Abstract:
Disparities in cardiovascular morbidity and mortality are among the leading health and social care concerns in the UK. The disruption of the COVID-19 pandemic to health services has further placed cardiovascular care and the respective patient communities at the sharp end, not least in exacerbating existing health inequalities across service interfaces and patients\' health outcomes. While the pandemic engenders unprecedented constraints within established cardiology services, it conduces to a unique opportunity to embrace novel transformative approaches within the way we deliver patient care in maintaining best practices during and beyond the crisis. As the first step in navigating toward the \'new norm\', a clear recognition of the challenges inherent in cardiovascular health inequalities is critical, primarily in preventing the widening of extant inequalities as cardiology workforces continue to build back fairer. We may consider the challenges through the lens of health services\' diverse facets, including the aspects of universality, interconnectivity, adaptability, sustainability, and preventability. This article explores the pertinent challenges and provides a focused narration concerning potential measures to foster equitable and resilient cardiology services that are patient centred in the post-pandemic landscape.
摘要:
心血管发病率和死亡率的差异是英国主要的健康和社会护理问题之一。COVID-19大流行对卫生服务的破坏进一步使心血管护理和各自的患者社区处于极端状态,尤其是在加剧服务接口和患者健康结果之间现有的健康不平等方面。虽然大流行在已建立的心脏病学服务中造成了前所未有的限制,它提供了一个独特的机会,可以在我们提供患者护理的方式中采用新颖的变革性方法,在危机期间和之后保持最佳实践。作为迈向“新规范”的第一步,明确认识到心血管健康不平等所固有的挑战至关重要,主要是防止现有不平等的扩大,因为心脏病学工作人员继续建立更公平的基础。我们可以通过卫生服务的不同方面来考虑挑战,包括普遍性方面,互连性,适应性,可持续性和可预防性。本文探讨了相关的挑战,并提供了有关潜在措施的重点叙述,以促进在大流行后的环境中以患者为中心的公平和有弹性的心脏病学服务。