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The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic
During the on‐going COVID‐19 pandemic a number of key public health services have been severely impacted. These include elective surgical services due to the synergetic resources required to provide both perioperative surgical care whilst also treating acute COVID‐19 patients and also the poor outco...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239827/ https://www.ncbi.nlm.nih.gov/pubmed/34046937 http://dx.doi.org/10.1002/hpm.3243 |
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author | Kasivisvanathan, Ramanathan Tilney, Henry S. Jhanji, Shaman O’Mahony, Michelle Gruber, Pascale Nicol, David Morgan, Dominic Kipps, Emma Rasheed, Shahnawaz |
author_facet | Kasivisvanathan, Ramanathan Tilney, Henry S. Jhanji, Shaman O’Mahony, Michelle Gruber, Pascale Nicol, David Morgan, Dominic Kipps, Emma Rasheed, Shahnawaz |
author_sort | Kasivisvanathan, Ramanathan |
collection | PubMed |
description | During the on‐going COVID‐19 pandemic a number of key public health services have been severely impacted. These include elective surgical services due to the synergetic resources required to provide both perioperative surgical care whilst also treating acute COVID‐19 patients and also the poor outcomes associated with surgical patients who develop COVID‐19 in the perioperative period. This article discusses the important principles and concepts for providing important surgical services during the COVID‐19 pandemic based on the model of the RMCancerSurgHub which is providing surgical cancer services for a population of approximately 2 million people across London during the pandemic. The model focusses on creating local and regional hub centres which provide urgent treatment for surgical patients in an environment that is relatively protected from the burden of COVID‐19 illness. The model extensively utilises the extended multidisciplinary team to allow for a flexible approach with core services delivered in ‘clean’ sites which can adapt to viral surges. A key requirement is that of a clinical prioritisation process which allows for equity in access within and between specialties ensuring that patients are treated on the basis of greatest need, while at the same time protecting those whose conditions can safely wait from exposure to the virus. Importantly, this model has the ability to scale‐up activity and lead units and networks into the recovery phase. The model discussed is also broadly applicable to providing surgical services during any viral pandemic. |
format | Online Article Text |
id | pubmed-8239827 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82398272021-06-29 The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic Kasivisvanathan, Ramanathan Tilney, Henry S. Jhanji, Shaman O’Mahony, Michelle Gruber, Pascale Nicol, David Morgan, Dominic Kipps, Emma Rasheed, Shahnawaz Int J Health Plann Manage Perspectives During the on‐going COVID‐19 pandemic a number of key public health services have been severely impacted. These include elective surgical services due to the synergetic resources required to provide both perioperative surgical care whilst also treating acute COVID‐19 patients and also the poor outcomes associated with surgical patients who develop COVID‐19 in the perioperative period. This article discusses the important principles and concepts for providing important surgical services during the COVID‐19 pandemic based on the model of the RMCancerSurgHub which is providing surgical cancer services for a population of approximately 2 million people across London during the pandemic. The model focusses on creating local and regional hub centres which provide urgent treatment for surgical patients in an environment that is relatively protected from the burden of COVID‐19 illness. The model extensively utilises the extended multidisciplinary team to allow for a flexible approach with core services delivered in ‘clean’ sites which can adapt to viral surges. A key requirement is that of a clinical prioritisation process which allows for equity in access within and between specialties ensuring that patients are treated on the basis of greatest need, while at the same time protecting those whose conditions can safely wait from exposure to the virus. Importantly, this model has the ability to scale‐up activity and lead units and networks into the recovery phase. The model discussed is also broadly applicable to providing surgical services during any viral pandemic. John Wiley and Sons Inc. 2021-05-27 2021-09 /pmc/articles/PMC8239827/ /pubmed/34046937 http://dx.doi.org/10.1002/hpm.3243 Text en © 2021 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Perspectives Kasivisvanathan, Ramanathan Tilney, Henry S. Jhanji, Shaman O’Mahony, Michelle Gruber, Pascale Nicol, David Morgan, Dominic Kipps, Emma Rasheed, Shahnawaz The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic |
title | The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic |
title_full | The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic |
title_fullStr | The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic |
title_full_unstemmed | The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic |
title_short | The ‘hub and spoke model’ for the management of surgical patients during the COVID‐19 pandemic |
title_sort | ‘hub and spoke model’ for the management of surgical patients during the covid‐19 pandemic |
topic | Perspectives |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239827/ https://www.ncbi.nlm.nih.gov/pubmed/34046937 http://dx.doi.org/10.1002/hpm.3243 |
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