics (n = 2). Qualitative content analysis was used on transcripts and field notes. Provider perceptions of the early implementation outcomes of the provincial long COVID pathway revealed three key themes: process perceptions; awareness of patient educational resources; and challenges of evolving knowledge.https://www.mdpi.com/2227-9032/12/7/730long COVIDscreeningservice navigationself-managementimplementationqualitative |
| spellingShingle | Kiran Pohar Manhas Sidney Horlick Jacqueline Krysa Katharina Kovacs Burns Katelyn Brehon Celia Laur Elizabeth Papathanassoglou Chester Ho Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider Perceptions Healthcare long COVID screening service navigation self-management implementation qualitative |
| title | Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider Perceptions |
| title_full | Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider Perceptions |
| title_fullStr | Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider Perceptions |
| title_full_unstemmed | Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider Perceptions |
| title_short | Implementation of a Provincial Long COVID Care Pathway in Alberta, Canada: Provider Perceptions |
| title_sort | implementation of a provincial long covid care pathway in alberta canada provider perceptions |
| topic | long COVID screening service navigation self-management implementation qualitative |
| url | https://www.mdpi.com/2227-9032/12/7/730 |
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