{"id":"https://openalex.org/W3107637447","doi":"https://doi.org/10.3389/fpubh.2020.583583","title":"Impact of SARS-CoV-2 on Provided Healthcare. Evidence From the Emergency Phase in Italy","display_name":"Impact of SARS-CoV-2 on Provided Healthcare. Evidence From the Emergency Phase in Italy","publication_year":2020,"publication_date":"2020-11-23","ids":{"openalex":"https://openalex.org/W3107637447","doi":"https://doi.org/10.3389/fpubh.2020.583583","mag":"3107637447","pmid":"https://pubmed.ncbi.nlm.nih.gov/33330324","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7719765"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2020.583583","doi":"https://doi.org/10.3389/fpubh.2020.583583","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2020.583583","pdf_url":"https://www.frontiersin.org/articles/10.3389/fpubh.2020.583583/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/articles/10.3389/fpubh.2020.583583/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008841997","display_name":"Rossella Di Bidino","orcid":"https://orcid.org/0000-0001-9773-856X","observed_orcids":["https://orcid.org/0000-0001-9773-856X"]},"institutions":[{"id":"https://openalex.org/I2802557943","display_name":"Agostino Gemelli University Polyclinic","ror":"https://ror.org/00rg70c39","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2802557943"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Rossella Di Bidino","raw_affiliation_strings":["Health Technology Assessment Unit, Fondazione Policlinico Universitario Agostino Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Technology Assessment Unit, Fondazione Policlinico Universitario Agostino Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy","institution_ids":["https://openalex.org/I2802557943"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074903334","display_name":"Americo Cicchetti","orcid":"https://orcid.org/0000-0002-4633-9195","observed_orcids":["https://orcid.org/0000-0002-4633-9195"]},"institutions":[{"id":"https://openalex.org/I103320735","display_name":"Universit\u00e0 Cattolica del Sacro Cuore","ror":"https://ror.org/03h7r5v07","country_code":"IT","type":"education","lineage":["https://openalex.org/I103320735"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Americo Cicchetti","raw_affiliation_strings":["Graduate School of Health Economics and Management (Alta Scuola di Economia e Management dei Sistemi Sanitari), Universit\u00e1 Cattolica del Sacro Cuore, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Health Economics and Management (Alta Scuola di Economia e Management dei Sistemi Sanitari), Universit\u00e1 Cattolica del Sacro Cuore, Rome, Italy","institution_ids":["https://openalex.org/I103320735"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5008841997"],"corresponding_institution_ids":["https://openalex.org/I2802557943"],"apc_list":{"value":2490,"currency":"USD","value_usd":2490},"apc_paid":{"value":2490,"currency":"USD","value_usd":2490},"fwci":2.3466,"has_fulltext":true,"cited_by_count":35,"citation_normalized_percentile":{"value":0.91118548,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"8","issue":null,"first_page":"583583","last_page":"583583"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12847","display_name":"Healthcare Systems and Challenges","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14071","display_name":"Healthcare during COVID-19 Pandemic","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.8429999947547913},{"id":"https://openalex.org/keywords/sars-cov-2","display_name":"SARS-CoV-2","score":0.9409999847412109},{"id":"https://openalex.org/keywords/health-service-disruption","display_name":"healthcare disruption","score":0.6000000238418579},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7799999713897705},{"id":"https://openalex.org/keywords/elective-surgery-reduction","display_name":"elective surgery reduction","score":0.6240000128746033},{"id":"https://openalex.org/keywords/cancer-care","display_name":"cancer care","score":0.8510000109672546},{"id":"https://openalex.org/keywords/cardiac-care","display_name":"cardiac care","score":0.9079999923706055},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.7260000109672546},{"id":"https://openalex.org/keywords/inpatient-and-outpatient-care","display_name":"inpatient and outpatient care","score":0.6209999918937683},{"id":"https://openalex.org/keywords/stemi-mortality","display_name":"STEMI mortality","score":0.6549999713897705},{"id":"https://openalex.org/keywords/italian-national-health-service","display_name":"Italian National Health Service","score":0.6660000085830688},{"id":"https://openalex.org/keywords/emergency-health-care","display_name":"emergency health care","score":0.4659999907016754},{"id":"https://openalex.org/keywords/care-pathways","display_name":"care pathways","score":0.6110000014305115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6952608227729797},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.6245033144950867},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.6171023845672607},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6139528751373291},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.5203118324279785},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4770842492580414},{"id":"https://openalex.org/C187316915","wikidata":"https://www.wikidata.org/wiki/Q92307203","display_name":"Case fatality