Deogon Gurdev S, Robbins Tim, Randeva Manpal S, Kyrou Ioannis, Sankar Sailesh, Randeva Harpal S, Murthy Narasimha
Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), Coventry, UK.
WISDEM, Coventry, UK and University of Warwick, Coventry, UK.
Future Healthc J. 2020 Oct;7(3):e77-e79. doi: 10.7861/fhj.2020-0054.
COVID-19 has created unprecedented challenges for healthcare services internationally. Many NHS organisations have cancelled outpatient clinics to release frontline clinical staff and minimise risk of patients contracting COVID-19. While many outpatient services manage chronic diseases, a number of services manage high-acuity patients. Delivery of these acute outpatient services during the pandemic has posed particular challenges and required significant service model reconfiguration. The acute diabetes foot clinic is an important example of such a service. We explore the important lessons learnt during the COVID-19 pandemic for managing high-acuity outpatient services through the context of the diabetic foot clinic. Learning can be divided into the following categories: remote and digital working, physical changes in service delivery, workforce challenges and post-pandemic preparedness. This learning is applicable to a wide range of high-acuity services during and following the pandemic. It is particularly relevant as we expand outpatient care provision to avoid hospital admissions.
新冠疫情给全球医疗服务带来了前所未有的挑战。许多英国国民医疗服务体系（NHS）机构取消了门诊诊所，以腾出一线临床工作人员，并将患者感染新冠病毒的风险降至最低。虽然许多门诊服务负责管理慢性病，但也有一些服务负责诊治高 acuity 患者。在疫情期间提供这些急性门诊服务带来了特殊挑战，需要对服务模式进行重大重新配置。急性糖尿病足诊所就是这类服务的一个重要例子。我们通过糖尿病足诊所这一背景，探讨在新冠疫情期间管理高 acuity 门诊服务所汲取的重要经验教训。经验教训可分为以下几类：远程和数字化工作、服务提供的物理变化、劳动力挑战以及疫情后准备工作。这些经验教训适用于疫情期间及之后的广泛高 acuity 服务。在我们扩大门诊护理服务以避免患者住院时，这一点尤为相关。
