The Wider Impacts of the Coronavirus Pandemic on the NHS*
The Wider Impacts of the Coronavirus Pandemic on the NHS*
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DOI：
10.1111/1475-5890.12227
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发表时间：
2020-06-26
期刊：
影响因子：
7.3
通讯作者：
Zaranko, Ben
中科院分区：
文献类型：
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作者：
Propper, Carol;Stoye, George;Zaranko, Ben
冠状病毒大流行对国民保健服务（NHS）产生了巨大影响。患有这种疾病的患者对急性护理提出了前所未有的要求，特别是对重症监护病房（ICU）。这导致努力大幅增加NHS医院治疗这些患者的可用资源，包括重组医院设施，重新部署现有工作人员，并努力吸引最近退休和新毕业的工作人员来对抗这一流行病。这些需求的增加和供应的变化对向更广泛人口提供的护理产生了巨大的连锁反应。本文讨论了应对冠状病毒大流行的短期和中期医疗服务可能产生的影响，主要集中在对非冠状病毒患者的影响。过去的护理模式表明，最有可能受到这些干扰影响的将是老年人和生活在更贫困地区的人，这可能会加剧先前存在的健康不平等。影响可能会持续到较长时期，在征聘和持续的工作人员短缺方面会面临特别的挑战。
The coronavirus pandemic has had huge impacts on the National Health Service (NHS). Patients suffering from the illness have placed unprecedented demands on acute care, particularly on intensive care units (ICUs). This has led to an effort to dramatically increase the resources available to NHS hospitals in treating these patients, involving reorganisation of hospital facilities, redeployment of existing staff and a drive to bring in recently retired and newly graduated staff to fight the pandemic. These increases in demand and changes to supply have had large knock-on effects on the care provided to the wider population. This paper discusses likely implications for healthcare delivery in the short and medium term of the responses to the coronavirus pandemic, focusing primarily on the implications for non-coronavirus patients. Patterns of past care suggest those most likely to be affected by these disruptions will be older individuals and those living in more deprived areas, potentially exacerbating pre-existing health inequalities. Effects are likely to persist into the longer run, with particular challenges around recruitment and ongoing staff shortages.