The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review
Background Italy has been one of the countries most affected by the SARS-CoV-2 pandemic and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a...
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| Format: | Article |
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PAGEPress Publications
2022-01-01
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| Series: | Mediterranean Journal of Hematology and Infectious Diseases |
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| Online Access: | https://mjhid.org/index.php/mjhid/article/view/4809 |
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| author | Annarita Botta Gianmarco Lugli Matteo Maria Ottaviani Guido Ascione Alessandro Bruschi Federico Cagnazzo Lorenzo Zammarchi Paola Romagnani tommaso portaluri |
| author_facet | Annarita Botta Gianmarco Lugli Matteo Maria Ottaviani Guido Ascione Alessandro Bruschi Federico Cagnazzo Lorenzo Zammarchi Paola Romagnani tommaso portaluri |
| author_sort | Annarita Botta |
| collection | DOAJ |
| description | Background Italy has been one of the countries most affected by the SARS-CoV-2 pandemic and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a potential long-term impact on patient health care. We investigated the management of non-COVID-19 patients across all medical specialties in Italy.
Methods A PRISMA guideline-based systematic review of the literature was performed using PubMed, Embase, and Scopus, restricting the search to the main outbreak period in Italy (from 20 February to 22 June, 2020). We selected articles in English or Italian that detailed changes in the Italian hospital care for non-COVID-19 patients due to the pandemic. Our keywords included all medical specialties in combination with our geographical focus (Italy) and COVID-19.
Results Of the 4643 potentially eligible studies identified by the search, 247 studies were included. A decrease in the management of emergencies in non-COVID patients was found together with an increase in mortality. Similarly, non-deferrable conditions met a tendency toward decreased diagnosis. All specialties have been affected by the reorganization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine.
Conclusions Our work highlights the changes taking place in the Italian public healthcare system to tackle the developing health crisis due to the COVID-19 pandemic. The findings of our review may be useful to analyze future directions for the healthcare system in the case of new pandemic scenarios. |
| format | Article |
| id | doaj-art-99d3c3865ee9499986ec2b84b3c4acb7 |
| institution | OA Journals |
| issn | 2035-3006 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Mediterranean Journal of Hematology and Infectious Diseases |
| spelling | doaj-art-99d3c3865ee9499986ec2b84b3c4acb72025-08-20T01:47:40ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062022-01-0114110.4084/MJHID.2022.012The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic reviewAnnarita Botta0Gianmarco Lugli1Matteo Maria Ottaviani2Guido Ascione3Alessandro Bruschi4Federico Cagnazzo5Lorenzo Zammarchi6Paola Romagnani7tommaso portaluri8Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy;CEST Centre for Excellence and Transdisciplinary Studies, Turin, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy;CEST Centre for Excellence and Transdisciplinary Studies, Turin, ItalySant'Anna School of Avdanced Studies, Pisa, Italy; CEST Centre for Excellence and Transdisciplinary Studies, Turin, ItalyDepartment of Cardiac Surgery, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy;0 CEST Centre for Excellence and Transdisciplinary Studies, Turin, Italy Rizzoli Orthopaedic Insititute, University of Bologna, Bologna, Italy; CEST Centre for Excellence and Transdisciplinary Studies, Turin, ItalyDepartment of Neuroradiology, Hôpital Gui de Chauliac, Montpellier University Medical Center, 80, Avenue Augustin Fliche, Montpellier, FranceDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy;CEST Centre for Excellence and Transdisciplinary Studies, Turin, ItalyNephrology and Dialysis Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, ItalyIN Srl, Udine, Italy; CEST Centre for Excellence and Transdisciplinary Studies, Turin, ItalyBackground Italy has been one of the countries most affected by the SARS-CoV-2 pandemic and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a potential long-term impact on patient health care. We investigated the management of non-COVID-19 patients across all medical specialties in Italy. Methods A PRISMA guideline-based systematic review of the literature was performed using PubMed, Embase, and Scopus, restricting the search to the main outbreak period in Italy (from 20 February to 22 June, 2020). We selected articles in English or Italian that detailed changes in the Italian hospital care for non-COVID-19 patients due to the pandemic. Our keywords included all medical specialties in combination with our geographical focus (Italy) and COVID-19. Results Of the 4643 potentially eligible studies identified by the search, 247 studies were included. A decrease in the management of emergencies in non-COVID patients was found together with an increase in mortality. Similarly, non-deferrable conditions met a tendency toward decreased diagnosis. All specialties have been affected by the reorganization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine. Conclusions Our work highlights the changes taking place in the Italian public healthcare system to tackle the developing health crisis due to the COVID-19 pandemic. The findings of our review may be useful to analyze future directions for the healthcare system in the case of new pandemic scenarios.https://mjhid.org/index.php/mjhid/article/view/4809COVID-19; non-COVID patients; Italy; National Health System; |
| spellingShingle | Annarita Botta Gianmarco Lugli Matteo Maria Ottaviani Guido Ascione Alessandro Bruschi Federico Cagnazzo Lorenzo Zammarchi Paola Romagnani tommaso portaluri The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review Mediterranean Journal of Hematology and Infectious Diseases COVID-19; non-COVID patients; Italy; National Health System; |
| title | The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review |
| title_full | The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review |
| title_fullStr | The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review |
| title_full_unstemmed | The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review |
| title_short | The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review |
| title_sort | impact of the sars cov 2 pandemic on healthcare provision in italy to non covid patients a systematic review |
| topic | COVID-19; non-COVID patients; Italy; National Health System; |
| url | https://mjhid.org/index.php/mjhid/article/view/4809 |
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