ARTICLE: Rapid Design and Implementation of Post-COVID-19 Clinics
AUTHORS: Lekshmi Santhosh, Brian Block, Soo Yeon Kim, Sarath Raju, Rupal J Shah, Neeta Thakur, Emily Pfeil Brigham, Ann Marie Parker
JOURNAL: Chest. 2021 Aug;160(2):671-677. doi: 10.1016/j.chest.2021.03.044. Epub 2021 Mar 31.
Survivors of COVID-19 are a vulnerable population, with complex needs because of lingering symptoms and complications across multiple organ systems. Those who required hospitalization or intensive care are also at risk for post-hospital syndrome and post-ICU syndromes, with attendant cognitive, psychological, and physical impairments, and high levels of health care utilization. Effective ambulatory care for COVID-19 survivors requires coordination across multiple subspecialties, which can be burdensome if not well coordinated. With growing recognition of these needs, post-COVID-19 clinics are being created across the country. We describe the design and implementation of multidisciplinary post-COVID-19 clinics at two academic health systems, Johns Hopkins and the University of California-San Francisco. We highlight components of the model which should be replicated across sites, while acknowledging opportunities to tailor offerings to the local institutional context. Our goal is to provide a replicable framework for others to create these much-needed care delivery models for survivors of COVID-19.
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