Multidisciplinary Care Delivery Frameworks for Post-Acute Sequelae
The organizational design of post-acute COVID-19 care requires a structural transition from acute episodic management toward coordinated, cross-disciplinary rehabilitation. Historical precedents from post-intensive care syndrome highlight that survivors of severe systemic illnesses manifest multifaceted deficits across physical, cognitive, and psychological domains [4]. These complex impairments necessitate the establishment of dedicated clinical entities where specialists in pulmonary medicine, cardiology, neurology, and physical rehabilitation collaborate within a unified diagnostic pathway. Such centralized infrastructure not only provides tailored supportive therapies for post-viral exhaustion and dysautonomia but also serves as an operational base for systematic clinical investigation into disease mechanisms [4]. Concurrently, epidemiological evaluations demonstrate that post-acute conditions manifest across both hospital-discharged cohorts and individuals initially managed within community outpatient networks [2]. Consequently, care models must avoid exclusive reliance on tertiary inpatient referral loops. Effective health system planning requires a tiered continuum where primary care practitioners perform initial risk stratification using validated prognostic scoring mechanisms, escalating only severe or treatment-refractory presentations to specialized multidisciplinary centers [2]. This dual-tier framework balances specialized diagnostic capacity with broad community accessibility.