LOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS (LOCOMOTION): protocol for a mixed-methods study in the UK
IntroductionLong COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, includin...
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Published in | BMJ open Vol. 12; no. 5; p. e063505 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
British Medical Journal Publishing Group
17.05.2022
BMJ Publishing Group LTD BMJ Publishing Group |
Series | Protocol |
Subjects | |
Online Access | Get full text |
ISSN | 2044-6055 2044-6055 |
DOI | 10.1136/bmjopen-2022-063505 |
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Abstract | IntroductionLong COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, including improving access, reducing inequalities, helping self-management and providing guidance and decision support for primary care. We aim to establish a ‘gold standard’ of care by systematically analysing current practices, iteratively improving pathways and systems of care.Methods and analysisThis mixed-methods, multisite study is informed by the principles of applied health services research, quality improvement, co-design, outcome measurement and learning health systems. It was developed in close partnership with patients (whose stated priorities are prompt clinical assessment; evidence-based advice and treatment and help with returning to work and other roles) and with front-line clinicians. Workstreams and tasks to optimise assessment, treatment and monitoring are based in three contrasting settings: workstream 1 (qualitative research, up to 100 participants), specialist management in 10 long COVID clinics across the UK, via a quality improvement collaborative, experience-based co-design and targeted efforts to reduce inequalities of access, return to work and peer support; workstream 2 (quantitative research, up to 5000 participants), patient self-management at home, technology-supported monitoring and validation of condition-specific outcome measures and workstream 3 (quantitative research, up to 5000 participants), generalist management in primary care, harnessing electronic record data to study population phenotypes and develop evidence-based decision support, referral pathways and analysis of costs. Study governance includes an active patient advisory group.Ethics and disseminationLOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS study is sponsored by the University of Leeds and approved by Yorkshire & The Humber—Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Participants will provide informed consent. Dissemination plans include academic and lay publications, and partnerships with national and regional policymakers.Trial registration number NCT05057260, ISRCTN15022307. |
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AbstractList | Introduction Long COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, including improving access, reducing inequalities, helping self-management and providing guidance and decision support for primary care. We aim to establish a ‘gold standard’ of care by systematically analysing current practices, iteratively improving pathways and systems of care.Methods and analysis This mixed-methods, multisite study is informed by the principles of applied health services research, quality improvement, co-design, outcome measurement and learning health systems. It was developed in close partnership with patients (whose stated priorities are prompt clinical assessment; evidence-based advice and treatment and help with returning to work and other roles) and with front-line clinicians. Workstreams and tasks to optimise assessment, treatment and monitoring are based in three contrasting settings: workstream 1 (qualitative research, up to 100 participants), specialist management in 10 long COVID clinics across the UK, via a quality improvement collaborative, experience-based co-design and targeted efforts to reduce inequalities of access, return to work and peer support; workstream 2 (quantitative research, up to 5000 participants), patient self-management at home, technology-supported monitoring and validation of condition-specific outcome measures and workstream 3 (quantitative research, up to 5000 participants), generalist management in primary care, harnessing electronic record data to study population phenotypes and develop evidence-based decision support, referral pathways and analysis of costs. Study governance includes an active patient advisory group.Ethics and dissemination LOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS study is sponsored by the University of Leeds and approved by Yorkshire & The Humber—Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Participants will provide informed consent. Dissemination plans include academic and lay publications, and partnerships with national and regional policymakers.Trial registration number NCT05057260, ISRCTN15022307. IntroductionLong COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, including improving access, reducing inequalities, helping self-management and providing guidance and decision support for primary care. We aim to establish a ‘gold standard’ of care by systematically analysing current practices, iteratively improving pathways and systems