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COVID-19 first lockdown and outpatient hospital setting: a single center, real life study focusing on pattern changes

Laura C Gironi1, Elia Esposto2, Roberto Giorgione3

  • 1Maggiore della Carità University Hospital, Novara, Italy - gironi.laura@gmail.com.

Italian Journal of Dermatology and Venereology
|June 6, 2022
PubMed

Insights

During Italy's first COVID-19 lockdown, dermatological outpatient visits decreased significantly, particularly among non-Italian patients. This highlights the need for targeted telemedicine to improve access for diverse communities.

Area of Science:

  • Dermatology
  • Public Health
  • Epidemiology

Background:

  • The first Italian lockdown due to COVID-19 led to healthcare re-organization, impacting outpatient services.
  • Limited data exists on ethnic patterns in dermatological outpatient visits during this period.

Purpose of the Study:

  • To evaluate changes in dermatological outpatient non-surgical setting visits based on ethnicity during the SARS-CoV-2 pandemic.
  • To compare visit data from the first Italian lockdown (March 5-April 30, 2020) with the pre-pandemic period in 2019.

Main Methods:

  • Retrospective study analyzing scheduled, performed, and not-performed dermatological visits.
  • Collected patient data including age, gender, and ethnicity.
  • Compared lockdown data with the corresponding period in 2019.

Main Results:

  • A significant overall decrease of 83.5% in dermatological visits was observed during the lockdown compared to 2019 (P<0.001).
  • Decreases were noted in visits for stable non-oncological patients and emergency dermatology accesses.
  • Non-Italian patients, especially South East Asians (-70.4%) and North Africans (-90.0%), showed reduced access.

Conclusions:

  • Hospital policies and media significantly influence public perception and healthcare access, potentially affecting non-Italian patients.
  • Promoting telemedicine among non-Italian communities in Italy is crucial to overcome skepticism and encourage timely dermatological care.
  • Telemedicine can enhance prevention and early treatment of dermatological conditions across diverse populations.
Abstract

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