Universitas Gadjah Mada/Dr. Sardjito Hospital, Public Health, and Nursing, Faculty of Medicine, Department of Surgery, Division of Urology, Yogyakarta, Indonesia.
Singapore General Hospital, Department of Urology, Singapore.
Med J Malaysia. 2022 Jul;77(Suppl 1):45-52.
We investigated the impact of Coronavirus Disease 2019 (COVID-19) pandemic on urological services by analyzing current attitudes and practices of urologists in the Southeast Asian (SEA) countries and create ways for improvement.
Quantitative data were used as critical indicators of workload of urological services from each country in SEA. Qualitative data analysis was done to describe the current state of attitudes of urologists against COVID-19 in the region. A strengths, weaknesses, opportunities, and threats (SWOT) analysis was performed to formulate strategic action plans.
A total of seven urologists from six SEA countries completed the survey. Approximately 21-40% reduction in elective surgeries and outpatient visits, as stated by 42.9% and 57.1% of respondents, respectively was noted. Collectively, most respondents (71.4%) experienced <20% reduction in emergency visits. Various strategies were utilized as reaction to the pandemic. These include utilization of virtual communication platforms, pre-surgical COVID-19 screening, and limited number of accepted outpatient appointments and surgeries. Face to face patient consultations were still considered needed by many urologists although most countries had prohibited direct patient contact. The national response of countries such as Malaysia, Singapore, Thailand, and Vietnam were successful in controlling the pandemic. However, Indonesia and Philippines struggled because of the limited testing and tracing capabilities. Through the SWOT analysis, strategies were identified which can help overcome COVID-19 and any other future pandemics: (1) restarting the urological services in a safe and sustainable manner; (2) optimizing financial and infrastructural capacities; and (3) regional collaboration to strengthen the health systems.
COVID-19 negatively impacted many health aspects, especially the delivery of urological services in SEA. Therefore, to ensure sustainability of urological services during the pandemic crisis, health care system should focus on safe, resilient, and adaptive approach with regional collaboration.
我们通过分析东南亚（SEA）国家泌尿科医生的当前态度和实践，研究了 2019 年冠状病毒病（COVID-19）大流行对泌尿科服务的影响，并提出了改进方法。
使用定量数据作为泌尿科服务工作量的关键指标，对每个 SEA 国家的数据进行分析。通过定性数据分析来描述该地区泌尿科医生对 COVID-19 的当前态度。进行了强弱分析（SWOT）分析，以制定战略行动计划。
共有来自六个 SEA 国家的七名泌尿科医生完成了调查。分别有 42.9％和 57.1％的受访者表示，择期手术和门诊就诊量分别减少了约 21-40％。总的来说，大多数受访者（71.4％）急诊就诊量减少了<20％。各国针对大流行采取了各种策略，包括利用虚拟交流平台，进行术前 COVID-19 筛查以及接受有限数量的门诊预约和手术。尽管大多数国家禁止直接与患者接触，但许多泌尿科医生仍认为面对面的患者咨询是必要的。马来西亚，新加坡，泰国和越南等国家的国家应对措施成功地控制了大流行。但是，印度尼西亚和菲律宾由于检测和追踪能力有限而陷入困境。通过 SWOT 分析，确定了可以帮助克服 COVID-19 及任何其他未来大流行的策略：（1）以安全和可持续的方式重启泌尿科服务；（2）优化财务和基础设施能力；（3）区域合作以加强卫生系统。
COVID-19 对许多健康方面产生了负面影响，尤其是东南亚的泌尿科服务。因此，为了确保在大流行危机期间泌尿科服务的可持续性，医疗保健系统应专注于安全，有弹性和适应性的方法，并进行区域合作。
