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Are Epidemiological Estimates Able to Describe the Ability of Health Systems to Cope with COVID-19 Epidemic?
Castaldi, Silvana; Luconi, Ester; Rivieccio, Bruno Alessandro; Boracchi, Patrizia; Marano, Giuseppe; Pariani, Elena; Romano, Luisa; Auxilia, Francesco; Nicolussi, Federica; Micheletti, Alessandra; Manzi, Giancarlo; Salini, Silvia; Galli, Massimo; Biganzoli, Elia.
  • Castaldi S; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
  • Luconi E; Fondazione IRCCS Ca' Granda Ospedale Maggiore di Milano, Milan, Italy.
  • Rivieccio BA; Department of Clinical Sciences and Community Health & DSRC, University of Milan, Milan, Italy.
  • Boracchi P; Niguarda Hospital, AREU, Regional Emergency Service Agency, Milan, Italy.
  • Marano G; Department of Clinical Sciences and Community Health & DSRC, University of Milan, Milan, Italy.
  • Pariani E; Department of Clinical Sciences and Community Health & DSRC, University of Milan, Milan, Italy.
  • Romano L; Fondazione IRCCS Ca' Granda Ospedale Maggiore di Milano, Milan, Italy.
  • Auxilia F; Fondazione IRCCS Ca' Granda Ospedale Maggiore di Milano, Milan, Italy.
  • Nicolussi F; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
  • Micheletti A; Department of Economics, Management and Quantitative Methods & DSRC, University of Milan, Milan, Italy.
  • Manzi G; Department of Environmental Science and Policy, University of Milan, Milan, Italy.
  • Salini S; Department of Economics, Management and Quantitative Methods & DSRC, University of Milan, Milan, Italy.
  • Galli M; Department of Economics, Management and Quantitative Methods & DSRC, University of Milan, Milan, Italy.
  • Biganzoli E; Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, Milan, Italy.
Risk Manag Healthc Policy ; 14: 2221-2229, 2021.
Article in English | MEDLINE | ID: covidwho-1262573
ABSTRACT

INTRODUCTION:

The coronavirus disease 2019 (COVID-19) epidemic is an infectious disease which was declared a pandemic and hit countries worldwide from the beginning of the year 2020. Despite the emergency vigilance plans, health systems in all countries experienced a different ratio of lethality, amount of admissions to intensive care units and quarantine management of positive patients. The aim of this study is to investigate whether some epidemiological estimates could have been useful in understanding the capacity of the Italian Regional Health Services to manage the COVID-19 epidemic.

METHODS:

We have compared data between two different Italian regions in the Northern part of Italy (Lombardy and Veneto) and the national data to determine whether different health strategies might be significant in explaining dissimilar patterns of the COVID-19 epidemic in Italy. Data have been extracted from a public database and were available only in an aggregated form.

RESULTS:

The regions in question displayed two different health policies to face the COVID-19 epidemic while Veneto's health service was largely territorially oriented, Lombardy's strategy was more hospital-centered.

DISCUSSION:

The key to facing epidemics like this one consists in identifying solutions outside of hospitals. This however requires there be well-trained general practitioners and enough healthcare personnel working outside hospitals.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Journal: Risk Manag Healthc Policy Year: 2021 Document Type: Article Affiliation country: RMHP.S290801

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Journal: Risk Manag Healthc Policy Year: 2021 Document Type: Article Affiliation country: RMHP.S290801