Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria.
Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Eur J Neurol. 2021 Nov;28(11):3849-3855. doi: 10.1111/ene.14741. Epub 2021 Feb 5.
Coronavirus disease 2019 (COVID-19), a multi-organ disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), continues to challenge health and care systems around the globe. The pandemic has disrupted acute neurology services and routine patient care and has impacted the clinical course in patients with chronic neurological disease. COVID-19 appears to have exposed inequalities of societies and healthcare systems and had a disproportionate impact on already vulnerable communities. The next challenge will be to set up initiatives to stop disparities in all aspects related to COVID-19. From the medical perspective, there is a need to consider inequalities in prevention, treatment and long-term consequences. Some of the issues of direct relevance to neurologists are summarised. With this appraisal, the European Academy of Neurology NeuroCOVID-19 Task Force intends to raise awareness of the potential impact of COVID-19 on inequalities in healthcare and calls for action to prevent disparity at individual, national and supranational levels.
新型冠状病毒病 2019(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的多器官疾病,继续对全球的卫生和保健系统构成挑战。大流行扰乱了急性神经科服务和常规患者护理,并影响了慢性神经疾病患者的临床病程。COVID-19似乎暴露了社会和医疗保健系统的不平等现象,并对已经脆弱的社区产生了不成比例的影响。下一个挑战将是制定举措,以消除与 COVID-19 相关的所有方面的差异。从医学角度来看,需要考虑预防、治疗和长期后果方面的不平等。总结了与神经科医生直接相关的一些问题。通过这项评估,欧洲神经病学学会神经 COVID-19 工作组旨在提高对 COVID-19 对医疗保健不平等可能产生的影响的认识,并呼吁采取行动,防止在个人、国家和跨国层面出现差异。