of care.Methods and analysisThis mixed-methods, multisite study is informed by the principles of applied health services research, quality improvement, co-design, outcome measurement and learning health systems. It was developed in close partnership with patients (whose stated priorities are prompt clinical assessment; evidence-based advice and treatment and help with returning to work and other roles) and with front-line clinicians. Workstreams and tasks to optimise assessment, treatment and monitoring are based in three contrasting settings: workstream 1 (qualitative research, up to 100 participants), specialist management in 10 long COVID clinics across the UK, via a quality improvement collaborative, experience-based co-design and targeted efforts to reduce inequalities of access, return to work and peer support; workstream 2 (quantitative research, up to 5000 participants), patient self-management at home, technology-supported monitoring and validation of condition-specific outcome measures and workstream 3 (quantitative research, up to 5000 participants), generalist management in primary care, harnessing electronic record data to study population phenotypes and develop evidence-based decision support, referral pathways and analysis of costs. Study governance includes an active patient advisory group.Ethics and disseminationLOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS study is sponsored by the University of Leeds and approved by Yorkshire & The Humber—Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Participants will provide informed consent. Dissemination plans include academic and lay publications, and partnerships with national and regional policymakers.Trial registration number NCT05057260, ISRCTN15022307. IntroductionLong COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, including improving access, reducing inequalities, helping self-management and providing guidance and decision support for primary care. We aim to establish a ‘gold standard’ of care by systematically analysing current practices, iteratively improving pathways and systems of care.Methods and analysisThis mixed-methods, multisite study is informed by the principles of applied health services research, quality improvement, co-design, outcome measurement and learning health systems. It was developed in close partnership with patients (whose stated priorities are prompt clinical assessment; evidence-based advice and treatment and help with returning to work and other roles) and with front-line clinicians. Workstreams and tasks to optimise assessment, treatment and monitoring are based in three contrasting settings: workstream 1 (qualitative research, up to 100 participants), specialist management in 10 long COVID clinics across the UK, via a quality improvement collaborative, experience-based co-design and targeted efforts to reduce inequalities of access, return to work and peer support; workstream 2 (quantitative research, up to 5000 participants), patient self-management at home, technology-supported monitoring and validation of condition-specific outcome measures and workstream 3 (quantitative research, up to 5000 participants), generalist management in primary care, harnessing electronic record data to study population phenotypes and develop evidence-based decision support, referral pathways and analysis of costs. Study governance includes an active patient advisory group.Ethics and disseminationLOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS study is sponsored by the University of Leeds and approved by Yorkshire & The Humber—Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Participants will provide informed consent. Dissemination plans include academic and lay publications, and partnerships with national and regional policymakers.Trial registration numberNCT05057260, ISRCTN15022307. Long COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, including improving access, reducing inequalities, helping self-management and providing guidance and decision support for primary care. We aim to establish a 'gold standard' of care by systematically analysing current practices, iteratively improving pathways and systems of care. This mixed-methods, multisite study is informed by the principles of applied health services research, quality improvement, co-design, outcome measurement and learning health systems. It was developed in close partnership with patients (whose stated priorities are prompt clinical assessment; evidence-based advice and treatment and help with returning to work and other roles) and with front-line clinicians. Workstreams and tasks to optimise assessment, treatment and monitoring are based in three contrasting settings: workstream 1 (qualitative research, up to 100 participants), specialist management in 10 long COVID clinics across the UK, via a quality improvement collaborative, experience-based co-design and targeted efforts to reduce inequalities of access, return to work and peer support; workstream 2 (quantitative research, up to 5000 participants), patient self-management at home, technology-supported monitoring and validation of condition-specific outcome measures and workstream 3 (quantitative research, up to 5000 participants), generalist management in primary