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Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy

Clinical pathways (CPs) are multidisciplinary clinical governance tools necessary for the care management of the patients, whose aim is to outline the best practicable path within a health organization related to an illness or to a complex clinical situation. The COVID-19 pandemic emergency has crea...

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Autores principales: Piane, Maria, Bianco, Lavinia, Mancini, Rita, Fornelli, Paolo, Gabriele, Angela, Medici, Francesco, Battista, Claudia, Greco, Stefania, Croce, Giuseppe, Franceschetti, Laura, Napoli, Christian, Ronchetti, Mario, Anibaldi, Paolo, Banchieri, Giorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776184/
https://www.ncbi.nlm.nih.gov/pubmed/35055455
http://dx.doi.org/10.3390/ijerph19020635
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author Piane, Maria
Bianco, Lavinia
Mancini, Rita
Fornelli, Paolo
Gabriele, Angela
Medici, Francesco
Battista, Claudia
Greco, Stefania
Croce, Giuseppe
Franceschetti, Laura
Napoli, Christian
Ronchetti, Mario
Anibaldi, Paolo
Banchieri, Giorgio
author_facet Piane, Maria
Bianco, Lavinia
Mancini, Rita
Fornelli, Paolo
Gabriele, Angela
Medici, Francesco
Battista, Claudia
Greco, Stefania
Croce, Giuseppe
Franceschetti, Laura
Napoli, Christian
Ronchetti, Mario
Anibaldi, Paolo
Banchieri, Giorgio
author_sort Piane, Maria
collection PubMed
description Clinical pathways (CPs) are multidisciplinary clinical governance tools necessary for the care management of the patients, whose aim is to outline the best practicable path within a health organization related to an illness or to a complex clinical situation. The COVID-19 pandemic emergency has created the need for an organizational renewal of care pathways based on the principles of “primary health care” recommended by the WHO. In Italy, the Hospitals and Local Health Authorities (ASL) have tried to guarantee the continuity of non-deferrable treatments and the maximum safety of both patients and health professionals. This study analyzes the organizational and managerial responses adopted in pathology-specific care pathways to assess how CPs as diagnostic tools responded to the COVID-19 pandemic in the first two waves. Twenty-four referents of Operational Units (UU OO) from Hospitals (AO) and Local Health Authorities (ASL) of the Lazio Region (Central Italy) that apply four different CPs responded to a survey, which analyzes the managerial and organizational responses of CPs in regard to different contexts. Results show that the structural and organizational adjustments of the CPs have made it possible to maintain an adequate level of care for specific treatment processes, with some common critical aspects that require improvement actions. The adjustments found could be useful for dealing with new outbreaks and/or new epidemics in order to try to mitigate the potential negative impact, especially on the most vulnerable patient categories.
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spelling pubmed-87761842022-01-21 Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy Piane, Maria Bianco, Lavinia Mancini, Rita Fornelli, Paolo Gabriele, Angela Medici, Francesco Battista, Claudia Greco, Stefania Croce, Giuseppe Franceschetti, Laura Napoli, Christian Ronchetti, Mario Anibaldi, Paolo Banchieri, Giorgio Int J Environ Res Public Health Article Clinical pathways (CPs) are multidisciplinary clinical governance tools necessary for the care management of the patients, whose aim is to outline the best practicable path within a health organization related to an illness or to a complex clinical situation. The COVID-19 pandemic emergency has created the need for an organizational renewal of care pathways based on the principles of “primary health care” recommended by the WHO. In Italy, the Hospitals and Local Health Authorities (ASL) have tried to guarantee the continuity of non-deferrable treatments and the maximum safety of both patients and health professionals. This study analyzes the organizational and managerial responses adopted in pathology-specific care pathways to assess how CPs as diagnostic tools responded to the COVID-19 pandemic in the first two waves. Twenty-four referents of Operational Units (UU OO) from Hospitals (AO) and Local Health Authorities (ASL) of the Lazio Region (Central Italy) that apply four different CPs responded to a survey, which analyzes the managerial and organizational responses of CPs in regard to different contexts. Results show that the structural and organizational adjustments of the CPs have made it possible to maintain an adequate level of care for specific treatment processes, with some common critical aspects that require improvement actions. The adjustments found could be useful for dealing with new outbreaks and/or new epidemics in order to try to mitigate the potential negative impact, especially on the most vulnerable patient categories. MDPI 2022-01-06 /pmc/articles/PMC8776184/ /pubmed/35055455 http://dx.doi.org/10.3390/ijerph19020635 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Piane, Maria
Bianco, Lavinia
Mancini, Rita
Fornelli, Paolo
Gabriele, Angela
Medici, Francesco
Battista, Claudia
Greco, Stefania
Croce, Giuseppe
Franceschetti, Laura
Napoli, Christian
Ronchetti, Mario
Anibaldi, Paolo
Banchieri, Giorgio
Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy
title Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy
title_full Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy
title_fullStr Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy
title_full_unstemmed Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy
title_short Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy
title_sort impact of the covid-19 pandemic on clinical pathways for non-sars-cov-2 related diseases in the lazio region, italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776184/
https://www.ncbi.nlm.nih.gov/pubmed/35055455
http://dx.doi.org/10.3390/ijerph19020635
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