The impact of COVID-19 on Australian clinicians' decision making in line with the principles of Choosing Wisely

Article Pharmacology & Pharmacy

Telehealth: A winning weapon to face the COVID-19 outbreak for patients with pulmonary arterial hypertension

Giovanna Manzi et al.

Summary: The COVID-19 pandemic forced a reorganization in healthcare systems, leading to the cancellation of face-to-face visits and the promotion of telemedicine. In the case of patients with rare diseases like PAH, a tailored management strategy based on clinical risk scores was implemented to provide remote monitoring and support. Despite the limitations, telemedicine showed promise and further research is needed to evaluate its benefits in PAH management.

VASCULAR PHARMACOLOGY (2022)

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Article Oncology

Differences in Stakeholders' Perception of the Impact of COVID-19 on Clinical Care and Decision-Making

Joerg Haier et al.

Summary: This study assessed the different perceptions of patients, nurses, and physicians regarding the impact of the pandemic on clinical management, decision-making processes, and burden. The results showed that the extent and perception of the pandemic's impact varied among different stakeholder groups, and there was a dissociated perception towards other stakeholders. Therefore, specific awareness should be raised to avoid the dissociation of impact perception between patients and professionals, which may result in impaired shared decision-making.

CANCERS (2022)

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Article Health Care Sciences & Services

Decision Conflicts in Clinical Care during COVID-19: A Multi-Perspective Inquiry

Joerg Haier et al.

Summary: A study found that healthcare professionals during the early COVID-19 pandemic faced decisional uncertainty and conflicts independent of the actual pandemic load. Individual perception and psychological framework were key factors in decisional dilemmas. Coping and management strategies should focus on addressing vulnerability, helping professionals deal with decisional dilemmas, and providing information and specific support, particularly for younger professionals.

HEALTHCARE (2022)

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Article Health Care Sciences & Services

Physicians' Compliance with COVID-19 Regulations: The Role of Emotions and Trust

Shosh Shahrabani et al.

Summary: This study examines factors associated with physicians' decision making and preventive behavior during the COVID-19 pandemic in Israel. The findings show that higher levels of trust, positive emotions, and threat and risk perceptions were associated with a higher degree of compliance with Ministry of Health guidelines and more careful decision making among physicians.

HEALTHCARE (2022)

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Article Public, Environmental & Occupational Health

How Australian Health Care Services Adapted to Telehealth During the COVID-19 Pandemic: A Survey of Telehealth Professionals

Alan Taylor et al.

Summary: During the pandemic, mechanisms that legitimize practice, build confidence, support relationships, and supply resources have fostered the use of telehealth. The ongoing interaction between telehealth services, contexts, and mechanisms is complex. It remains to be seen whether the adoption of telehealth access during physically separated care will continue post-pandemic.

FRONTIERS IN PUBLIC HEALTH (2021)

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Article Medicine, General & Internal

Impact of wearing personal protective equipment on the performance and decision making of surgeons during the COVID-19 pandemic An observational cross-sectional study

Mosab A. Alarfaj et al.

Summary: The study found that wearing PPE has a negative impact on the comfort, vision, and communication skills of surgeons, but has little effect on their technical skills and decision making. Surgeons tend to favor conservative approaches and open surgeries, suggesting a need for improvements in PPE during lengthy pandemics.

MEDICINE (2021)

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Editorial Material Nursing