Abstract

Clinicians notify positive results of the severe acute respiratory syndrome coronavirus-2 polymerase chain reaction to patients and/or relatives, whilst short message service (SMS) has been adopted as a means of disseminating negative results. Therefore, clinicians should be adequately equipped to provide telephonic consultation whilst delivering a positive test result to patients. The news of the coronavirus disease 2019 (COVID-19) test result often invokes fear of impending death in patients, especially the elderlies and those with comorbidities. In addition, several survivors have reported persistent symptoms and COVID-19-related stigma, which precludes them from immediate re-integration into their workplaces. Consequently, COVID-19 results are perceived as bad news by the members of the public. This article justifies why COVID-19 test results are bad news and also discusses the notification steps to follow when delivering COVID-19 results, whilst also addressing patients’ immediate concerns. The article concludes by highlighting an important safety net for COVID-19 patients and the attending clinician.

Highlights

  • With the increasing incidence of caronavirus disease 2019 (COVID-19) cases at the population level,[1] many health facilities can no longer admit all patients under investigations (PUIs), especially those with mild disease

  • The implication thereof is that patients with mild disease would be managed as outpatients and being in self-quarantine, whilst waiting for the results of the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2)

  • This article focuses on two important questions, namely why the diagnosis of COVID-19 disease should be considered in a similar context as the conditions mentioned here, and what are the steps to follow in communicating the results of COVID-19 to patients

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Summary

Introduction

With the increasing incidence of caronavirus disease 2019 (COVID-19) cases at the population level,[1] many health facilities can no longer admit all patients under investigations (PUIs), especially those with mild disease. The process of communicating a COVID-19 result may put undue pressure on the clinician who may not be experienced in breaking unpleasant (bad) news.

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