Hastings Cent Rep. 2020 May;50(3):77-78. doi: 10.1002/hast.1144.
The Covid-19 pandemic has altered the shape of medicine, making in-person interactions risky for both patients and health care workers. Now, before scheduling in-person appointments or procedures, physicians are forced to reconsider if they are truly necessary. The pandemic has thus thrown into relief the difference between evidence-based medical care and traditional aspects of care that lack a strong evidentiary component. In this essay, we demonstrate how this has played out in prenatal care, as well as in other aspects of medical care, during the pandemic. The extent to which these changes will persist beyond the most emergent phases of the pandemic is not clear, though insurance reimbursement practices and patient expectations will be determining factors. One thing, however, is certain: the longer the pandemic continues, the more difficult it will be for providers and patients to return to pre-Covid norms.
新冠疫情改变了医学的形态，使得医患双方进行面对面交流的风险增加。现在，在安排面对面预约或手术前，医生必须重新考虑这些操作是否真的有必要。因此，这场大流行凸显了循证医学护理和缺乏强有力证据基础的传统护理之间的区别。在本文中，我们展示了这在疫情期间是如何在产前护理以及其他医疗护理方面发挥作用的。这些变化在疫情最紧急阶段之后将在多大程度上持续下去尚不清楚，但保险报销实践和患者期望将是决定因素。然而，有一点是肯定的：疫情持续的时间越长，提供者和患者就越难回到新冠疫情前的规范。
