Clinical Report: Hybrid Care Adjustments for Nonpandemic Services During COVID-19
Overview
This scoping review examined the implementation of hybrid care models integrating digital health to maintain nonpandemic health services in Europe during the COVID-19 pandemic. It highlights the widespread adoption of telehealth platforms and the integration of digital elements into traditional care pathways to ensure continuity of care amid service disruptions.
Background
The COVID-19 pandemic caused significant disruptions to global health service delivery, with over 90% of countries experiencing interruptions by 2022. Digital health technologies rapidly expanded as critical tools to overcome barriers to in-person care, supporting operational and clinical functions. Hybrid care models, combining face-to-face and digital interactions, emerged as effective strategies to sustain essential nonpandemic health services. Understanding these adaptations is vital for building resilient health systems capable of maintaining access during crises.
Data Highlights
The review included peer-reviewed primary research articles from European countries focusing on adult nonpandemic care involving digital health interventions implemented or expanded during the COVID-19 pandemic. Databases searched included PubMed, Embase, CINAHL, Web of Science, and PsycINFO, covering studies published in English, Dutch, French, or Spanish. Mental health and pediatric services were excluded to reduce variability. The review adhered to PRISMA-ScR guidelines and was part of the Horizon Europe RAPIDE initiative.
Key Findings
Hybrid care models combining in-person and digital health elements were widely adopted across Europe to maintain nonpandemic health services during COVID-19.
Telehealth platforms were the predominant digital health tools used, facilitating remote consultations and patient management.
Digital health interventions supported various clinical scenarios, including chronic disease management, demonstrating operational and clinical benefits.
Studies primarily focused on adult populations and excluded mental health and pediatric care due to differing service frameworks.
There remains a need for further research on the integration and evaluation of hybrid care models within established health systems.
Clinical Implications
Clinicians should consider incorporating hybrid care approaches that blend digital and face-to-face interactions to enhance service continuity, especially during health crises. Telehealth platforms can effectively support chronic disease management and other nonpandemic care needs. Ongoing evaluation and integration of these models into routine practice are essential to optimize patient outcomes and system resilience.
Conclusion
The COVID-19 pandemic accelerated the adoption of hybrid care models integrating digital health to sustain nonpandemic health services in Europe. These adaptations offer promising frameworks for resilient health care delivery in both routine and emergency contexts.
References
Adjustments in Hybrid Care Approaches for Nonpandemic Health Services During the COVID-19 Crisis: A Scoping Review
