Care for the chronically ill in Germany – The challenges during the COVID-19 pandemic
The COVID-19 pandemic is posing major challenges to the health care sector. This scoping review compiles evidence concerning changes to health care service availability and utilisation as well as possible impacts on health for selected groups of chronically ill people in Germany. The focus is on can...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | deu |
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Robert Koch Institute
2021-02-01
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| Series: | Journal of Health Monitoring |
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| Online Access: | https://www.rki.de/EN/Content/Health_Monitoring/Health_Reporting/GBEDownloadsJ/JoHM_S10_2020_Health_Care_Chronically_Ill_COVID_19.pdf?__blob=publicationFile |
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| author | Christa Scheidt-Nave Benjamin Barnes Ann-Kristin Beyer Markus A. Busch Ulfert Hapke Christin Heidemann Maren Imhoff Rebekka Mumm Rebecca Paprott Henriette Steppuhn Petra von Berenberg-Gossler Klaus Kraywinkel |
| author_facet | Christa Scheidt-Nave Benjamin Barnes Ann-Kristin Beyer Markus A. Busch Ulfert Hapke Christin Heidemann Maren Imhoff Rebekka Mumm Rebecca Paprott Henriette Steppuhn Petra von Berenberg-Gossler Klaus Kraywinkel |
| author_sort | Christa Scheidt-Nave |
| collection | DOAJ |
| description | The COVID-19 pandemic is posing major challenges to the health care sector. This scoping review compiles evidence concerning changes to health care service availability and utilisation as well as possible impacts on health for selected groups of chronically ill people in Germany. The focus is on cancer, cardiovascular diseases, diabetes mellitus and mental disorders. Most empirical data available concerned inpatient care and showed a clear decline in the utilisation of inpatient treatments in March and April 2020 in the areas of oncology and cardiology as well as in mental health. For cardiovascular emergencies such as heart attack and stroke, a decline was observed especially regarding less serious cases. Although there were indications of treatment delays, there was no evidence thus far that emergency care had been generally compromised due to adjustments to inpatient care capacities. In the outpatient setting, extensive adjustments to health care services availability were observed for all disease groups considered. Overall, very limited empirical data were available. In particular, hardly any data were available on how changes in care impacted population health. There is an urgent need for continuous surveillance and evaluation based on health care and epidemiological data. |
| first_indexed | 2024-03-07T23:20:15Z |
| format | Article |
| id | doaj.art-bc7c999b916449f1a0ecf31d4985eed8 |
| institution | Directory Open Access Journal |
| issn | 2511-2708 |
| language | deu |
| last_indexed | 2024-04-24T14:11:15Z |
| publishDate | 2021-02-01 |
| publisher | Robert Koch Institute |
| record_format | Article |
| series | Journal of Health Monitoring |
| spelling | doaj.art-bc7c999b916449f1a0ecf31d4985eed82024-04-03T09:14:49ZdeuRobert Koch InstituteJournal of Health Monitoring2511-27082021-02-015S1022710.25646/7168johm-5-S10-02Care for the chronically ill in Germany – The challenges during the COVID-19 pandemicChrista Scheidt-Nave0Benjamin Barnes1Ann-Kristin Beyer2Markus A. Busch3Ulfert Hapke4Christin Heidemann5Maren Imhoff6Rebekka Mumm7Rebecca Paprott8Henriette Steppuhn9Petra von Berenberg-Gossler10Klaus Kraywinkel11Robert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringRobert Koch Institute, Berlin Department of Epidemiology and Health MonitoringThe COVID-19 pandemic is posing major challenges to the health care sector. This scoping review compiles evidence concerning changes to health care service availability and utilisation as well as possible impacts on health for selected groups of chronically ill people in Germany. The focus is on cancer, cardiovascular diseases, diabetes mellitus and mental disorders. Most empirical data available concerned inpatient care and showed a clear decline in the utilisation of inpatient treatments in March and April 2020 in the areas of oncology and cardiology as well as in mental health. For cardiovascular emergencies such as heart attack and stroke, a decline was observed especially regarding less serious cases. Although there were indications of treatment delays, there was no evidence thus far that emergency care had been generally compromised due to adjustments to inpatient care capacities. In the outpatient setting, extensive adjustments to health care services availability were observed for all disease groups considered. Overall, very limited empirical data were available. In particular, hardly any data were available on how changes in care impacted population health. There is an urgent need for continuous surveillance and evaluation based on health care and epidemiological data.https://www.rki.de/EN/Content/Health_Monitoring/Health_Reporting/GBEDownloadsJ/JoHM_S10_2020_Health_Care_Chronically_Ill_COVID_19.pdf?__blob=publicationFilechronic diseasecarecare uptakehealth consequencescovid-19 pandemicgermany |
| spellingShingle | Christa Scheidt-Nave Benjamin Barnes Ann-Kristin Beyer Markus A. Busch Ulfert Hapke Christin Heidemann Maren Imhoff Rebekka Mumm Rebecca Paprott Henriette Steppuhn Petra von Berenberg-Gossler Klaus Kraywinkel Care for the chronically ill in Germany – The challenges during the COVID-19 pandemic Journal of Health Monitoring chronic disease care care uptake health consequences covid-19 pandemic germany |
| title | Care for the chronically ill in Germany – The challenges during the COVID-19 pandemic |
| title_full | Care for the chronically ill in Germany – The challenges during the COVID-19 pandemic |
| title_fullStr | Care for the chronically ill in Germany – The challenges during the COVID-19 pandemic |
| title_full_unstemmed | Care for the chronically ill in Germany – The challenges during the COVID-19 pandemic |
| title_short | Care for the chronically ill in Germany – The challenges during the COVID-19 pandemic |
| title_sort | care for the chronically ill in germany the challenges during the covid 19 pandemic |
| topic | chronic disease care care uptake health consequences covid-19 pandemic germany |
| url | https://www.rki.de/EN/Content/Health_Monitoring/Health_Reporting/GBEDownloadsJ/JoHM_S10_2020_Health_Care_Chronically_Ill_COVID_19.pdf?__blob=publicationFile |
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