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新冠疫情如何影响英国的矫形服务?

How has the COVID-19 pandemic affected orthotic services in the United Kingdom?

机构信息

Centre for Biomechanics and Rehabilitation Technologies, School of Life Sciences and Education, Staffordshire University, Stoke-on-Trent, UK.

The Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, UK.

出版信息

Prosthet Orthot Int. 2021 Oct 1;45(5):373-377. doi: 10.1097/PXR.0000000000000031.

Abstract

BACKGROUND

COVID-19 has had a significant impact on the National Health Service in the United Kingdom (UK).

OBJECTIVE

This study aimed to determine the impact of COVID-19 on orthotic services in the United Kingdom.

STUDY DESIGN

Cross sectional survey.

METHODS

An online survey was distributed to UK orthotists approximately 6 months after the first peak of COVID-19. Descriptive statistics of results related to appointment waiting times, disruption of services, introduction of telehealth appointments, and clinicians' opinions on the impact of COVID-19 was completed.

RESULTS

Seventy-seven orthotists completed the survey, with many reporting that their service was closed or open only to inpatients/urgent patients at some point during the pandemic. There were substantial variation in appointment waiting times, time allocated per appointment, and increases in lead times for orthotic products across services. Over 90% reported using telehealth appointments. Results were comparable with previous research showing long appointment waiting times and indicated that the pandemic has added to this issue.

CONCLUSIONS

The pandemic has had a significant impact on orthotic services with face-to-face appointments largely reserved for urgent patients and inpatients, and services going through stages of closing and reopening, alongside the introduction of telehealth to ensure less urgent patients could continue to access orthotic care. Future service evaluation studies are required to further assess how orthotic services have been affected by the pandemic and the effectiveness of recovery plans.

摘要

背景

新冠疫情对英国(UK)的国民保健服务(NHS)产生了重大影响。

目的

本研究旨在确定新冠疫情对英国矫形服务的影响。

研究设计

横断面调查。

方法

在新冠疫情第一波高峰过后约 6 个月,向英国矫形师分发了一份在线调查。完成了与预约等候时间、服务中断、远程医疗预约的引入以及临床医生对新冠疫情影响的看法相关的结果的描述性统计。

结果

77 名矫形师完成了调查,许多人报告说,他们的服务在疫情期间的某个时候关闭或仅对住院患者/紧急患者开放。各服务的预约等候时间、每次预约分配的时间和矫形产品的提前期都有很大差异。超过 90%的人报告使用了远程医疗预约。结果与之前显示预约等候时间长的研究结果相似,并表明大流行加剧了这一问题。

结论

疫情对矫形服务产生了重大影响,面对面预约主要保留给紧急患者和住院患者,服务经历了关闭和重新开放的阶段,同时引入远程医疗,以确保非紧急患者能够继续获得矫形护理。需要进行未来的服务评估研究,以进一步评估疫情对矫形服务的影响以及恢复计划的有效性。

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