Araja Diana, Berkis Uldis, Murovska Modra
Institute of Microbiology and Virology, Riga Stradins University, 5 Ratsupites Str., LV-1067 Riga, Latvia.
Healthcare (Basel). 2022 May 31;10(6):1018. doi: 10.3390/healthcare10061018.
The circumstances of the Coronavirus disease caused by the SARS-CoV-2 virus (COVID-19) pandemic have had a significant impact on global and national developments, affecting the existence of society in all its expressions, as well as the lives of people themselves. In the context of the pandemic, increased attention has been focused on acute measures, but the ending of the pandemic is expected as a resolution of the related healthcare problems. However, there are several indicators that the COVID-19 pandemic might induce long-term consequences for individual and public health. Some of the consequences are inferred and predictable, but there are also areas of medicine that have been indirectly affected by the pandemic, and these consequences have not yet been sufficiently explored. This study is focused on drawing attention to some of the COVID-19 pandemic consistencies and the pandemic-revealed inconsistencies in healthcare. Content analysis and statistical analysis were applied to achieve the aim of the study. The main findings of the study address chronic disease burden (particularly, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)), healthcare governance and organizational issues, and the synergy between health policy perspectives and innovative solutions in practice. The study provides insight into the particular healthcare issues affected by the COVID-19 pandemic, such as the increase in mortality in some diagnoses besides COVID-19 and the possible emergence of a new type of resistance-vaccine-resistance-contemporaneously supporting the identification of the tendencies and currently unnoticed indirect consistencies and inconsistencies revealed by the pandemic.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的冠状病毒病(COVID-19)大流行的情况对全球和国家发展产生了重大影响,影响着社会各方面的生存以及人们自身的生活。在大流行背景下,人们更多地关注急性应对措施,但预计大流行的结束将是相关医疗问题的解决。然而,有几个指标表明,COVID-19大流行可能会给个人和公共健康带来长期后果。其中一些后果是可以推断和预测的,但也有一些医学领域受到了大流行的间接影响,而这些后果尚未得到充分探索。本研究旨在提请关注COVID-19大流行中的一些一致性以及大流行所揭示的医疗保健方面的不一致性。采用了内容分析和统计分析来实现研究目的。该研究的主要发现涉及慢性病负担(特别是肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS))、医疗保健治理和组织问题,以及卫生政策视角与实践中创新解决方案之间的协同作用。该研究深入探讨了受COVID-19大流行影响的特定医疗保健问题,例如除COVID-19外某些诊断中死亡率的增加以及可能出现的新型耐药性——疫苗耐药性——同时支持识别大流行所揭示的趋势以及当前未被注意到的间接一致性和不一致性。