Psychosocio-economic impacts of COVID-19 on gastroenterology and endoscopy practice  

COVID-19对消化科与内镜科临床工作心理社会

作　　者：Jing-Jing Shen 

机构地区：[1]Harvard College,Harvard University,Cambridge,MA,USA

出　　处：《Gastroenterology Report》2021年第3期205-211,I0001,共8页胃肠病学报道（英文）

摘　　要：Beyond posing a major health crisis,the COVID-19 pandemic has inflicted profound psychological,social,and economic impacts on populations worldwide.Mass quarantines and social isolation have affected the mental health of the wider population,exacerbating other stressors,including fear of the virus and its repercussions,general uncertainty,and financial insecurity.The pandemic has challenged the broader delivery of healthcare––ranging from the need to triage limited hospital resources to balancing risk mitigation with maintaining medical care.Specific to gastroenterology,severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)has not only been associated with complicating extant medical conditions of the gastrointestinal(GI)tract,but has also forced a shift in the practice of gastroenterology by patients,families,and healthcare providers alike.The gastroenterology field has been required to adapt its practices to minimize the possibility of viral spread while still upholding patient care.Healthcare practitioners in GI have helped to treat COVID-19 patients,stratified inpatient and outpatient visits and procedures,and shifted to telemedicine.Still,as is the case with much of the general population,healthcare providers working in GI practice or endoscopy have faced personal and professional stressors,mental health difficulties,social isolation,financial pressures,and familial burdens––all of which can take a toll on practitioners and,by extension,the provision of GI care overall.This article will highlight how the COVID-19 pandemic has affected the psychological wellbeing,social engagement,and economic conditions of the public,healthcare providers,and GI professionals specifically.Recommendations for strategies that can continue GI services while maintaining safety for both caregivers and patients are put forth to help uphold critical GI care during this worldwide crisis.除了引发了一场严重健康危机外,COVID-19疫情对全球人类心理、社会、经济方面造成了巨大影响。大规模检疫和大面积隔离影响人们的精神健康,并加重了其他方面的压力,包括害怕病毒及其感染后果,对疫情走向的不确定性,以及缺乏经济保障。疫情对医疗服务带来的挑战更大,包括如何分配有限的医疗资源,如何把握减少病毒风险与维持医疗服务之间的平衡。对于消化科,SARS-CoV-2不仅使现存的消化疾病医疗环境进一步恶化,而且会改变消化科的医疗模式,无论是对患者、家属,还是对医护人员。消化科需要努力适应当前的医疗模式,即在尽量减少病毒传播的同时维持患者医护。消化科的医护人员已按门诊、住院和手术将COVID-19患者进行分类,并开启了远程医疗服务。然而,与普通大众一样,消化科或内镜科医护人员同样面临着个人压力、工作压力、精神受损、社会隔离、经济负担等,所有这些都对医护人员产生了严重的负面影响,也进一步影响了消化科的整体医疗服务。本文重点探讨了COVID-19是如何影响公众、医护人员以及消化专业人员的心理健康、社会交往及经济状况。本文就如何在继续消化科医疗服务的同时保证医疗人员和患者双方的安全所作出的策略推荐,有助于在这场全球危机中确保关键的消化科医疗服务。

关 键 词：COVID-19 SARS-CoV-2 psychosocial impact social impact economic impact GASTROENTEROLOGY ENDOSCOPY healthcare professionals/providers stress TELEMEDICINE 

分 类 号：R57[医药卫生—消化系统] R563.1[医药卫生—内科学]