Assistant Professorial Research Fellow, Care Policy and Evaluation Centre, London School of Economics and Political Science , London, UK.
Associate Professorial Research Fellow, Care Policy and Evaluation Centre, London School of Economics and Political Science , London, UK.
J Aging Soc Policy. 2020 Jul-Oct;32(4-5):365-372. doi: 10.1080/08959420.2020.1759759. Epub 2020 Jun 4.
This perspective examines the challenge posed by COVID-19 for social care services in England and describes responses to this challenge. People with social care needs experience increased risks of death and deteriorating physical and mental health with COVID-19. Social isolation introduced to reduce COVID-19 transmission may adversely affect well-being. While the need for social care rises, the ability of families and social care staff to provide support is reduced by illness and quarantine, implying reductions in staffing levels. Consequently, COVID-19 could seriously threaten care availability and quality. The government has sought volunteers to work in health and social care to help address the threat posed by staff shortages at a time of rising need, and the call has achieved an excellent response. The government has also removed some barriers to effective coordination between health and social care, while introducing measures to promote the financial viability of care providers. The pandemic presents unprecedented challenges that require well-co-coordinated responses across central and local government, health services, and non-government sectors.
本文审视了 COVID-19 给英格兰的社会保健服务带来的挑战,并描述了应对这一挑战的措施。有社会保健需求的人在感染 COVID-19 后死亡风险和身心健康恶化的风险增加。为了降低 COVID-19 的传播而采取的社会隔离措施可能会对幸福感产生不利影响。虽然社会保健的需求增加了,但家庭和社会保健工作人员因疾病和隔离而提供支持的能力下降,这意味着人员配置水平降低。因此,COVID-19 可能严重威胁到护理的可及性和质量。政府已经寻求志愿者在卫生和社会保健领域工作,以帮助应对人员短缺带来的威胁,而这一号召已经得到了极好的响应。政府还消除了卫生和社会保健之间有效协调的一些障碍,同时采取措施促进护理提供者的财务可行性。大流行带来了前所未有的挑战,需要中央和地方政府、卫生服务部门以及非政府部门之间进行协调一致的应对。