PropertyValue
?:abstract
  • The SARS-CoV-2 (COVID-19) pandemic led to an emergency scenario within all aspects of health care, determining reduction in resources for the treatment of other diseases. A literature review was conducted to identify published evidence, from 1 March to 1 June 2020, regarding the impact of COVID-19 on the care provided to patients affected by other diseases. The research is limited to the Italian NHS. The aim is to provide a snapshot of the COVID-19 impact on the NHS and collect useful elements to improve Italian response models. Data available for oncology and cardiology are reported. National surveys, retrospective analyses, and single-hospital evidence are available. We summarized evidence, keeping in mind the entire clinical pathway, from clinical need to access to care to outcomes. Since the beginning, the COVID-19 pandemic was associated with a reduced access to inpatient (−48% for IMA) and outpatient services, with a lower volume of elective surgical procedures (in oncology, from 3.8 to 2.6 median number of procedures/week). Telehealth may plays a key role in this, particularly in oncology. While, for cardiology, evidence on health outcome is already available, in terms of increased fatality rates (for STEMI: 13.7 vs. 4.1%). To better understand the impact of COVID-19 on the health of the population, a broader perspective should be taken. Reasons for reduced access to care must be investigated. Patients fears, misleading communication campaigns, re-arranged clinical pathways could had played a role. In addition, impact on other the status of other patients should be mitigated.
is ?:annotates of
?:creator
?:doi
?:doi
  • 10.3389/fpubh.2020.583583
?:journal
  • Front_Public_Health
?:license
  • cc-by
?:pdf_json_files
  • document_parses/pdf_json/d11c242dd5b3ce5d594b68ee87e3f2c13ebe7a0b.json
?:pmc_json_files
  • document_parses/pmc_json/PMC7719765.xml.json
?:pmcid
?:pmid
?:pmid
  • 33330324.0
?:publication_isRelatedTo_Disease
is ?:relation_isRelatedTo_publication of
?:sha_id
?:source
  • Medline; PMC
?:title
  • Impact of SARS-CoV-2 on Provided Healthcare. Evidence From the Emergency Phase in Italy
?:type
?:year
  • 2020-11-23

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