Official websites use. Share sensitive information only on official, secure websites. Corresponding author Dr Christa Scheidt-Nave, Robert Koch Institute, Department of Epidemiology and Health Monitoring, General-Pape-Str. This work is licensed under a Creative Commons Attribution 4. The COVID 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 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. To contain the spread of SARS-CoV-2 infections and prevent overburdening the health care system, Germany, among other countries, implemented a set of non-pharmaceutical interventions NPI beginning in mid-March These included, on the one hand, measures to reduce physical contact and recommendations for social distancing [ 1 ]. On the other hand, adjustments to all areas of medical care were introduced. For example, inpatient treatment capacity, especially intensive care capacity chronic illness and dating COVID patients, was expanded and elective postponable surgery at all hospitals was postponed until further notice [ 2 ]. Results of international studies suggest that treatment figures for people with common noncommunicable diseases have decreased during the COVID pandemic in many countries, at least temporarily. The reasons for this are manifold. Restrictions on the availability of care seem to have played as large a role as chronic illness and dating a reluctance of patients to utilize services [ 3—8 ]. This article reviews changes in the health care situation of patients with selected noncommunicable diseases in Germany between the beginning of March and mid-June All these diseases require continuous and quality-assured care, some within the framework of structured disease management programmes DMPs. In addition, study data show that patients with diabetes, cardiovascular diseases and some cancers may be at increased risk of developing severe symptoms in the course of a COVID infection [ 10—13 ]. The following questions should be answered: 1 How have availability and utilisation of health care services changed for these groups of chronically ill people in Germany following the introduction of NPIs to control the spread of SARS-CoV-2? On the basis of this review, we will identify areas where there are obvious gaps in the available evidence and in which new questions arise that require continued and more in-depth work. This form of systematic review serves to gain an overview of the state of knowledge in complex subject areas. Once the research question has been formulated, a systematic literature search is carried out and a tabular presentation and description of the identified study types, central concepts and results is prepared. To include commentaries from stakeholders, grey literature non-publisher-bound publications and opinions of experts [ 1516 ], an additional keyword search in Google and Google Scholar and on the websites of selected organisations was carried out, and sources cited in reference lists were taken into account. Our search covered the period from 1 March to 19 June for Google Scholar from on with a focus on publications pertaining to cancer, cardiovascular diseases, diabetes mellitus and mental disorders. For each of the four subject areas considered, the electronic PubMed literature database was systematically searched with four different search queries in English the search strings used are available on request from the chronic illness and dating author. In order to ensure the greatest possible congruence in the topic-specific search, all search queries contained a core of combined search terms for SARS-CoV-2 and COVID This core was linked with further combinations of search terms specific to the respective disease groups. Simpler combinations of chronic illness and dating terms were used for the additional searches in Google and Google Scholar and for searches on the websites of relevant professional societies, professional associations and patient organisations. The literature searches were stratified by disease group and carried out by at least one person per group. At least two co-authors were involved in screening and selecting the literature search results for each disease group. Unclear or conflicting screening decisions were discussed, and consensus was reached among the co-authors involved. All German- and English-language contributions relating to the health care of patients with cancer, cardiovascular diseases, diabetes mellitus or mental disorders in Germany were included. Contributions that related exclusively to cancer screening examinations or to persons in outpatient home nursing care or long-term residential care were excluded. The included sources were stratified by disease area, and essential information was extracted and tabulated using a predefined matrix.
Would You Date a Person with Chronic Illness?
Advice for Students with a Disability and/or Chronic Illness: Studierendenwerk München Oberbayern Though already the basis for calls to. If obese individuals with chronic diseases live longer, should we start advising them to gain rather than lose weight? chronic illness is a very hard and often impossible for other people. They might blame me for wasting their time. They may not believe in me. Would You Date A Person With Chronic Illness? | Chronic illness, Chronic, Chronic illness awarenessExperiences of a prostate cancer centre regarding changes to care since the start of the pandemic, including occupancy of intensive care beds, screening of patients before surgery. The following questions should be answered: 1 How have availability and utilisation of health care services changed for these groups of chronically ill people in Germany following the introduction of NPIs to control the spread of SARS-CoV-2? The conditions and structure of this selection bias are presented in the Table and Figure. The author courageously steps out of her comfort zone with authenticity and vulnerability. Add to an existing collection. Twenty years ago, a doctor told Kira Lynne that she would never be able to have an intimate relationship due to her chronic health conditions.
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They might blame me for wasting their time. dating, and. Though already the basis for calls to. They may not believe in me. Popular blogger Ilana Jacqueline offers smart and savvy advice, humor, and practical tips for living with an invisible chronic illness. If obese individuals with chronic diseases live longer, should we start advising them to gain rather than lose weight? What we offer: information on studying with a disability; help and support with organising your studies; information on possible ways of financing your studies. chronic illness is a very hard and often impossible for other people.Recommendations to suspend compulsory patient training and medical examinations in the context of disease management programmes temporary special arrangement. Find articles by Markus A Busch. The health care situation for people with mental disorders cannot yet be fully assessed. Consistently fewer emergency treatments than in previous years were also observed for patients with minor stroke or transient ischaemic attack TIA. Survey of institutions on the decrease in the proportion of outpatients; no decrease in the treatment of malignant neoplasms. Analysis of inpatient data showed a decrease in heart attacks without ECC changes NSTEMI in the period 21 March to 20 April compared to the figures for the years to with an incidence rate ratio IRR of 0. ZVAB Zentrales Verzeichnis Antiquarischer Bücher und mehr. Should we conclude that there are individuals who benefit from being obese? German Association for Psychiatry, Psychotherapy and Psychosomatics DGPPN. For personal consultations, please arrange an appointment. Experiences of a prostate cancer centre regarding changes to care since the start of the pandemic, including occupancy of intensive care beds, screening of patients before surgery. Add to an existing collection. I loved this book! Add to Collections. Findings included an increase in telemedicine services, postponement of surgical procedures, infection monitoring, restricted access to care facilities for accompanying persons and visitors. Unfortunately, a follow-up observational study comparing weight gain vs. Fundraising Studentenhilfe München e. Aches, Pains, and Love addresses that need with wisdom, compassion, and humour. Suppose we find a lower incidence of mortality among those who were obese than among those with normal weight at baseline. International Society of Geriatric Oncology participating institution in Germany: Heidelberg University Hospital. Learn more: PMC Disclaimer PMC Copyright Notice. She has gone to great lengths to expose very personal experiences so that we may gain insight on and a directory for coping with extremely daunting life changes - usually for the worst - and gives us hope for a better existence. Mehr Informationen über diesen Autor Weniger Informationen über diesen Autor. Well written and funny, a quick read! For example, in the period from January to May , the proportion of emergency hospital admissions was higher for the first time than the proportion of non-emergency admissions, and the number of less urgent treatments decreased more than more urgent ones [ 80 ]. Just so deeply honest and with real humour that it was hard to put down. Vorherige Folie der Produktdetails. In addition, the changes made by the Federal Joint Committee G-BA to the DMP requirements guideline were particularly important for the treatment of patients with cardiac insufficiency or diabetes. According to the German Society of Cardiology DGK , the call to postpone elective operations resulted in a significantly lower number of heart operations carried out overall, including the number of more urgent elective operations that should normally have been carried out within 30 days [ 31 ]. Brief content visible, double tap to read full content. International Students accommodation for international students. All other authors declare none.
