Article Figures & Data
Tables
Demographics (N = 19) %/# Age M 67 years/Range 43 to 93(Median 66) Sex Female 68% (13) Male 32% (6) Ethnicity Hispanic or Latino 5% (1) Not Hispanic or Latino 95% (18) Race Black or African American 11% (2) White 84% (16) Missing 5% (1) CC Model Nursing-Medical 26% (5) Medical-Social 63% (12) Mixed 11% (2) Health System Size Larger ≥10 Clinics 32% (6) Small <10 Clinics 68% (13) Geographic Area Urban 58% (11) Rural 42% (8) Abbreviation: CC, Care Coordination.
Theme/Subtheme (N = 19) %/# Thematic Description 1. Patients reported few to no impacts on their health care services or physical health status 100% (19) Patients thought their clinics went above and beyond to support them and make sure they were getting the care they needed. Most had no significant change in their physical health status during the pandemic. 1a. Some had a dislike of the shift to virtual appointments 32% (6) Patients felt they were not getting the same level of care as an in-person visit and they were less personal. 2. Disconnection and isolation from family friends, and community affect mental health and wellbeing 95% (18) The impact of social distancing had a significant impact on patient’s wellbeing and relationships. They felt lonely and isolated from their family, friends, and important social connections. 2a. There were pandemic related increases in anxiety and depression 63% (13) Disconnection and isolation acted like fuel on the fire for depression and anxiety, significantly impacting those already struggling with these mental health issues. 3. There were little to no pandemic related financial impacts for those on fixed income or government support 79% (15) The majority of patients were retired or receiving government support and their finances were not impacted by the pandemic. 3a. Financial impacts were mainly for care coordination patients still employed 32% (6) Younger patients in care coordination who were still working experienced furloughs and job and wage losses affecting them and their families. 4. Care coordinators provided a significant and reliable source of help, support, and comfort 79% (15) Care coordinators provided ongoing stability, kindness, and support for these patients who described them as a friend, advocate, and trusted advisor.
