PubMed:33186214 JSONTXT

{"project":"LitCovid-PubTator","denotations":[{"id":"1","span":{"begin":14,"end":22},"obj":"Disease"},{"id":"12","span":{"begin":196,"end":204},"obj":"Disease"},{"id":"13","span":{"begin":212,"end":222},"obj":"Species"},{"id":"14","span":{"begin":682,"end":692},"obj":"Species"},{"id":"15","span":{"begin":900,"end":908},"obj":"Disease"},{"id":"16","span":{"begin":1125,"end":1133},"obj":"Disease"},{"id":"17","span":{"begin":1389,"end":1397},"obj":"Disease"},{"id":"18","span":{"begin":1787,"end":1793},"obj":"Species"},{"id":"19","span":{"begin":1840,"end":1848},"obj":"Disease"},{"id":"20","span":{"begin":1866,"end":1876},"obj":"Species"},{"id":"21","span":{"begin":1998,"end":2008},"obj":"Species"}],"attributes":[{"id":"A1","pred":"tao:has_database_id","subj":"1","obj":"MESH:C000657245"},{"id":"A12","pred":"tao:has_database_id","subj":"12","obj":"MESH:C000657245"},{"id":"A13","pred":"tao:has_database_id","subj":"13","obj":"Tax:9606"},{"id":"A14","pred":"tao:has_database_id","subj":"14","obj":"Tax:9606"},{"id":"A15","pred":"tao:has_database_id","subj":"15","obj":"MESH:C000657245"},{"id":"A16","pred":"tao:has_database_id","subj":"16","obj":"MESH:C000657245"},{"id":"A17","pred":"tao:has_database_id","subj":"17","obj":"MESH:C000657245"},{"id":"A18","pred":"tao:has_database_id","subj":"18","obj":"Tax:9606"},{"id":"A19","pred":"tao:has_database_id","subj":"19","obj":"MESH:C000657245"},{"id":"A20","pred":"tao:has_database_id","subj":"20","obj":"Tax:9606"},{"id":"A21","pred":"tao:has_database_id","subj":"21","obj":"Tax:9606"}],"namespaces":[{"prefix":"Tax","uri":"https://www.ncbi.nlm.nih.gov/taxonomy/"},{"prefix":"MESH","uri":"https://id.nlm.nih.gov/mesh/"},{"prefix":"Gene","uri":"https://www.ncbi.nlm.nih.gov/gene/"},{"prefix":"CVCL","uri":"https://web.expasy.org/cellosaurus/CVCL_"}],"text":"Impact of the COVID-19 pandemic on the use of advance care planning services within the veterans administration system in Taiwan.\nBACKGROUND: The aim of this study is to investigate the effect of COVID-19 on the outpatient advance care planning (ACP) services provided by veterans hospitals in Taiwan.\nMETHODS: This study adopted a retrospective data analysis. We investigated ACP services provided by 15 veterans hospitals in Taiwan from 2019 to June 2020. We also conducted a statistical analysis on the ACP services provided by the Taipei Veterans General Hospital.\nRESULTS: From 2019 to June 2020, 15 veterans hospitals in Taiwan provided ACP services to 2,493 individuals. The outpatient ACP services declined significantly after January 2020, decreasing from a national average of 206.2 ± 29.2 declarants per month to 106.2 ± 30.8 declarants per month in the 6 months immediately following the COVID-19 pandemic outbreak (p \u003c 0.001). From the official implementation of the ACP in January 2019 to the end of June 2020, a total of 1,126 declarants accepted ACP services at the Taipei Veterans General Hospital. When the COVID-19 pandemic was prevalent, the declarants who received ACP services were younger (i.e., 60.1 ± 15.2 vs. 65.5 ± 16.3 years; p \u003c0.001). After the variables had been adjusted, the changes in the characteristics of the declarants receiving ACP services when the COVID-19 pandemic was prevalent were as follows: a significant increase in the percentage of hospital staff receiving ACP services (OR: 5.460, 95% CI: 2.378-12.536); An increase in the percentage of declarants who paid for the ACP services received at their own expense (OR: 3.417, 95% CI: 1.591-7.339); and an increase in the percentage of declarants who received the consultations with 3 or more people (OR: 2.017, 95% CI: 1.278-3.182).\nCONCLUSION: COVID-19 severely changed outpatient ACP services provided by hospitals. The results obtained by this study offer valuable insight regarding the provision of outpatient ACP services."}

