Survey of COVID-19 impact on pediatric urology services

被引:0
|
作者
Mallenahalli, Sheila [1 ]
Fifolt, Matthew [2 ]
Gundeti, Mohan [3 ,4 ]
Lakshmanan, Yegappan [5 ]
Gargollo, Patricio [6 ]
Ost, Michael C. [7 ]
Dangle, Pankaj P. [8 ]
机构
[1] Univ Alabama Birmingham, Sch Med, Birmingham, AL USA
[2] Univ Alabama Birmingham, Sch Publ Hlth, Birmingham, AL USA
[3] Univ Chicago Med, Comer Childrens Hosp, Chicago, IL USA
[4] Univ Chicago Med, Pritzker Sch Med Chicago, Chicago, IL USA
[5] Wayne State Univ, Sch Med, Detroit, MI USA
[6] Mayo Clin, Rochester, MN USA
[7] West Virginia Sch Med, Morgantown, WV 26506 USA
[8] Univ Alabama Birmingham, Dept Urol, Birmingham, AL USA
关键词
survey; COVID-19; pediatric urology; financial impact; telemedicine;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: To better understand how the COVID-19 pandemic has forced rapid operational changes in the global healthcare industry, changes implemented on an individual, institutional basis must be considered. There currently is not adequate literature about the overall impact COVID-19 has had on pediatric urology services worldwide. We believe that they have dramatically decreased during the COVID-19 crisis, but have adapted to accommodate changes. We hypothesize that patient care was widely variant due to inadequate standardized recommendations or crisis planning. Materials and methods: A web-based survey was deployed to 377 pediatric urologists globally via email to analyze COVID-19's impact on various types of pediatric urology practices. Key categories included impacts on elective services, telemedicine use, finances, and recovery operations. A total of114 responses were collected between April 29th - May 22nd, 2020. Results: The widespread cancellation of elective surgical procedures caused significant disturbances in the field. There was a uniform, significant increase (75%) in telemedicine use across practices. The pandemic has created many changes in care provision for physicians, institutions, and patients themselves. Furthermore, the sudden economic burden on healthcare facilities could lead to cost-cutting measures, creating further strain within institutions. Though telemedicine has its limitations, it is a very viable option when traditional services are unavailable. Conclusions: Immediate steps should be taken to ensure that the recovery phases of pediatric urology practices are as efficient as possible. Institutions should develop task forces to develop critical workflow processes in the event of health crises, while still maintaining patient-centered care. This will be essential in maximizing appropriate care allocation.
引用
收藏
页码:10834 / 10840
页数:7
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