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Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy

Author

Listed:
  • Maria Piane

    (Department of Clinical and Molecular Medicine, “Sapienza” University of Rome, Viale Regina Elena 291, 00161 Rome, Italy
    Sant’Andrea University Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy)

  • Lavinia Bianco

    (Department of Public Health and Infectious Diseases, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy)

  • Rita Mancini

    (Department of Clinical and Molecular Medicine, “Sapienza” University of Rome, Viale Regina Elena 291, 00161 Rome, Italy
    Sant’Andrea University Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy)

  • Paolo Fornelli

    (ASIQUAS (Associazione Italiana per la Qualità della Assistenza Sanitaria e Sociale), Largo Konrad Adenauer 1/B, 00144 Rome, Italy
    Department of Social Sciences and Economics, “Sapienza” University of Rome, Via Salaria 113, 00198 Rome, Italy)

  • Angela Gabriele

    (Azienda Sanitaria Locale (ASL) Frosinone District C and D, Via De Bosis-03043 Cassino, Via Piemonte, 03039 Sora, Italy)

  • Francesco Medici

    (San Camillo-Forlanini Hospital, Circonvallazione Gianicolense, 87, 00149 Rome, Italy)

  • Claudia Battista

    (Azienda Sanitaria Locale (ASL) RM 6 District of Mental Health and Pathological Addictions, Via Borgo Garibaldi 12, 00041 Albano Laziale, Italy)

  • Stefania Greco

    (San Camillo-Forlanini Hospital, Circonvallazione Gianicolense, 87, 00149 Rome, Italy)

  • Giuseppe Croce

    (Internal Medicine Unit-“G. Mazzini” Hospital-ASL 4 Teramo-Piazza Italia 1, 64100 Teramo, Italy)

  • Laura Franceschetti

    (Department of Social Sciences and Economics, “Sapienza” University of Rome, Via Salaria 113, 00198 Rome, Italy)

  • Christian Napoli

    (Sant’Andrea University Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy
    Department of Medical Surgical Sciences and Translational Medicine, “Sapienza” University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, Italy)

  • Mario Ronchetti

    (ASIQUAS (Associazione Italiana per la Qualità della Assistenza Sanitaria e Sociale), Largo Konrad Adenauer 1/B, 00144 Rome, Italy
    Department of Social Sciences and Economics, “Sapienza” University of Rome, Via Salaria 113, 00198 Rome, Italy)

  • Paolo Anibaldi

    (Sant’Andrea University Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy)

  • Giorgio Banchieri

    (ASIQUAS (Associazione Italiana per la Qualità della Assistenza Sanitaria e Sociale), Largo Konrad Adenauer 1/B, 00144 Rome, Italy
    Department of Social Sciences and Economics, “Sapienza” University of Rome, Via Salaria 113, 00198 Rome, Italy)

Abstract

Clinical pathways (CPs) are multidisciplinary clinical governance tools necessary for the care management of the patients, whose aim is to outline the best practicable path within a health organization related to an illness or to a complex clinical situation. The COVID-19 pandemic emergency has created the need for an organizational renewal of care pathways based on the principles of “primary health care” recommended by the WHO. In Italy, the Hospitals and Local Health Authorities (ASL) have tried to guarantee the continuity of non-deferrable treatments and the maximum safety of both patients and health professionals. This study analyzes the organizational and managerial responses adopted in pathology-specific care pathways to assess how CPs as diagnostic tools responded to the COVID-19 pandemic in the first two waves. Twenty-four referents of Operational Units (UU OO) from Hospitals (AO) and Local Health Authorities (ASL) of the Lazio Region (Central Italy) that apply four different CPs responded to a survey, which analyzes the managerial and organizational responses of CPs in regard to different contexts. Results show that the structural and organizational adjustments of the CPs have made it possible to maintain an adequate level of care for specific treatment processes, with some common critical aspects that require improvement actions. The adjustments found could be useful for dealing with new outbreaks and/or new epidemics in order to try to mitigate the potential negative impact, especially on the most vulnerable patient categories.

Suggested Citation

  • Maria Piane & Lavinia Bianco & Rita Mancini & Paolo Fornelli & Angela Gabriele & Francesco Medici & Claudia Battista & Stefania Greco & Giuseppe Croce & Laura Franceschetti & Christian Napoli & Mario , 2022. "Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy," IJERPH, MDPI, vol. 19(2), pages 1-16, January.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:635-:d:719070
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    References listed on IDEAS

    as
    1. Francesca Gallè & Elita Anna Sabella & Paolo Roma & Stefano Ferracuti & Giovanna Da Molin & Giusy Diella & Maria Teresa Montagna & Giovanni Battista Orsi & Giorgio Liguori & Christian Napoli, 2021. "Knowledge and Lifestyle Behaviors Related to COVID-19 Pandemic in People over 65 Years Old from Southern Italy," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
    2. Edith Lahner & Emanuele Dilaghi & Claudio Prestigiacomo & Giuliano Alessio & Laura Marcellini & Maurizio Simmaco & Iolanda Santino & Giovanni Battista Orsi & Paolo Anibaldi & Adriano Marcolongo & Brun, 2020. "Prevalence of Sars-Cov-2 Infection in Health Workers (HWs) and Diagnostic Test Performance: The Experience of a Teaching Hospital in Central Italy," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
    3. Carlo Capalbo & Enrico Bertamino & Alessandro Zerbetto & Iolanda Santino & Andrea Petrucca & Rita Mancini & Rita Bonfini & Valeria Alfonsi & Stefano Ferracuti & Paolo Marchetti & Maurizio Simmaco & Gi, 2020. "No Evidence of SARS-CoV-2 Circulation in Rome (Italy) during the Pre-Pandemic Period: Results of a Retrospective Surveillance," IJERPH, MDPI, vol. 17(22), pages 1-8, November.
    4. Carlo Capalbo & Antonio Aceti & Maurizio Simmaco & Rita Bonfini & Monica Rocco & Alberto Ricci & Christian Napoli & Matteo Rocco & Valeria Alfonsi & Antonella Teggi & Giovanni Battista Orsi & Marina B, 2020. "The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway," IJERPH, MDPI, vol. 17(11), pages 1-10, May.
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