Point of view of the Italians pediatric scientific societies about the pediatric care during the COVID-19 lockdown: what has changed and future prospects for restarting.
Adult
Ambulatory Care
/ statistics & numerical data
COVID-19
Child
Coronavirus Infections
/ epidemiology
Delivery of Health Care
/ organization & administration
Emergency Service, Hospital
/ statistics & numerical data
Female
Hospitalization
/ statistics & numerical data
Humans
Infection Control
/ organization & administration
Italy
Male
Outcome Assessment, Health Care
Pandemics
/ prevention & control
Patient Care Planning
/ organization & administration
Pediatrics
/ methods
Pneumonia, Viral
/ epidemiology
Quarantine
/ organization & administration
Societies, Medical
Surveys and Questionnaires
Telemedicine
/ statistics & numerical data
COVID-19
Children
Pediatric assistance
Telemedicine
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
02 Oct 2020
02 Oct 2020
Historique:
received:
16
07
2020
accepted:
23
09
2020
entrez:
3
10
2020
pubmed:
4
10
2020
medline:
21
10
2020
Statut:
epublish
Résumé
The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting. We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment. The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians. Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.
Sections du résumé
BACKGROUND
BACKGROUND
The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting.
METHODS
METHODS
We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment.
RESULTS
RESULTS
The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians.
CONCLUSIONS
CONCLUSIONS
Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.
Identifiants
pubmed: 33008445
doi: 10.1186/s13052-020-00907-3
pii: 10.1186/s13052-020-00907-3
pmc: PMC7531060
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
142Références
Ann Ig. 2008 Jan-Feb;20(1):17-26
pubmed: 18478673
Stud Health Technol Inform. 2018;248:148-155
pubmed: 29726431
Klin Padiatr. 2002 Jan-Feb;214(1):8-13
pubmed: 11823948
N Engl J Med. 2020 Apr 2;382(14):1370-1371
pubmed: 32163697
World J Pediatr. 2020 Jun;16(3):240-246
pubmed: 32026148
Cad Saude Publica. 2009 Jan;25(1):7-28
pubmed: 19180283
Pediatrics. 2003 Jul;112(1 Pt 1):124-8
pubmed: 12837877
J Public Health Med. 2000 Jun;22(2):231-8
pubmed: 10912565
Nat Med. 2020 Apr;26(4):502-505
pubmed: 32284613
Diabetes Metab Syndr. 2020 Sep - Oct;14(5):779-788
pubmed: 32526627
J Child Neurol. 2019 Jan;34(1):22-26
pubmed: 30394826
Health Serv Res. 2014 Aug;49(4):1290-305
pubmed: 24495258
Pediatrics. 2015 Jul;136(1):e293-308
pubmed: 26122813