Lieneck Cristian, Herzog Brooke, Krips Raven
School of Health Administration, Texas State University, San Marcos, TX 78666, USA.
Healthcare (Basel). 2021 May 1;9(5):528. doi: 10.3390/healthcare9050528.
The delivery of routine health care during the COVID-19 global pandemic continues to be challenged as public health guidelines and other local/regional/state and other policies are enforced to help prevent the spread of the virus. The objective of this systematic review is to identify the facilitators and barriers affecting the delivery of routine health care services during the pandemic to provide a framework for future research. In total, 32 articles were identified for common themes surrounding facilitators of routine care during COVID-19. Identified constructed in the literature include enhanced education initiatives for parents/patients regarding routine vaccinations, an importance of routine vaccinations as compared to the risk of COVID-19 infection, an enhanced use of telehealth resources (including diagnostic imagery) and identified patient throughput/PPE initiatives. Reviewers identified the following barriers to the delivery of routine care: conservation of medical providers and PPE for non-routine (acute) care delivery needs, specific routine care services incongruent the telehealth care delivery methods, and job-loss/food insecurity. Review results can assist healthcare organizations with process-related challenges related to current and/or future delivery of routine care and support future research initiatives as the global pandemic continues.
在新冠疫情全球大流行期间，由于实施了公共卫生指南以及其他地方/地区/州及其他政策以帮助防止病毒传播，常规医疗保健的提供持续面临挑战。本系统评价的目的是确定在大流行期间影响常规医疗保健服务提供的促进因素和障碍，以便为未来研究提供一个框架。总共识别出32篇围绕新冠疫情期间常规护理促进因素的共同主题的文章。文献中确定的内容包括针对父母/患者的常规疫苗接种强化教育举措、与新冠病毒感染风险相比常规疫苗接种的重要性、远程医疗资源（包括诊断影像）的更多使用以及确定的患者流量/个人防护装备举措。评审人员确定了常规护理提供的以下障碍：为非常规（急性）护理提供需求而保留医疗服务提供者和个人防护装备、特定常规护理服务与远程医疗护理提供方法不一致，以及失业/粮食不安全。评审结果可帮助医疗保健组织应对与当前和/或未来常规护理提供相关的流程相关挑战，并在全球大流行持续期间支持未来的研究举措。
