Bell Katy Jl, Stanaway Fiona F, McCaffery Kirsten, Shirley Michael, Carter Stacy M
Wiser Healthcare Research Collaboration, Sydney, NSW, Australia; School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia;
School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia.
Public Health Res Pract. 2023 Mar 15;33(1):32122208. doi: 10.17061/phrp32122208.
Since 2020, hundreds of thousands of more deaths than expected have been observed across the globe. Amid the coronavirus 2019 (COVID-19) pandemic, current research priorities are to control the spread of infection and minimise loss of life. However, there may be future opportunities to learn from the pandemic to build a better healthcare system that delivers maximum health benefits with minimum harm. So far, much research has focused on foregone benefits of healthcare services such as cancer screening during the pandemic. A more balanced approach is to recognise that all healthcare services have potential harms as well as benefits. In this way, we may be able to use pandemic 'natural experiments' to identify cases where a reduction in a healthcare service has not been harmful to the population and some instances where this may have even been beneficial.
自2020年以来，全球观察到的死亡人数比预期多出数十万。在2019冠状病毒病（COVID-19）大流行期间，当前的研究重点是控制感染传播并尽量减少生命损失。然而，未来可能有机会从这场大流行中吸取教训，建立一个更好的医疗保健系统，以最小的危害实现最大的健康效益。到目前为止，许多研究都集中在大流行期间医疗服务（如癌症筛查）被放弃的益处上。一种更平衡的方法是认识到所有医疗服务都有潜在的危害和益处。通过这种方式，我们或许能够利用大流行“自然实验”来确定减少某项医疗服务对人群无害的情况，以及某些情况下这甚至可能有益的情况。
