Alterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerations

Healthcare delivery and access, both in the United States and globally, were negatively affected during the entirety of the COVID-19 pandemic. This was particularly true during the first year when countries grappled with high rates of illness and implemented non-pharmaceutical interventions such as...

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Main Authors: Jones, J, Lignou, S, Unguru, Y, Sheehan, M, Dunn, M, Seltzer, RR
Format: Journal article
Language:English
Published: Springer 2024
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author Jones, J
Lignou, S
Unguru, Y
Sheehan, M
Dunn, M
Seltzer, RR
author_facet Jones, J
Lignou, S
Unguru, Y
Sheehan, M
Dunn, M
Seltzer, RR
author_sort Jones, J
collection OXFORD
description Healthcare delivery and access, both in the United States and globally, were negatively affected during the entirety of the COVID-19 pandemic. This was particularly true during the first year when countries grappled with high rates of illness and implemented non-pharmaceutical interventions such as stay-at-home orders. Among children with special healthcare needs, research from the United Kingdom (U.K.) has shown that the pandemic response uniquely impacted various aspects of their care, including decreased access to care, delays in diagnosis, and poorer chronic disease control. In response to these findings, and to begin to comprehend whether the concerning findings from the nationalized system of healthcare in the U.K. extend to the highly dissimilar United States (U.S.) healthcare context, we reviewed the literature on alterations in access to and delivery of care during the early stages of the COVID-19 pandemic for children with special healthcare needs in the U.S. We then utilize these findings to consider the ethical and policy considerations of alterations in healthcare provision during pandemics and crisis events in the U.K. and U.S. and make recommendations regarding how the needs of CSHCN should be considered during future responses.
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spelling oxford-uuid:9e8d0dcd-33b2-48f6-911f-b044446206712025-02-18T15:02:05ZAlterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerationsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9e8d0dcd-33b2-48f6-911f-b04444620671EnglishSymplectic ElementsSpringer2024Jones, JLignou, SUnguru, YSheehan, MDunn, MSeltzer, RRHealthcare delivery and access, both in the United States and globally, were negatively affected during the entirety of the COVID-19 pandemic. This was particularly true during the first year when countries grappled with high rates of illness and implemented non-pharmaceutical interventions such as stay-at-home orders. Among children with special healthcare needs, research from the United Kingdom (U.K.) has shown that the pandemic response uniquely impacted various aspects of their care, including decreased access to care, delays in diagnosis, and poorer chronic disease control. In response to these findings, and to begin to comprehend whether the concerning findings from the nationalized system of healthcare in the U.K. extend to the highly dissimilar United States (U.S.) healthcare context, we reviewed the literature on alterations in access to and delivery of care during the early stages of the COVID-19 pandemic for children with special healthcare needs in the U.S. We then utilize these findings to consider the ethical and policy considerations of alterations in healthcare provision during pandemics and crisis events in the U.K. and U.S. and make recommendations regarding how the needs of CSHCN should be considered during future responses.
spellingShingle Jones, J
Lignou, S
Unguru, Y
Sheehan, M
Dunn, M
Seltzer, RR
Alterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerations
title Alterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerations
title_full Alterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerations
title_fullStr Alterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerations
title_full_unstemmed Alterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerations
title_short Alterations in care for children with special healthcare needs during the early COVID-19 pandemic: ethical and policy considerations
title_sort alterations in care for children with special healthcare needs during the early covid 19 pandemic ethical and policy considerations
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