Managed Care After Discharge of COVID-۱۹ Patients in North Iran

Background and Purpose: After-discharge follow-up is one of the branches of managed care used for information exchange, health education, early diagnosis of symptoms, symptom management, and high-quality aftercare services. The present study aims to elucidate the managed care of COVID-۱۹ patients after discharge from hospitals affiliated with Mazandaran University of Medical Sciences, Mazandaran Province, Iran. Materials and Methods: The present cross-sectional study was conducted in ۲۰۱۹. The study sample included all COVID-۱۹ patients discharged from public, private, and social security hospitals affiliated with Mazandaran University of Medical Sciences. The census method was used to recruit ۱۴۶۲۵ discharged patients. The data collection tool was based on the information registration form “Follow-up of the treatment process of discharged COVID-۱۹ patients,” which was prepared in three sections (demographic, clinical characteristics, and follow-up of the treatment process) based on the opinions of ۱۵ experts. Data analysis was carried out via the chi-square test in SPSS software, version ۲۱. Results: The findings of the demographic section showed that ۳۵.۸% of COVID-۱۹-related admissions were over ۶۵ years old. Intensive care unit (ICU) admissions were necessary for ۱۳% of cases, with the highest ICU admission rates among those aged ۶۵ and above. Based on the findings of the clinical characteristics section, the most common underlying disease (۴۶.۷%) was diabetes, and the most common symptom upon admission was fever (higher than ۳۸°C) (۴۴.۸%). Also, according to the findings of the “treatment follow-up” section, ۷.۰۴% of the discharged patients were readmitted, and ۱۴.۵% of patients infected their family members with COVID-۱۹. Also, ۵۷.۸۲% adhered to the health and safety protocols and self-quarantine at home, which varied in different months.  Conclusion: Follow-up after the discharge of COVID-۱۹ patients as one of the branches of managed care increased the compliance with health principles and decreased the rate of COVID-۱۹ infection of the patient’s family members and the readmission of patients. Therefore, appropriate follow-up after discharge is suggested as a low-cost method to shorten the recovery period of patients, prevent other family members from contracting this disease, and detect the worsening of disease symptoms among discharged patients.