Management of patients with neurodegenerative diseases in the post-COVID-19 era: lessons learned and future directions.
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.36Abstract
Background: Neurodegenerative diseases (NDs) are progressive disorders with a major impact on autonomy and quality of life, and the COVID-19 pandemic has exacerbated their burden by limiting access to care.
Objective: To synthesize post-pandemic data and clinical experience to propose directions for optimizing the management of patients with NDs.
Methods: The study used a mixed-methods approach, combining a narrative literature review (PRISMA, PubMed/ Scopus, 2024–2025) and in-depth interviews with neurologists, patients, and caregivers at the „Diomid Gherman” Institute of Neurology and Neurosurgery, analyzed thematically.
Results: Analysis of the included articles (n=10) and interviews (neurologists n=7; patients and caregivers n=15) identified four main directions: service adaptation, social impact and isolation, changes in individual care environments, and perspectives on the healthcare system, highlighting the digitalization of consultations, the development of home- and community-based care, and persistent gaps in access to multidisciplinary management in the Republic of Moldova.
Conclusion: The findings emphasize the need to strengthen resources and standardize services to ensure equitable, patient-centered management of NDs in the post-pandemic period.
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