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10.20529/IJME.2020.041 http://scihub22266oqcxt.onion/10.20529/IJME.2020.041 32393447!ä!32393447 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32393447&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Indian+J+Med+Ethics 2020 ; V (2): 103-105 Nephropedia Template TP {{tp|p=32393447|t=2020. Non-communicable disease management in vulnerable patients during Covid-19 |pdf=|usr=}}{{32393447}} gab.com Text Non-communicable disease management in vulnerable patients during Covid-19 JO: Indian J Med Ethics http://www.kidney.de/pget.php?&tw=1&pmid=32393447 #FOAvip It is now well established that non-communicable diseases (NCD), like diabetes mellitus, hypertension,, respiratory and heart disease, particularly among the elderly, increase the susceptibility to COVID-19 disease. Mortality in 60%-90% of the COVID-19 cases is attributed to either one or more of these comorbidities. However, healthcare management for control of COVID-19 involves public health and policy decisions that may critically undermine the existing health needs of the most vulnerable NCD patients. Temporary closure of outpatient health facilities in some secondary and tertiary care hospitals have deprived millions of NCD patients of their regular medication and diagnostic health needs. The lack of robust primary healthcare facilities in most states, and the failure to maintain physical distancing norms due to inadequate infrastructure is also problematic. In the absence of effective public health interventions, socioeconomically vulnerable patients are likely to become non-adherent increasing manifold their risk of disease complications. In this context, the feasibility of dispensing longer than usual drug refills for chronic NCD conditions at functional government health facilities, home delivery of essential drugs, running dedicated NCD clinics at PHCs, and utilisation of telemedicine opportunities for care and support to patients warrant aggressive exploration. Keywords: Covid-19, NCDs, Medical ethics, epidemic, India. Twit Text FOAVip Non-communicable disease management in vulnerable patients during Covid-19 ????Indian J Med Ethics http://www.kidney.de/pget.php?&tw=1&pmid=32393447 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32393447 #FOAvip English Wikipedia <ref>{{Cite pmid|32393447}}</ref> Non-communicable disease management in vulnerable patients during Covid-19 #MMPMID32393447 Basu S Indian J Med Ethics 2020[Apr]; V (2): 103-105 PMID32393447show ga It is now well established that non-communicable diseases (NCD), like diabetes mellitus, hypertension,, respiratory and heart disease, particularly among the elderly, increase the susceptibility to COVID-19 disease. Mortality in 60%-90% of the COVID-19 cases is attributed to either one or more of these comorbidities. However, healthcare management for control of COVID-19 involves public health and policy decisions that may critically undermine the existing health needs of the most vulnerable NCD patients. Temporary closure of outpatient health facilities in some secondary and tertiary care hospitals have deprived millions of NCD patients of their regular medication and diagnostic health needs. The lack of robust primary healthcare facilities in most states, and the failure to maintain physical distancing norms due to inadequate infrastructure is also problematic. In the absence of effective public health interventions, socioeconomically vulnerable patients are likely to become non-adherent increasing manifold their risk of disease complications. In this context, the feasibility of dispensing longer than usual drug refills for chronic NCD conditions at functional government health facilities, home delivery of essential drugs, running dedicated NCD clinics at PHCs, and utilisation of telemedicine opportunities for care and support to patients warrant aggressive exploration. Keywords: Covid-19, NCDs, Medical ethics, epidemic, India. |*Coronavirus Infections/epidemiology[MESH] |*Delivery of Health Care[MESH] |*Health Services Accessibility/ethics[MESH] |*Noncommunicable Diseases/therapy[MESH] |*Pandemics[MESH] |*Pneumonia, Viral/epidemiology[MESH] |*Vulnerable Populations[MESH] |Ambulatory Care Facilities[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Health Services Needs and Demand[MESH] |Humans[MESH] |India/epidemiology[MESH] |Primary Health Care[MESH] |SARS-CoV-2[MESH]Non-communicable disease management in vulnerable patients during Covi(epmc).pdf DeepDyve Pubget Overpricing