Abstract
The outbreak of coronavirus disease 2019 pandemic forced the Italian Government to act extreme measures that put the entire country under lockdown. The citizens experimented a radical transformation of their lives while the healthcare system started building a novel COVID-system that quickly dissolved the former organization, included pediatric healthcare network. For a number of reasons COVID-19 pandemic is polite with children; however, the fear of this unknown disease drove to develop dedicated pathways in the Pediatric Emergency Departments for the suspected and diagnosed cases of COVID-19, together with their relatives. The combination of conflicting feelings resulted in an unexpected scenario: the number of accesses to the pediatric Hospital or Unit(s) sharply dropped to less than half. How do we explain this phenomenon? The authors believe that our health care system may learn a lesson from the catastrophe of COVID, if we will be able to redesign our way of providing our cares to children. Nothing should be taken for granted, because this might be a real “time for a change”.
Highlights
Caselli D, Aricò M. 2019-nCoV: Polite pediatric primary care is provided during quickly shifted to a conservative pattern, with children! Pediatr Rep 2020;11: the weekdays only by “family” pediatri- limiting hospital access to what is perceived cians that work on private practice; between as a real emergency
We need to be more effective in spending our huge resources, and in particular, to be more appropriate in the choice of the pathways for care of patients with different needs, from the healthy newborn to patients with rare disease and severe handicap, which may impact on the society even more than pediatric cancer.[16]
Riva B, Clavenna A, Cartabia M, et al Emergency department use by pediatric patients in Lombardy Region, Italy: a population study
Summary
2019 (COVID-19) pandemic induced a rad- Pediatric Emergency Department (pED) ways of using it, which cause reduced effiical transformation in our lives. This resulted in extreme measures that put has likely contributed to reduce the access tified by the aim at economies and better the entire country under lockdown. Lancet Public to pediatric health care, during COVID pan-
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