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.
【저자키워드】 COVID-19, SARS-CoV2, Cardiology, Health services research, cancer care, Response model (RM), 【초록키워드】 Treatment, SARS-CoV-2, pandemic, COVID-19 pandemic, outcome, telehealth, outcomes, Health, Research, Patient, pathway, resource, Care, Evidence, retrospective, literature review, Volume, NHS, oncology, other diseases, Perspective, Fatality rate, reason, element, while, Surgical Procedure, Italian, IMPROVE, identify, affected, reported, addition, investigated, conducted, provided, reduced, median, reduction in, analyses, 【제목키워드】 SARS-CoV-2, Italy, Impact, Emergency, phase,