Thorpe J, Ashby S, Cross J H, Sander J W, Newton C, Hanna J, Sen A
SUDEP Action, 18 Newbury Street, Wantage OX12 8DA, UK.
Oxford Epilepsy Research Group, NIHR Biomedical Research Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Epilepsy Behav Rep. 2021;16:100487. doi: 10.1016/j.ebr.2021.100487. Epub 2021 Sep 30.
The COVID-19 pandemic has created an immense pressure on healthcare providers, resulting in a shift to remote consultations and the redeployment of healthcare workers (HCWs). We present survey data from the United Kingdom (UK) HCWs to outline how changes in healthcare provision impact clinicians' wellbeing and ability to provide adequate care. We designed an online survey to gather the experiences of HCWs providing care to people with epilepsy. We received seventy-nine responses from UK-based HCWs, of whom 43% reported an impact on their mental health. Changes to service delivery have resulted in 71% of clinicians performing > 75% of their consultations remotely. Diagnosing and treating epilepsy has changed, with a fifth of respondents being significantly less confident in diagnosing epilepsy. Ultimately, these results show that COVID-19 has had an overall negative impact on HCWs and their ability to provide epilepsy care. These results must be considered when reorganizing health services to ensure optimal outcomes for people with epilepsy.
新冠疫情给医疗服务提供者带来了巨大压力,导致向远程会诊的转变以及医护人员的重新调配。我们展示了来自英国医护人员的调查数据,以概述医疗服务提供方式的变化如何影响临床医生的幸福感和提供充分护理的能力。我们设计了一项在线调查,以收集为癫痫患者提供护理的医护人员的经历。我们收到了来自英国医护人员的79份回复,其中43%报告其心理健康受到影响。服务提供方式的改变导致71%的临床医生进行了超过75%的远程会诊。癫痫的诊断和治疗方式发生了变化,五分之一的受访者对癫痫诊断的信心明显降低。最终,这些结果表明新冠疫情对医护人员及其提供癫痫护理的能力产生了总体负面影响。在重组卫生服务时必须考虑这些结果,以确保癫痫患者获得最佳治疗效果。