Integrating healthcare for follow‐up of adult COVID‐19 patients in an outpatient clinic: A matter of cooperation

RATIONALE, AIMS, AND OBJECTIVES: A large number of patients infected with SARS‐CoV‐2 (COVID‐19) need outpatient follow‐up after hospitalization. As these patients may experience a broad range of symptoms, as do patients infected with the related SARS‐CoV‐1 virus, we set up a multidisciplinary outpatient clinic involving pulmonologists, internists, and geriatricians. Patients were allocated to a specialist based on symptoms reported on a self‐developed questionnaire of expected symptoms of COVID‐19. This study aimed to evaluate the effectiveness of this outpatient clinic. METHODS: In this retrospective study, the medical records of patients who presented to the outpatient clinic for follow‐up after hospitalization for COVID‐19 up to 31 August 2020, were reviewed. RESULTS: In total, 266 patients were seen at the outpatient clinic at least once. Overall, 100 patients were seen by a pulmonologist, 97 by an internist, and 65 by a geriatrician. A referral between these 3 medical specialists was needed for only 14 patients (5.3%). Fifty patients were seen by a psychologist, mostly those with a HADS score >10. Only 5 (2.2%) of the 221 patients who were not directly referred to a psychologist based on triage needed psychological support. Forty‐eight patients (18%) were also seen by a physiatrist. CONCLUSION: Identifying which medical specialist (pulmonologist, internist, and/or geriatrician) should see patients attending a post‐COVID outpatient clinic based on patient‐reported symptoms proved an effective approach to managing the flow of post‐COVID patients.