care, harnessing electronic record data to study population phenotypes and develop evidence-based decision support, referral pathways and analysis of costs. Study governance includes an active patient advisory group. LOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS study is sponsored by the University of Leeds and approved by Yorkshire & The Humber-Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Participants will provide informed consent. Dissemination plans include academic and lay publications, and partnerships with national and regional policymakers. NCT05057260, ISRCTN15022307. Long COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, including improving access, reducing inequalities, helping self-management and providing guidance and decision support for primary care. We aim to establish a 'gold standard' of care by systematically analysing current practices, iteratively improving pathways and systems of care.INTRODUCTIONLong COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have access to specialist long COVID services. We seek to optimise long COVID care both within and outside specialist clinics, including improving access, reducing inequalities, helping self-management and providing guidance and decision support for primary care. We aim to establish a 'gold standard' of care by systematically analysing current practices, iteratively improving pathways and systems of care.This mixed-methods, multisite study is informed by the principles of applied health services research, quality improvement, co-design, outcome measurement and learning health systems. It was developed in close partnership with patients (whose stated priorities are prompt clinical assessment; evidence-based advice and treatment and help with returning to work and other roles) and with front-line clinicians. Workstreams and tasks to optimise assessment, treatment and monitoring are based in three contrasting settings: workstream 1 (qualitative research, up to 100 participants), specialist management in 10 long COVID clinics across the UK, via a quality improvement collaborative, experience-based co-design and targeted efforts to reduce inequalities of access, return to work and peer support; workstream 2 (quantitative research, up to 5000 participants), patient self-management at home, technology-supported monitoring and validation of condition-specific outcome measures and workstream 3 (quantitative research, up to 5000 participants), generalist management in primary care, harnessing electronic record data to study population phenotypes and develop evidence-based decision support, referral pathways and analysis of costs. Study governance includes an active patient advisory group.METHODS AND ANALYSISThis mixed-methods, multisite study is informed by the principles of applied health services research, quality improvement, co-design, outcome measurement and learning health systems. It was developed in close partnership with patients (whose stated priorities are prompt clinical assessment; evidence-based advice and treatment and help with returning to work and other roles) and with front-line clinicians. Workstreams and tasks to optimise assessment, treatment and monitoring are based in three contrasting settings: workstream 1 (qualitative research, up to 100 participants), specialist management in 10 long COVID clinics across the UK, via a quality improvement collaborative, experience-based co-design and targeted efforts to reduce inequalities of access, return to work and peer support; workstream 2 (quantitative research, up to 5000 participants), patient self-management at home, technology-supported monitoring and validation of condition-specific outcome measures and workstream 3 (quantitative research, up to 5000 participants), generalist management in primary care, harnessing electronic record data to study population phenotypes and develop evidence-based decision support, referral pathways and analysis of costs. Study governance includes an active patient advisory group.LOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS study is sponsored by the University of Leeds and approved by Yorkshire & The Humber-Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Participants will provide informed consent. Dissemination plans include academic and lay publications, and partnerships with national and regional policymakers.ETHICS AND DISSEMINATIONLOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS study is sponsored by the University of Leeds and approved by Yorkshire & The Humber-Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Participants will provide informed consent. Dissemination plans include academic and lay publications, and partnerships with national and regional policymakers.NCT05057260, ISRCTN15022307.TRIAL REGISTRATION NUMBERNCT05057260, ISRCTN15022307. |
Author | Rayner, Clare Delaney, Brendan Petrou, Stavros Falope, Zaccheus Mansoubi, Mae Curcin, Vasa Sivan, Manoj Prociuk, Denys Elwin, Joanne O'Connor, Rory J Delanerolle, Gayathri O’Connor, Daryl Mayer, Erik Espinosa Gonzalez, Ana Belen Evans, Rachael Echevarria, Carlos Kwon, Joseph Jones, Samantha Tucker, Emma Smith, Nikki Master, Harsha Horton, Mike Pick, Anton Clarke, Jonathan Milne, Ruairidh Bashir, Shehnaz Davies, Helen Greenhalgh, Trisha Mir, Ghazala Dawes, Helen Bakerly, Nawar Diar Rebane, Amy Lusignan, Simon de Greenwood, Darren Baley, Sareeta Qureshi, Iram Elkin, Sarah Bullock, Emily Rolls, Annette Morris, Jacqui Casson, Alexander Ball, Megan Parkin, Amy Ben Glampson, Darren Greenwood Preston, Nick Halpin, Stephen Barahona, Mauricio de Lusignan, Simon Darbyshire, Julie Lorraine |
