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|Managing the long term health consequences of COVID-19 in Australia||1.89 MB|
Concerns about the long-term consequences of the COVID-19 pandemic are increasingly focused on the long-term clinical sequelae being seen in survivors of COVID-19, including Long COVID and a wide range of other conditions.Although Long COVID is not yet fully understood, health policy-makers, including those in Australia, should be preparing to address it.
An outcome focused, value-based health care approach that reflects contemporary governance and funding arrangements, and that can achieve effective management of Long COVID, provides a useful template for a national strategy for managing the long-term sequelae of COVID-19. This should consider 1) a nationally unified and regionally controlled health system that puts patients at the centre, 2) performance information and reporting that is fit for purpose, 3) an integrated health workforce that exists to serve and meet population health needs, and 4) funding that is sustainable and appropriate to support a high-quality health system.
Against this framework, governments will need to consider the potential clinical evolution of patients who may have suffered organ damage and impairment due to COVID-19, while balancing the competing risks of inaction and over-diagnosis; in addition to preparing proportionately for the possible emergence of other as yet unknown, post-COVID sequelae, especially neurological conditions, such as those seen after other viral pandemics. Recommendations are also provided to support:
Effective clinical and social support for COVID-19 survivors is essential – but the best way to minimise the long-term burden of COVID-19 on the Australian population remains preventing SARS-CoV-2 from gaining a foothold here.