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Prioritisation of outpatient appointments and elective surgery in gynaecology
Bibi Zeyah Fatemah Sairally1, T Justin Clark1
1Birmingham Women's and Children's NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2TG, UK.
Insights
The COVID-19 pandemic disrupted healthcare, necessitating prioritization of non-emergency gynecological care based on clinical need. Innovative pathways were developed to manage patient backlogs and ensure timely access to essential gynecological services.
Area of Science:
- Public Health
- Healthcare Management
- Gynaecology
Background:
- The COVID-19 pandemic significantly disrupted global healthcare systems, including the supply chain for personal protective equipment (PPE) and routine service delivery.
- National restrictions implemented to curb virus spread further exacerbated challenges in healthcare access and management.
Purpose of the Study:
- To examine the prioritization strategies for non-emergency gynecological care within the National Health Service (NHS) during the COVID-19 pandemic.
- To analyze the evolution of innovative care pathways and identify barriers to their implementation in gynecological specialties.
Main Methods:
- Review of evolving healthcare practices and patient management strategies in response to pandemic-induced disruptions.
- Analysis of the impact of these changes on outpatient appointments and elective gynecological surgeries.
Main Results:
- Gynaecology services require prioritization based on clinical urgency rather than patient waiting times.
- Innovative care pathways have emerged out of necessity to address patient backlogs.
- Barriers to implementing these new pathways have been identified across various gynecological specialties.
Conclusions:
- The pandemic necessitated a shift towards clinical need-based prioritization in non-emergency gynecological services.
- Adaptation and innovation in care delivery are crucial for managing patient flow and ensuring access to specialized gynecological care post-pandemic.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic continues to be a global public health concern. It has posed a multitude of challenges from managing the supply chain of personal protective equipment (PPE), reducing the spread of the virus through national restrictions, disrupting the routine delivery of healthcare services to now the race in developing novel treatments and vaccines. As the National Health Service (NHS) considers a phased restoration of non-emergency services, it is imperative to consider the high volume of patients awaiting specialist reviews and surgical procedures. Gynaecology services have to be prioritised according to the patients' clinical needs rather than their individual waiting times. In this chapter, we look at the varying aspects of prioritising non-emergency gynaecology care, including outpatient appointments and elective surgery, how innovative pathways have evolved in response to necessity, what some of the barriers have been to implement these and how this has overall impacted on individual gynaecological specialties.
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