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- Title
The Impact of the SARS-CoV-2 Pandemic on Healthcare Provision in Italy to non-COVID Patients: a Systematic Review.
- Authors
Lugli, Gianmarco; Ottaviani, Matteo Maria; Botta, Annarita; Ascione, Guido; Bruschi, Alessandro; Cagnazzo, Federico; Zammarchi, Lorenzo; Romagnani, Paola; Portaluri, Tommaso
- Abstract
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 noncommunicable diseases with a potential long-term impact on patient health care. Therefore, we investigated the management of non-COVID-19 patients across all medical specialities 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 February 20 to June 25 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 specialities combined with our geographical focus (Italy) and COVID-19. Results: Of the 4643 potentially eligible studies identified by the search, 247 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 specialities have been affected by the re-organization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine. Conclusions: Our work highlights the changes 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 analyse future directions for the healthcare system in the case of new pandemic scenarios.
- Subjects
ITALY; COVID-19 pandemic; DISEASE management; MEDICAL care; HOSPITAL care; EMERGENCY management
- Publication
Mediterranean Journal of Hematology & Infectious Diseases, 2022, Vol 14, Issue 1, p1
- ISSN
2035-3006
- Publication type
Article
- DOI
10.4084/mjhid.2022.012