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Impact of Sars-CoV-2 on Provided Healthcare. Evidence From the Emergency Phase in Italy

Bibliographic Data

ID22087858
AuthorsRossella Di Bidino (0000-0001-9773-856X, Agostino Gemelli University Polyclinic, corresponding author), Americo Cicchetti (0000-0002-4633-9195, Università Cattolica del Sacro Cuore)
Year2020
Volume8
Pages583583-583583
Publication date2020-11-23
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2020.583583
PMID33330324
OpenAlexW3107637447
LanguageEN
Citations received7
References cited23

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

Case fatality rate · Disease · Environmental health · Family medicine · Health care · Intensive care medicine · Medical emergency · MEDLINE · Pandemic · Population · Population health · Telehealth · Telemedicine · COVID-19 and healthcare impacts · COVID-19 Clinical Research Studies · Healthcare cost, quality, practices · Medicine · Emergency Medicine · Internal Medicine

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  • How the Italian NHS Is Fighting Against the Covid-19 Emergency

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Citations per year1.4
Citation span2021 - 2025 (5)
Highly citedNo
Open DOIOpen Access
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