PDF(Pubmed)
Abstract：
Objective: To identify gaps among Australian Long COVID support services and guidelines alongside recommendations for future health programs. Methods: Electronic databases and seven government health websites were searched for Long COVID-specific programs or clinics available in Australia as well as international and Australian management guidelines. Results: Five Long COVID specific guidelines and sixteen Australian services were reviewed. The majority of Australian services provided multidisciplinary rehabilitation programs with service models generally consistent with international and national guidelines. Most services included physiotherapists and psychologists. While early investigation at week 4 after contraction of COVID-19 is recommended by the Australian, UK and US guidelines, this was not consistently implemented. Conclusion: Besides Long COVID clinics, future solutions should focus on early identification that can be delivered by General Practitioners and all credentialed allied health professions. Study findings highlight an urgent need for innovative care models that address individual patient needs at an affordable cost. We propose a model that focuses on patient-led self-care with further enhancement via multi-disciplinary care tools.
摘要：
目标：确定澳大利亚LongCOVID支持服务和指南之间的差距，以及对未来健康计划的建议。方法：搜索电子数据库和七个政府健康网站，以查找澳大利亚提供的LongCOVID特定计划或诊所以及国际和澳大利亚管理指南。结果：审查了五项长期COVID特定指南和16项澳大利亚服务。大多数澳大利亚服务机构提供了多学科康复计划，其服务模式通常符合国际和国家准则。大多数服务包括物理治疗师和心理学家。虽然澳大利亚人建议在COVID-19收缩后第4周进行早期调查，英国和美国的指导方针，这没有得到一贯的执行。结论：除了长期的COVID诊所，未来的解决方案应侧重于早期识别，可以由全科医生和所有有资格的专职医疗专业人员提供。研究结果强调了迫切需要以可承受的成本满足个体患者需求的创新护理模式。我们提出了一个模型，侧重于患者主导的自我护理，并通过多学科护理工具进一步增强。
