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COVID-19: maintaining essential rehabilitation services across the care continuum

2020; BMJ; Volume: 5; Issue: 5 Linguagem: Inglês

10.1136/bmjgh-2020-002670

2059-7908

Janet Prvu Bettger, Andrea Thoumi, Victoria Marquevich, Wouter De Groote, Linamara Rizzo Battistella, Marta Imamura, Vinícius Delgado Ramos, Ninie Wang, Karsten E Dreinhoefer, Ariane Mangar, Dorcas B C Ghandi, Yee Sien Ng, Kheng Hock Lee, John Tan Wei Ming, Yong‐Hao Pua, Marco Inzitari, Blandina T. Mmbaga, Mathew J. Shayo, Darren A. Brown, Marissa Carvalho, Mooyeon Oh‐Park, Joel Stein,

COVID-19 and healthcare impacts

► Rehabilitation services are essential: They need to continue during a pandemic and after as they are an essential component of high-value care offered for individuals across the lifespan to optimise physical and cognitive functioning to reduce disability.► Rehabilitation care is affected: Globally, the response to COVID-19 is shifting rehabilitation services provided in all settings, introducing new burden on patients, families and healthcare workers.► Measurement needed: A core set of measures needs to be adopted to monitor the health and functional outcomes for COVID-19 and other patients at risk for functional decline and to assess the quality, availability and accessibility of services today and as our nations recover.► Telerehabilitation is necessary: Remote delivery of care and the necessary rapid scale-up of telehealth could be optimised if financial, infrastructure, resource, training and cybersecurity barriers were addressed.► Collaboration can support needs in the home: Novel partnerships that include the rehabilitation community could enhance communication and delivery of safe and effective home-based rehabilitative strategies to mitigate the consequences of COVID-19 and reduced service capacity.► Direct care providers need personal protective equipment: Rehabilitation providers in all settings should be ensured personal protective equipment and training to use it effectively.