评估COVID-19驱动的变化在一个综合的妇产科医生和成治疗诊所和未来的影响
Sumaya Smarony1, Anna Beth Parlier-Ahmad, Hannah Shadowen
1From the Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, VA (SS, BT, MOS, CEM); Department of Psychology, Virginia Commonwealth University, Richmond, VA (ABPA); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS); and Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, VA (CEM).
在OBGYN-成治疗诊所的COVID-19大流行变化最初保持了患者的参与. 然而,在COVID-19疫苗接种阶段,孕妇和育儿人员的布普伦诺芬持续服用和访问出席率有所下降.
科学领域:
- 产科和妇科 产科和妇科
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,医疗保健的提供发生了重大变化.
- 对孕妇和养育孩子的物质使用障碍治疗的影响尚不清楚.
研究的目的:
- 描述COVID-19相关的临床实践变化.
- 评估诊所级别的访问出席率.
- 在各个流行病阶段比较患者层面的治疗参与度.
主要方法:
- 研究包括COVID-19前,COVID-19早期和COVID-19疫苗阶段.
- 评估临床实践的变化,诊所出席率和患者的结果 (布普诺夫林的延续,诊所出席率,虚拟诊所).
- 使用混合级物流回归模型.
主要成果:
- 实施了混合虚拟/面对面的护理.
- 在COVID-19早期,诊所访问量增加,并且仍然很高.
- 在早期COVID-19和COVID-19前的结果中没有差异.
- 在COVID-19疫苗接种阶段 (P <0.05) 所有患者结局的下降.
- 虚拟访问量增加并保持高水平.
结论:
- 患者为中心的策略支持在疫情期间的参与.
- COVID-19疫苗接种阶段对治疗参与提出了挑战.
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