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Cited by 8Chronic Obstructive Pulmonary Disease (COPD) ResearchCOVID-19 and healthcare impactsPrimary Care and Health Outcomes

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Impact of COVID-19 primary healthcare service restrictions on patients with chronic obstructive pulmonary disease in Cape Town, South Africa

Open access
Farrant, L, Harding, R, Nkhoma, K, Mzimkulu, O, Hunter, J, Gwyther, L·2022·South African Medical Journal
DOI 10.7196/samj.2022.v112i9.16385
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Abstract

Background. Patients with chronic obstructive pulmonary disease (COPD) typically experience multidimensional symptoms throughout the course of their disease, with burdensome physical symptoms, social isolation, and additional psychological suffering. COVID-19 lockdown resulted in restrictions on chronic care delivery at primary healthcare (PHC) facilities, and it is not known what the care experiences of patients with COPD were during this time.Objectives. To describe patient experiences of the impact of the lockdown on their needs and their experiences of the primary care received for their COPD.Methods. The data reported in this paper are from a cohort of 49 patients with COPD receiving primary care, recruited in February and March 2020, before recruitment was paused for COVID-19 lockdown, for a feasibility stepped-wedge hybrid type II design randomised controlled trial of integrated person-centred palliative care in primary care for patients with COPD in Cape Town, South Africa. Data are open-text responses from participants who responded to a single question on a validated measure of primary care consultation empathy (CARE), and describe patient experiences of the impact of the lockdown on the primary care received for their COPD, prior to crossover to trial intervention.Results. Thirty-two patients with COPD gave between 1 and 9 responses each to the open-ended question between March and December 2020. The average age of the participants was 58.6 years, and 53.1% (n=17) were female. Inductive analysis of the open-text data identified four main themes. Participants described decreased access to chronic care and a desire for more person-centred care in interactions with healthcare professionals. The socioeconomic ramifications of the COVID-19 lockdown added to the burden they experienced.Conclusion. The COVID-19 lockdown PHC service restrictions caused a disruption to the continuity of care for patients with COPD, with associated worry, anxiety and disappointment. Medication access was largely supported by the home delivery of chronic medication. We suggest that there are opportunities for providing more sustained support for patients with COPD through referrals to community health workers, and also through telephonic patient follow-up by primary care teams

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Research works printed but not linked: 30