{"project":"LitCovid-sentences","denotations":[{"id":"T1","span":{"begin":0,"end":129},"obj":"Sentence"},{"id":"T2","span":{"begin":130,"end":141},"obj":"Sentence"},{"id":"T3","span":{"begin":142,"end":301},"obj":"Sentence"},{"id":"T4","span":{"begin":302,"end":310},"obj":"Sentence"},{"id":"T5","span":{"begin":311,"end":360},"obj":"Sentence"},{"id":"T6","span":{"begin":361,"end":457},"obj":"Sentence"},{"id":"T7","span":{"begin":458,"end":568},"obj":"Sentence"},{"id":"T8","span":{"begin":569,"end":577},"obj":"Sentence"},{"id":"T9","span":{"begin":578,"end":677},"obj":"Sentence"},{"id":"T10","span":{"begin":678,"end":939},"obj":"Sentence"},{"id":"T11","span":{"begin":940,"end":1115},"obj":"Sentence"},{"id":"T12","span":{"begin":1116,"end":1264},"obj":"Sentence"},{"id":"T13","span":{"begin":1265,"end":1524},"obj":"Sentence"},{"id":"T14","span":{"begin":1525,"end":1539},"obj":"Sentence"},{"id":"T15","span":{"begin":1540,"end":1663},"obj":"Sentence"},{"id":"T16","span":{"begin":1664,"end":1678},"obj":"Sentence"},{"id":"T17","span":{"begin":1679,"end":1798},"obj":"Sentence"},{"id":"T18","span":{"begin":1799,"end":1813},"obj":"Sentence"},{"id":"T19","span":{"begin":1814,"end":1827},"obj":"Sentence"},{"id":"T20","span":{"begin":1828,"end":1912},"obj":"Sentence"},{"id":"T21","span":{"begin":1913,"end":2022},"obj":"Sentence"}],"namespaces":[{"prefix":"_base","uri":"http://pubannotation.org/ontology/tao.owl#"}],"text":"Impact of the COVID-19 pandemic on the use of advance care planning services within the veterans administration system in Taiwan.\nBACKGROUND: The aim of this study is to investigate the effect of COVID-19 on the outpatient advance care planning (ACP) services provided by veterans hospitals in Taiwan.\nMETHODS: This study adopted a retrospective data analysis. We investigated ACP services provided by 15 veterans hospitals in Taiwan from 2019 to June 2020. We also conducted a statistical analysis on the ACP services provided by the Taipei Veterans General Hospital.\nRESULTS: From 2019 to June 2020, 15 veterans hospitals in Taiwan provided ACP services to 2,493 individuals. The outpatient ACP services declined significantly after January 2020, decreasing from a national average of 206.2 ± 29.2 declarants per month to 106.2 ± 30.8 declarants per month in the 6 months immediately following the COVID-19 pandemic outbreak (p \u003c 0.001). From the official implementation of the ACP in January 2019 to the end of June 2020, a total of 1,126 declarants accepted ACP services at the Taipei Veterans General Hospital. When the COVID-19 pandemic was prevalent, the declarants who received ACP services were younger (i.e., 60.1 ± 15.2 vs. 65.5 ± 16.3 years; p \u003c0.001). After the variables had been adjusted, the changes in the characteristics of the declarants receiving ACP services when the COVID-19 pandemic was prevalent were as follows: a significant increase in the percentage of hospital staff receiving ACP services (OR: 5.460, 95% CI: 2.378-12.536); An increase in the percentage of declarants who paid for the ACP services received at their own expense (OR: 3.417, 95% CI: 1.591-7.339); and an increase in the percentage of declarants who received the consultations with 3 or more people (OR: 2.017, 95% CI: 1.278-3.182).\nCONCLUSION: COVID-19 severely changed outpatient ACP services provided by hospitals. The results obtained by this study offer valuable insight regarding the provision of outpatient ACP services."}