Department of Obstetrics and Gynaecology, Barts Health NHS Trust, United Kingdom; Department of Women's and Child Health, City University London, United Kingdom.
Department of Obstetrics and Gynaecology, Barts Health NHS Trust, United Kingdom.
Best Pract Res Clin Obstet Gynaecol. 2021 Jun;73:12-21. doi: 10.1016/j.bpobgyn.2021.03.001. Epub 2021 Mar 18.
The National Health Service (NHS) response to the coronavirus disease 2019 (COVID-19) pandemic brought about rapid and innovative changes to surgical care in gynaecology, shared decision making around operative procedures and pre-operative gynaecological pathways. Short-term changes are linked to the redeployment of resources away from elective gynaecology and long-term changes relate to accelerating the streamlining of treatments, telemedicine and education in patient self-management. The speed and recency of the response does not yet permit the creation of a large evidence base for effective and acceptable interventions, apart from anecdotal observations of 'what works well'' good practice and guidance from the Royal Colleges and the National Institute for Health and Care Excellence (NICE).
英国国民保健制度（NHS）对 2019 年冠状病毒病（COVID-19）大流行的应对措施给妇科手术护理带来了迅速而创新的变化，围绕手术程序和术前妇科途径进行了共同决策。短期变化与资源从妇科选择性手术的重新部署有关，而长期变化则与加快治疗、远程医疗和患者自我管理教育的精简有关。除了“有效做法”的轶事观察、皇家学院和英国国家卫生与保健优化研究所（NICE）的良好实践和指导外，应对措施的速度和新颖性尚不能为有效的和可接受的干预措施创建一个大型证据基础。