  1. Adeloye D, Chua S, Lee C, et al. Global and regional estimates of COPD prevalence: Systematic review and meta-analysis. J Glob Health 2015;5(2):020415. https://doi.org/10.7189/jogh.05-020415 · DOI
  2. AllwoodB,vanZyl-SmitRN.ChronicobstructivepulmonarydiseaseinSouthAfrica:Under-recognised and undertreated. S Afr Med J 2015;105(9):785-785. https://doi.org/10.7196/SAMJnew.8429 · DOI
  3. Carkeek EC. The burden of chronic respiratory disease in the Western Cape. MPH dissertation. Cape Town: University of Cape Town, 2018. http://hdl.handle.net/11427/29663 (accessed 26 December 2021).
  4. Pearson M, Ayres JG, Sarno M, Massey D, Price D. Diagnosis of airway obstruction in primary care in the UK: The CADRE (COPD and Asthma Diagnostic/management REassessment) programme 1997 - 2001. Int J Chron Obstruct Pulmon Dis 2006;1(4):435-443. https://doi.org/10.2147/copd.2006.1.4.435 · DOI
  5. Hill K, Goldstein RS, Guyatt GH, et al. Prevalence and underdiagnosis of chronic obstructive pulmonary disease among patients at risk in primary care. Can Med Assoc J 2010;182(7):673-678. https://doi. org/10.1503/cmaj.091784 · DOI
  6. CasasHerreraA,MontesdeOcaM,LopezVarelaMV,etal.COPDunderdiagnosisandmisdiagnosisina high-risk primary care population in four Latin American countries: A key to enhance disease diagnosis: The PUMA study. PLoS ONE 2016;11(4):e0152266. https://doi.org/10.1371/journal.pone.0152266 · DOI
  7. Jithoo A. Respiratory symptoms and chronic obstructive pulmonary disease: Prevalence and risk factors in a predominantly low-income urban area of Cape Town, South Africa. PhD thesis. Cape Town: University of Cape Town, 2006. http://hdl.handle.net/11427/8913 (accessed 26 December 2021).
  8. KokturkN,AbuharbidW,AlbannaAS,etal.Across-sectionalstudyinpatientswithsevereCOPDtoassess the perception of symptom variability (COPVAR) in the Middle East and Africa. Int J Chron Obstruct Pulmon Dis 2019;14:2959-2970. https://doi.org/10.2147/COPD.S215859 · DOI
  9. SuissaS,Dell’AnielloS,ErnstP.Long-termnaturalhistoryofchronicobstructivepulmonarydisease:Severe exacerbations and mortality. Thorax 2012;67(11):957-963. https://doi.org/10.1136/thoraxjnl-2011-201518 11. Sepúlveda CM, Marlin A, Yoshida T, Ullrich A. Palliative care: The World Health Organization’s perspective. J Pain Symptom Manage 2002;24(2):91-96. https://doi.org/10.1016/s0885-3924(02)00440-2 · DOI
  10. patients: A 14-country study using death certificate data. NPJ Prim Care Respir Med 2017;27(1):14. https://
  11. doi.org/10.1038/s41533-017-0017-y · DOI
  12. Beernaert K, Cohen J, Deliens L, et al. Referral to palliative care in COPD and other chronic diseases: A population-based study. Respir Med 2013;107(11):1731-1739. https://doi.org/10.1016/j.rmed.2013.06.003 · DOI
  13. AllwoodB,CalligaroG.Pathogenesisofchronicobstructivepulmonarydisease:AnAfricanperspective.S Afr Med J 2015;105(9):789-792. https://doi.org/10.7196/SAMJnew.8424 · DOI
  14. South African Government. Regulations and Guidelines – Coronavirus COVID-19. (2020, 2021). https:// www.gov.za/covid-19/resources/regulations-and-guidelines-coronavirus-covid-19 (accessed 29 July 2021). 19. Filby S, van der Zee K, van Walbeek C. The temporary ban on tobacco sales in South Africa: Lessons for endgame strategies. Tob Control 2021 (epub 20 January 2021). https://doi.org/10.1136/tobaccocontrol-2020-056209 · DOI
  15. Saieva P, Jenkins LS. When people do not ‘Zol’: Reduced emergency centre attendance of patients with chronic obstructive pulmonary disease during coronavirus disease 2019 lockdown with the accompanying tobacco sales ban in South Africa. Afr J Prim Health Care Fam Med 2021;13(1):2750. https://doi. org/10.4102/phcfm.v13i1.2750 · DOI
  16. Pillay Y, Pienaar S, Barron P, et al. Impact of COVID-19 on routine primary healthcare services in South Africa. S Afr Med J 2021;111(8):714-719. https://doi.org/10.7196/SAMJ.2021.v111i8.15786 · DOI
  17. SewardN,MurdochJ,HanlonC,etal.Implementationscienceprotocolforaparticipatory,theory-informed implementation research programme in the context of health system strengthening in sub-Saharan Africa (ASSET-ImplementER). BMJ Open 2021;11(7):e048742. https://doi.org/10.1136/bmjopen-2021-048742 · DOI
  18. Mercer SW, Maxwell M, Heaney D, et al. The Consultation and Relational Empathy (CARE) measure: Development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract 2004;21(6):699-705. https://doi.org/10.1093/fampra/cmh621 · DOI · Paper page
  19. Cornick R, Picken S, Wattrus C, et al. The Practical Approach to Care Kit (PACK) guide: Developing a clinical decision support tool to simplify, standardise and strengthen primary healthcare delivery. BMJ Glob Health 2018;3(Suppl 5):e000962. https://doi.org/10.1136/bmjgh-2018-000962 · DOI · Paper page
  20. HighetG,CrawfordD,MurraySA,BoydK.DevelopmentandevaluationoftheSupportiveandPalliative Care Indicators Tool (SPICT): A mixed-methods study. BMJ Support Palliat Care 2014;4(3):285-290. https://doi.org/10.1136/bmjspcare-2013-000488 · DOI
  21. Boyd K, Murray SA. Recognising and managing key transitions in end of life care. BMJ 2010;341:c4863. · DOI
  22. https://doi.org/10.1136/bmj.c4863 · DOI
  23. Mercer SW, McConnachie A, Maxwell M, et al. Relevance and practical use of the Consultation and Relational Empathy (CARE) measure in general practice. Fam Pract 2005;22(3):328-334. https://doi.org/10.1093/fampra/cmh730 · DOI
  24. O’Cathain A, Thomas KJ. ‘Any other comments?’ Open questions on questionnaires – a bane or a bonus to research? BMC Med Res Methodol 2004;4:25. https://doi.org/10.1186/1471-2288-4-25 · DOI
  25. HarrisPA,TaylorR,ThielkeR,PayneJ,GonzalezN,CondeJG.Researchelectronicdatacapture(REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42(2):377-381. https://doi.org/10.1016/j.jbi.2008.08.010 · DOI · Paper page
  26. Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform 2019;95:103208. https://doi.org/10.1016/j.jbi.2019.103208 32. Kiger ME, Varpio L. Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach 2020;42(8):846-854. https://doi.org/10.1080/0142159X.2020.1755030 · DOI · Paper page
  27. analyses for Scotland and Wales. BMC Med 2021;19(1):124. https://doi.org/10.1186/s12916-021-02000-w 34. GonzalezJ,Moncusi-MoixA,BenitezID,etal.ClinicalconsequencesofCOVID-19lockdowninpatients with COPD: Results of a pre-post study in Spain. Chest 2021;160(1):135-138.. https://doi.org/10.1016/j.chest.2020.12.057 · DOI
  28. Faria N, Costa MI, Gomes J, Sucena M. Reduction of servere exacerbations of COPD during COVID-19 pandemic in Portugal: A protective role of face masks? COPD 2021;18(2):226-230. https://doi.org/10.108 0/15412555.2021.1904387 · DOI
  29. Pedrozo-Pupo JC, Campo-Arias A. Depression, perceived stress related to COVID, post-traumatic stress, and insomnia among asthma and COPD patients during the COVID-19 pandemic. Chron Respir Dis 2020;17:1479973120962800. https://doi.org/10.1177/1479973120962800 · DOI
  30. Pleguezuelos E, del Carmen A, Moreno E, et al. The experience of COPD patients in lockdown due to the COVID-19 pandemic. Int J Chron Obstruct Pulmon Dis 2020;15:2621-2627. https://doi.org/10.2147/ COPD.S268421 · DOI

