PMID- 36258937 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221020 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 14 IP - 9 DP - 2022 Sep TI - The Effects of COVID-19 on Physicians' Perceived Ability to Provide Care for Patients With Type II Diabetes Mellitus. PG - e29135 LID - 10.7759/cureus.29135 [doi] LID - e29135 AB - Background and objective The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), presents multiple, diverse challenges to providing appropriate medical care, especially in terms of medication and treatment adherence for chronic diseases such as type 2 diabetes mellitus (T2DM). The COVID-19 pandemic has exacerbated these barriers by potentially forcing physicians to modify their treatment plans due to limitations on in-person visits and changes to patients' financial and social support systems. It remains uncertain whether physicians believe they can provide the same standard of care using telehealth technology or other means to their patients during the pandemic. The goal of this study was to explore physician perceptions about their ability to provide care to patients with T2DM during the COVID-19 pandemic. Methodology This cross-sectional study collected data between January 25, 2021, and February 2, 2021, using an anonymous, self-administered online survey involving DO and MD physicians including residents treating patients with T2DM. The survey was administered via REDCap and collected data on participant demographics, attitudes, perceptions, knowledge, and prior and current (COVID-19-era) experience with care for T2DM patients. Physicians registered with the Florida Department of Health with publicly available emails were invited to participate. Results The survey showed that during the COVID-19 pandemic, 57.9% of physicians (n=48) believed that their patients have a weaker social support system; 68.7% (n=57) modified their patient care plans due to patients' financial difficulties; 78.4% (n=65) believed a regular physical exam is necessary to properly treat patients; 48.2% (n=40) did not believe they had a more complete picture of the case with remote consultations; 47.0% (n=39) were not as satisfied with remote consultations as with face-to-face patient visits; 68.7% (n=57) believed telehealth is necessary to adequately treat patients; 38.5% (n=32) have been less likely to refer their patients to other providers or specialists; 45.8% (n=38) reported concerns over admitting their patients to the hospital for acute medical care; 61.5% (n=51) reported having more patients delay scheduling their routine follow-up care; 61.5% (n=51) believed their patients have been less compliant with the healthcare plans recommended to them. Conclusions The study showed that COVID-19 has significantly impacted physicians' perceptions and abilities to provide care for patients with T2DM. COVID-19 has negatively impacted several crucial aspects of diabetes management, including consistent in-person examinations, social support, and referral to other required services, which could result in long-term consequences for these patients. Furthermore, our study suggests that physicians may not be as satisfied with the care they are able to provide via remote consultations as they are with in-person visits, which has significant implications as we move toward a more telehealth-driven healthcare delivery system. CI - Copyright (c) 2022, Abidi et al. FAU - Abidi, Abbas AU - Abidi A AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Demiraj, Francis AU - Demiraj F AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Berdichevskiy, Garry AU - Berdichevskiy G AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Gupta, Krisha AU - Gupta K AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Epstein, Daniel AU - Epstein D AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Kurian, Shawn AU - Kurian S AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Aranyos, Antony AU - Aranyos A AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Gerstenfeld, Avidor AU - Gerstenfeld A AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Assadi, Nasser AU - Assadi N AD - Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA. FAU - Penales, Chulou H AU - Penales CH AD - Critical Care, Westside Regional Medical Center, Plantation, USA. LA - eng PT - Journal Article DEP - 20220913 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC9560814 OTO - NOTNLM OT - covid 19 impact of lockdown OT - diabetes type 2 OT - drug compliance OT - physician satisfaction OT - telehealth appointments COIS- The authors have declared that no competing interests exist. EDAT- 2022/10/20 06:00 MHDA- 2022/10/20 06:01 PMCR- 2022/09/13 CRDT- 2022/10/19 01:48 PHST- 2022/08/04 00:00 [received] PHST- 2022/09/13 00:00 [accepted] PHST- 2022/10/19 01:48 [entrez] PHST- 2022/10/20 06:00 [pubmed] PHST- 2022/10/20 06:01 [medline] PHST- 2022/09/13 00:00 [pmc-release] AID - 10.7759/cureus.29135 [doi] PST - epublish SO - Cureus. 2022 Sep 13;14(9):e29135. doi: 10.7759/cureus.29135. eCollection 2022 Sep.