Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review

This paper provides an overview of the evidence around how the health systems and policy response to the Covid-19 pandemic affected children with long-term conditions in the UK. We conducted a scoping review guided by the PRISMA-ScR Checklist. The PubMed and PsycINFO databases (2019-August 2021) wer...

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Main Authors: Sapfo Lignou PhD, Jenny Greenwood MSc, Mark Sheehan PhD, Ingrid Wolfe PhD
Format: Article
Language:English
Published: SAGE Publishing 2022-02-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580221081445
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author Sapfo Lignou PhD
Jenny Greenwood MSc
Mark Sheehan PhD
Ingrid Wolfe PhD
author_facet Sapfo Lignou PhD
Jenny Greenwood MSc
Mark Sheehan PhD
Ingrid Wolfe PhD
author_sort Sapfo Lignou PhD
collection DOAJ
description This paper provides an overview of the evidence around how the health systems and policy response to the Covid-19 pandemic affected children with long-term conditions in the UK. We conducted a scoping review guided by the PRISMA-ScR Checklist. The PubMed and PsycINFO databases (2019-August 2021) were searched and screened for papers (of any design) by 2 reviewers independently. The electronic database search was supplemented by manual searching. A total of 32 papers were identified, including studies on UK paediatric populations, studies on chronic illness in the UK, and international studies on chronic illness and children (including data from the UK). Most studies focussed on epilepsy, cancer, diabetes or asthma. Three categories of impact were identified: ( a ) impact of policy response on the delivery of and access to child healthcare ( b ) impact of innovative practice on children’s physical and mental health ( c ) impact of service restrictions on children’s physical health. Our results showed that policy response to the pandemic significantly affected healthcare provision for children with chronic illness in the UK. However, the specific assessment of the impact of service restrictions and innovative practice on children’s health and wellbeing is limited. Future research is required to fill knowledge gaps on changes in access to effective diagnostic and treatment investigations and their impact on a range of paediatric patients during the pandemic.
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spelling doaj.art-bf72585123e8482d857001e9d04aab852022-12-22T02:39:35ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432022-02-015910.1177/00469580221081445Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping ReviewSapfo Lignou PhDJenny Greenwood MScMark Sheehan PhDIngrid Wolfe PhDThis paper provides an overview of the evidence around how the health systems and policy response to the Covid-19 pandemic affected children with long-term conditions in the UK. We conducted a scoping review guided by the PRISMA-ScR Checklist. The PubMed and PsycINFO databases (2019-August 2021) were searched and screened for papers (of any design) by 2 reviewers independently. The electronic database search was supplemented by manual searching. A total of 32 papers were identified, including studies on UK paediatric populations, studies on chronic illness in the UK, and international studies on chronic illness and children (including data from the UK). Most studies focussed on epilepsy, cancer, diabetes or asthma. Three categories of impact were identified: ( a ) impact of policy response on the delivery of and access to child healthcare ( b ) impact of innovative practice on children’s physical and mental health ( c ) impact of service restrictions on children’s physical health. Our results showed that policy response to the pandemic significantly affected healthcare provision for children with chronic illness in the UK. However, the specific assessment of the impact of service restrictions and innovative practice on children’s health and wellbeing is limited. Future research is required to fill knowledge gaps on changes in access to effective diagnostic and treatment investigations and their impact on a range of paediatric patients during the pandemic.https://doi.org/10.1177/00469580221081445
spellingShingle Sapfo Lignou PhD
Jenny Greenwood MSc
Mark Sheehan PhD
Ingrid Wolfe PhD
Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review
title_full Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review
title_fullStr Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review
title_full_unstemmed Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review
title_short Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review
title_sort changes in healthcare provision during covid 19 and their impact on children with chronic illness a scoping review
url https://doi.org/10.1177/00469580221081445
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