rate","level":3,"score":0.45816805958747864},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4437527358531952},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.4272354543209076},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4209408164024353},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3989889919757843},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.382472962141037},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.3764917254447937},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.34832707047462463},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2273498773574829},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.10531407594680786},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.09406864643096924},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D000086402","descriptor_name":"SARS-CoV-2","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007558","descriptor_name":"Italy","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016507","descriptor_name":"Cardiology Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D016522","descriptor_name":"Oncology Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.3389/fpubh.2020.583583","doi":"https://doi.org/10.3389/fpubh.2020.583583","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2020.583583","pdf_url":"https://www.frontiersin.org/articles/10.3389/fpubh.2020.583583/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7719765","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7719765","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmid:33330324","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33330324","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:c71e681ff1d1458b962af63d3a03e474","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/c71e681ff1d1458b962af63d3a03e474","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 8 (2020)","raw_type":"article"},{"id":"pmh:oai:publicatt.unicatt.it:10807/179524","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10807/179524","pdf_url":null,"source":{"id":"https://openalex.org/S4306400564","display_name":"PubliCatt (Universit\u00e0 Cattolica del Sacro Cuore)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2020.583583","doi":"https://doi.org/10.3389/fpubh.2020.583583","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2020.583583","pdf_url":"https://www.frontiersin.org/articles/10.3389/fpubh.2020.583583/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3107637447.pdf","grobid_xml":"https://content.openalex.org/works/W3107637447.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W2145452196","https://openalex.org/W2469722346","https://openalex.org/W3010732241","https://openalex.org/W3013284119","https://openalex.org/W3013543060","https://openalex.org/W3014307896","https://openalex.org/W3014994868","https://openalex.org/W3015787506","https://openalex.org/W3016744441","https://openalex.org/W3017994323","https://openalex.org/W3018450694","https://openalex.org/W3018896108","https://openalex.org/W3019638747","https://openalex.org/W3021055845","https://openalex.org/W3023791406","https://openalex.org/W3024054513","https://openalex.org/W3024307699","https://openalex.org/W3025106418","https://openalex.org/W3025418760","https://openalex.org/W3025547272","https://openalex.org/W3025788488","https://openalex.org/W3026698946","https://openalex.org/W3027848880","https://openalex.org/W3029487010"],"related_works":["https://openalex.org/W4221020292","https://openalex.org/W3134331301","https://openalex.org/W4225706454","https://openalex.org/W3211637331","https://openalex.org/W4318774627","https://openalex.org/W3196484190","https://openalex.org/W4206517138","https://openalex.org/W4405874366","https://openalex.org/W4403620195","https://openalex.org/W3215535056"],"abstract_inverted_index":{"The":[0,56,64],"SARS-CoV-2":[1],"(COVID-19)":[2],"pandemic":[3,128],"led":[4],"to":[5,30,37,50,60,67,82,117,119,121,135,155,216],"an":[6],"emergency":[7],"scenario":[8],"within":[9],"all":[10],"aspects":[11],"of":[12,22,44,71,147,159,184,198,203,241],"health":[13,177,202],"care,":[14],"determining":[15],"reduction":[16],"in":[17,108,167,170,182],"resources":[18],"for":[19,89,138,173,213],"the":[20,42,47,61,72,76,110,124,126,196,201,204,239],"treatment":[21],"other":[23,54,238,242],"diseases.":[24,55],"A":[25],"literature":[26],"review":[27],"was":[28,129],"conducted":[29],"identify":[31],"published":[32],"evidence,":[33,106],"from":[34,114,153],"1":[35,38],"March":[36],"June":[39],"2020,":[40],"regarding":[41],"impact":[43,74,197,236],"COVID-19":[45,73,127,199],"on":[46,75,176,200,237],"care":[48,120,217],"provided":[49],"patients":[51,243],"affected":[52],"by":[53],"research":[57],"is":[58,66,179],"limited":[59],"Italian":[62,84],"NHS.":[63],"aim":[65],"provide":[68],"a":[69,132,144,164,206,232],"snapshot":[70],"NHS":[77],"and":[78,91,99,140],"collect":[79],"useful":[80],"elements":[81],"improve":[83],"response":[85],"models.":[86],"Data":[87],"available":[88],"oncology":[90],"cardiology":[92],"are":[93,102],"reported.":[94],"National":[95],"surveys,":[96],"retrospective":[97],"analyses,":[98],"single-hospital":[100],"evidence":[101,175],"available.":[103],"We":[104],"summarized":[105],"keeping":[107],"mind":[109],"entire":[111],"clinical":[112,115,227],"pathway,":[113],"need":[116],"access":[118,134,215],"outcomes.":[122],"Since":[123],"beginning,":[125],"associated":[130],"with":[131,143],"reduced":[133,214],"inpatient":[136],"(-48%":[137],"IMA)":[139],"outpatient":[141],"services,":[142],"lower":[145],"volume":[146],"elective":[148],"surgical":[149],"procedures":[150],"(in":[151],"oncology,":[152],"3.8":[154],"2.6":[156],"median":[157],"number":[158],"procedures/week).":[160],"Telehealth":[161],"may":[162],"plays":[163],"key":[165],"role":[166],"this,":[168],"particularly":[169],"oncology.":[171],"While,":[172],"cardiology,":[174],"outcome":[178],"already":[180],"available,":[181],"terms":[183],"increased":[185],"fatality":[186],"rates":[187],"(for":[188],"STEMI:":[189],"13.7":[190],"vs.":[191],"4.1%).":[192],"To":[193],"better":[194],"understand":[195],"population,":[205],"broader":[207],"perspective":[208],"should":[209,244],"be":[210,219,245],"taken.":[211],"Reasons":[212],"must":[218],"investigated.":[220],"Patients":[221],"fears,":[222],"misleading":[223],"communication":[224],"campaigns,":[225],"re-arranged":[226],"pathways":[228],"could":[229],"had":[230],"played":[231],"role.":[233],"In":[234],"addition,":[235],"status":[240],"mitigated.":[246]},"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":11},{"year":2021,"cited_by_count":10}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-12-07T00:00:00"}
