Evidence map›Paper›PMID 42363213›Full record

ArticleAllergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology2026

A qualitative study of the impact of the COVID-19 pandemic on healthcare access and service delivery for people living with chronic obstructive pulmonary disease and asthma.

Katelyn Brehon, Mirsol Choi, Pam Hung, Maxi Miciak, Rachel K Lim, Mohit Bhutani, Kadija Perreault, Paul E Ronksley, Micheal K Stickland, Jason Weatherald and 2 more

Abstract read
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Article in Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Katelyn BrehonFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, T6G 2G4, Canada. brehon@ualberta.ca.
Mirsol ChoiDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, AB, T6G 2G3, Canada.
Pam HungFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, T6G 2G4, Canada.
Maxi MiciakFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, T6G 2G4, Canada.
Rachel K LimDivision of Respiratory Medicine, Department of Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, AB, T2N 1N4, Canada.
Mohit BhutaniDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, AB, T6G 2G3, Canada.
Kadija PerreaultÉcole des sciences de la réadaptation, Université Laval, Québec, QC, G1V 0A6, Canada.
Paul E RonksleyDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, T2N 4Z6, Canada.
Micheal K SticklandDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, AB, T6G 2G3, Canada.
Jason WeatheraldDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, AB, T6G 2G3, Canada.
Douglas P GrossDepartment of Physical Therapy, University of Alberta, Edmonton, AB, T6G 2G4, Canada.
Grace Y LamDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, AB, T6G 2G3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncidence of chronic obstructive pulmonary disease and asthma diagnosis were lower during and after the Coronavirus disease 2019 pandemic in Alberta, Canada. However, it is unknown whether incidences were actually lower or if the pandemic created circumstances where patients did not seek care. As such, the objective of the current study was to explore the impact of COVID-19 on patient and clinician experiences of healthcare access and delivery.

methodsThe study was conducted between October 2023 and July 2024. We used interpretive description, a qualitative approach with the end-goal of informing clinical decisions. Analysis was informed by Braun and Clarke's six phases of reflexive thematic analysis.

resultsWe completed thirteen interviews. Two key themes were generated: (1) The pandemic impacted care-seeking behaviours; and (2) A time and place for virtual and in-person care. Clinicians discussed how access to entry points to the health system were impacted by the pandemic and highlighted how strategies to manage health and stressors impacted symptoms and subsequent care-seeking behaviours. Participants highlighted the positives of virtual and in-person care with the consensus that both are valuable.

conclusionFuture use of virtual care modalities should include a visual element at minimum and prioritize the therapeutic relationship.

Indexed as

AccessAsthmaCOPDInterpretiveQualitativeQuality

Identifiers

PMID42363213
PMCPMC13617704

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.