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Metadata

Authors
Farrant, L., Harding, R., Nkhoma, K., Mzimkulu, O., Hunter, J., & Gwyther, L.
Affiliations
  • University of Cape Town (ZA)
  • King's College London (GB)
ORCID
Venue
South African Medical Journal
Publisher
South African Medical Association NPC
Published
2022-08-30
Volume
112
Issue
9
Pages
760-764
ISSN
  • 0256-9574 (ISSN-L)
  • 2078-5135
DOI
10.7196/samj.2022.v112i9.16385
OpenAlex
W4293773459
Cited by
8
References
3
Citations by year
2026: 3 · 2025: 1 · 2024: 4
FWCI
0.81
Type
journal article
Language
en
Open access
Licence
Locations
  • South African Medical Journal (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Research Portal (King's College London) (submittedVersion, other-oa)
Funders
  • National Institute for Health and Care Research (16/136/54, GHRU 16/136/54)
  • King's College London (GHRU 16/136/54)
  • South African Medical Research Council
  • Medical Research Council
  • Division of Research Capacity Development
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords
chronic obstructive pulmonary disease, COVID-19 lockdown, patient experience, continuity of care, person-centred care, socioeconomic burden, home medication delivery, community health workers, telephone follow-up, Cape Town
MeSH terms
COVID-19, Communicable Disease Control, Female, Health Services Accessibility, Humans, Male, Middle Aged, Primary Health Care, Quality of Life, South Africa, Pulmonary Disease, Chronic Obstructive

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