AuthorAffiliation | 8 Department of Primary Care and Public Health Sciences , King's College London , London , UK 4 College of Medicine and Health , University of Exeter , Exeter , UK 5 Leeds Institute for Data Analytics , University of Leeds , Leeds , UK 10 Department of Electrical and Electronic Engineering , The University of Manchester , Manchester , UK 12 Long Covid Support , Leeds , UK 6 School of Psychology , University of Leeds , Leeds , UK 2 Nuffield Department of Primary Care Health Sciences , University of Oxford , Oxford , UK 14 Department of Occupational Therapy , Leeds Teaching Hospitals NHS Trust , Leeds , UK 7 Department of Clinical and Experimental Medicine , University of Surrey , Guildford , UK 9 Department of Biosurgery and Surgical Technology , Imperial College London , London , UK 1 Academic Department of Rehabilitation Medicine , University of Leeds , Leeds , UK 15 Department of Surgery and Cancer , Imperial College London , London , UK 13 Long Covid Support , London , UK 3 Leeds Institute of He |
AuthorAffiliation_xml | – name: 13 Long Covid Support , London , UK – name: 8 Department of Primary Care and Public Health Sciences , King's College London , London , UK – name: 14 Department of Occupational Therapy , Leeds Teaching Hospitals NHS Trust , Leeds , UK – name: 2 Nuffield Department of Primary Care Health Sciences , University of Oxford , Oxford , UK – name: 4 College of Medicine and Health , University of Exeter , Exeter , UK – name: 12 Long Covid Support , Leeds , UK – name: 6 School of Psychology , University of Leeds , Leeds , UK – name: 7 Department of Clinical and Experimental Medicine , University of Surrey , Guildford , UK – name: 1 Academic Department of Rehabilitation Medicine , University of Leeds , Leeds , UK – name: 11 Public Health, Wessex Institute , University of Southampton , Southampton , UK – name: 9 Department of Biosurgery and Surgical Technology , Imperial College London , London , UK – name: 10 Department of Electrical and Electronic Engineering , The University of Manchester , Manchester , UK – name: 3 Leeds Institute of Health Sciences , University of Leeds , Leeds , UK – name: 15 Department of Surgery and Cancer , Imperial College London , London , UK – name: 5 Leeds Institute for Data Analytics , University of Leeds , Leeds , UK |
Author_xml | – sequence: 1 givenname: Manoj orcidid: 0000-0002-0334-2968 surname: Sivan fullname: Sivan, Manoj email: m.sivan@leeds.ac.uk organization: Academic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK – sequence: 2 givenname: Trisha orcidid: 0000-0003-2369-8088 surname: Greenhalgh fullname: Greenhalgh, Trisha organization: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK – sequence: 3 givenname: Julie Lorraine orcidid: 0000-0002-7655-1963 surname: Darbyshire fullname: Darbyshire, Julie Lorraine organization: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK – sequence: 4 givenname: Ghazala surname: Mir fullname: Mir, Ghazala organization: Leeds Institute of Health Sciences, University of Leeds, Leeds, UK – sequence: 5 givenname: Rory J surname: O'Connor fullname: O'Connor, Rory J organization: Academic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK – sequence: 6 givenname: Helen surname: Dawes fullname: Dawes, Helen organization: College of Medicine and Health, University of Exeter, Exeter, UK – sequence: 7 givenname: Darren surname: Greenwood fullname: Greenwood, Darren organization: Leeds Institute for Data Analytics, University of Leeds, Leeds, UK – sequence: 8 givenname: Daryl orcidid: 0000-0003-4117-4093 surname: O’Connor fullname: O’Connor, Daryl organization: School of Psychology, University of Leeds, Leeds, UK – sequence: 9 givenname: Mike surname: Horton fullname: Horton, Mike organization: Academic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK – sequence: 10 givenname: Stavros surname: Petrou fullname: Petrou, Stavros organization: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK – sequence: 11 givenname: Simon orcidid: 0000-0001-5613-6810 surname: de Lusignan fullname: de Lusignan, Simon organization: Department of Clinical and Experimental Medicine, University of Surrey, Guildford, UK – sequence: 12 givenname: Vasa surname: Curcin fullname: Curcin, Vasa organization: Department of Primary Care and Public Health Sciences, King's College London, London, UK – sequence: 13 givenname: Erik surname: Mayer fullname: Mayer, Erik organization: Department of Biosurgery and Surgical Technology, Imperial College London, London, UK – sequence: 14 givenname: Alexander surname: Casson fullname: Casson, Alexander organization: Department of Electrical and Electronic Engineering, The University of Manchester, Manchester, UK – sequence: 15 givenname: Ruairidh surname: Milne fullname: Milne, Ruairidh organization: Public Health, Wessex Institute, University of Southampton, Southampton, UK – sequence: 16 