在刚果民主共和国,Covid-19对医疗服务利用的区域特异性影响,使用常规健康信息系统数据
Gustavo Angeles1, Hannah Silverstein2, Matt Worges3
1Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
BMC health services research
|June 3, 2023
概括
由于COVID-19大流行,刚果民主共和国 (DRC) 的基本卫生服务严重受损,特别是儿童卫生服务受到长期影响. 复苏在不同地区有所不同,金沙萨经历了更直接和更严重的影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生系统研究 卫生系统研究
背景情况:
- 自2020年3月以来,COVID-19大流行严重影响了全球卫生系统.
- 评估其对基本卫生服务的影响对于了解医疗保健弹性至关重要.
研究的目的:
- 调查COVID-19对刚果民主共和国 (DRC) 基本卫生服务利用的影响.
- 检查这些影响的地理变异性,将首都 (金沙萨) 与其他城市和农村地区进行比较.
主要方法:
- 利用国家卫生信息系统数据来建模COVID-19前 (2017年1月至2020年2月) 服务利用趋势.
- 在大流行期间 (2020年3月-2021年3月) 估计预期的服务水平,并将其与观察到的水平进行比较.
- 评估了COVID-19在国家和地理区域的影响的统计意义.
主要成果:
- COVID-19 负面影响了整个卫生服务利用率和特定服务,如疟疾和肺炎,对刚果民主共和国儿童的护理.
- 与全国平均水平相比,首都金沙萨的负面影响更为直接,更为明显.
- 在大流行的第一年,全国和金沙萨的大部分受影响服务的恢复速度缓慢且不完整.
结论:
- 该研究强调了由于COVID-19导致的刚果民主共和国卫生服务的重大和持续的中断.
- 分析方法有效地捕获了这些影响的大小,时间和持续时间的变化.
- 该方法可用于监测医疗服务中断,并为公共卫生政策和应对策略提供信息.
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