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Challenges of Routine Diabetes Care During Covid-19 Era: A Systematic Search and Narrative Review Publisher Pubmed



Mohseni M1 ; Ahmadi S2 ; Azamiaghdash S3 ; Mousavi Isfahani H4 ; Moosavi A5 ; Fardid M6 ; Etemadi M4 ; Ghazanfari F7
Authors
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Authors Affiliations
  1. 1. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Nursing and Midwifery, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran
  3. 3. Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
  4. 4. Departments of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Health and Community Medicine, Dezful University of Medical Sciences, Dezful, Iran
  6. 6. Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
  7. 7. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Primary Care Diabetes Published:2021


Abstract

Background: The world is facing the current COVID-19 pandemic. The pandemic response is affecting routine health care provision all over the world. We aimed to review the relevant literature and highlight challenges in the provision of routine care for patients with diabetes during the COVID-19 outbreak. Methods: We systematically searched PubMed, ScienceDirect, and Embase databases up till August 13, 2020 and retrieved relevant articles published on difficulties on routine diabetes management during the COVID-19 pandemic. Results: Through our reading of the recent literature discussing the difficulties of routine healthcare provision for patients with diabetes amid the COVID-19 pandemic, we have identified nine themes as follows: lockdown of standard outpatient clinics, decreased inpatient capacity, staff shortage, medicine shortage, unaffordable medicine, delayed care seeking, limited self-care practice, transport difficulties, and undiagnosed cases/events. Conclusion: Diabetes management during lockdown is particularly challenging. This review specified a summary of difficulties of diabetes care during COVID-19 pandemic. Healthcare policy makers as well as healthcare providers could take advantage of the results of this review to mitigate the adverse effect of the crisis on provision of routine care for diabetes as well as other chronic conditions. © 2021
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