givenname: Clare surname: Rayner fullname: Rayner, Clare organization: Long Covid Support, Leeds, UK – sequence: 17 givenname: Nikki surname: Smith fullname: Smith, Nikki organization: Long Covid Support, London, UK – sequence: 18 givenname: Amy surname: Parkin fullname: Parkin, Amy organization: Department of Occupational Therapy, Leeds Teaching Hospitals NHS Trust, Leeds, UK – sequence: 19 givenname: Nick surname: Preston fullname: Preston, Nick organization: Academic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK – sequence: 20 givenname: Brendan surname: Delaney fullname: Delaney, Brendan organization: Department of Surgery and Cancer, Imperial College London, London, UK – sequence: 21 givenname: Nawar Diar surname: Bakerly fullname: Bakerly, Nawar Diar – sequence: 22 givenname: Mauricio surname: Barahona fullname: Barahona, Mauricio – sequence: 23 givenname: Alexander surname: Casson fullname: Casson, Alexander – sequence: 24 givenname: Jonathan surname: Clarke fullname: Clarke, Jonathan – sequence: 25 givenname: Vasa surname: Curcin fullname: Curcin, Vasa – sequence: 26 givenname: Helen surname: Davies fullname: Davies, Helen – sequence: 27 givenname: Helen surname: Dawes fullname: Dawes, Helen – sequence: 28 givenname: Brendan surname: Delaney fullname: Delaney, Brendan – sequence: 29 givenname: Carlos surname: Echevarria fullname: Echevarria, Carlos – sequence: 30 givenname: Sarah surname: Elkin fullname: Elkin, Sarah – sequence: 31 givenname: Rachael surname: Evans fullname: Evans, Rachael – sequence: 32 givenname: Zaccheus surname: Falope fullname: Falope, Zaccheus – sequence: 33 givenname: Darren Greenwood surname: Ben Glampson fullname: Ben Glampson, Darren Greenwood – sequence: 34 givenname: Stephen surname: Halpin fullname: Halpin, Stephen – sequence: 35 givenname: Mike surname: Horton fullname: Horton, Mike – sequence: 36 givenname: Joseph surname: Kwon fullname: Kwon, Joseph – sequence: 37 givenname: Simon de surname: Lusignan fullname: Lusignan, Simon de – sequence: 38 givenname: Gayathri surname: Delanerolle fullname: Delanerolle, Gayathri – sequence: 39 givenname: Erik surname: Mayer fullname: Mayer, Erik – sequence: 40 givenname: Harsha surname: Master fullname: Master, Harsha – sequence: 41 givenname: Ruairidh surname: Milne fullname: Milne, Ruairidh – sequence: 42 givenname: Jacqui surname: Morris fullname: Morris, Jacqui – sequence: 43 givenname: Amy surname: Parkin fullname: Parkin, Amy – sequence: 44 givenname: Anton surname: Pick fullname: Pick, Anton – sequence: 45 givenname: Nick surname: Preston fullname: Preston, Nick – sequence: 46 givenname: Amy surname: Rebane fullname: Rebane, Amy – sequence: 47 givenname: Emma surname: Tucker fullname: Tucker, Emma – sequence: 48 givenname: Ana Belen surname: Espinosa Gonzalez fullname: Espinosa Gonzalez, Ana Belen – sequence: 49 givenname: Sareeta surname: Baley fullname: Baley, Sareeta – sequence: 50 givenname: Annette surname: Rolls fullname: Rolls, Annette – sequence: 51 givenname: Emily surname: Bullock fullname: Bullock, Emily – sequence: 52 givenname: Megan surname: Ball fullname: Ball, Megan – sequence: 53 givenname: Shehnaz surname: Bashir fullname: Bashir, Shehnaz – sequence: 54 givenname: Mae surname: Mansoubi fullname: Mansoubi, Mae – sequence: 55 givenname: Joanne surname: Elwin fullname: Elwin, Joanne – sequence: 56 givenname: Denys surname: Prociuk fullname: Prociuk, Denys – sequence: 57 givenname: Iram surname: Qureshi fullname: Qureshi, Iram – sequence: 58 givenname: Samantha surname: Jones fullname: Jones, Samantha |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35580970$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
Contributor | Delaney, Brendan Davies, Helen Dawes, Helen Falope, Zaccheus Mansoubi, Mae Bakerly, Nawar Diar Curcin, Vasa Rebane, Amy Lusignan, Simon de Prociuk, Denys Elwin, Joanne Delanerolle, Gayathri Mayer, Erik Espinosa Gonzalez, Ana Belen Evans, Rachael Baley, Sareeta Echevarria, Carlos Qureshi, Iram Elkin, Sarah Kwon, Joseph Bullock, Emily Jones, Samantha Tucker, Emma Rolls, Annette Morris, Jacqui Casson, Alexander Ball, Megan Master, Harsha Parkin, Amy Ben Glampson, Darren Greenwood Preston, Nick Halpin, Stephen Horton, Mike Pick, Anton Clarke, Jonathan Barahona, Mauricio Milne, Ruairidh Bashir, Shehnaz |
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Snippet | IntroductionLong COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most... Long COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most do not have... Introduction Long COVID, a new condition whose origins and natural history are not yet fully established, currently affects 1.5 million people in the UK. Most... |
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SubjectTerms | Clinical outcomes Clinics Co-design Collaboration Cost analysis COVID-19 COVID-19 - complications COVID-19 - therapy Goal setting health economics Health services health services administration & management Humans Infectious Diseases Locomotion Long COVID Mixed methods research Patients Post-Acute COVID-19 Syndrome Primary care qualitative research Quality improvement Quality of life Rehabilitation rehabilitation medicine State Medicine United Kingdom Workforce planning |
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