Birmingham Women's and Children's NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2TG, UK.
Best Pract Res Clin Obstet Gynaecol. 2021 Jun;73:2-11. doi: 10.1016/j.bpobgyn.2021.03.002. Epub 2021 Mar 18.
The coronavirus disease 2019 (COVID-19) pandemic continues to be a global public health concern. It has posed a multitude of challenges from managing the supply chain of personal protective equipment (PPE), reducing the spread of the virus through national restrictions, disrupting the routine delivery of healthcare services to now the race in developing novel treatments and vaccines. As the National Health Service (NHS) considers a phased restoration of non-emergency services, it is imperative to consider the high volume of patients awaiting specialist reviews and surgical procedures. Gynaecology services have to be prioritised according to the patients' clinical needs rather than their individual waiting times. In this chapter, we look at the varying aspects of prioritising non-emergency gynaecology care, including outpatient appointments and elective surgery, how innovative pathways have evolved in response to necessity, what some of the barriers have been to implement these and how this has overall impacted on individual gynaecological specialties.
2019 年冠状病毒病（COVID-19）大流行仍然是全球公共卫生关注的焦点。它带来了许多挑战，包括管理个人防护设备（PPE）的供应链、通过国家限制减少病毒传播、扰乱常规医疗服务的提供，以及现在竞相开发新的治疗方法和疫苗。随着国民保健制度（NHS）考虑分阶段恢复非紧急服务，必须考虑到大量等待专家审查和手术的患者。妇科服务必须根据患者的临床需求而不是他们的个人等待时间来优先考虑。在本章中，我们探讨了优先考虑非紧急妇科护理的不同方面，包括门诊预约和择期手术，以及创新途径是如何根据需要发展的，实施这些途径存在哪些障碍，以及这对个别妇科专业产生了怎样的总体影响。
