在冠状病毒大流行期间,根据种族和种族评估癌症查使用模式,使用电子健康记录数据
Fredric E Blavin1, Laura Barrie Smith1, Lisa Dubay1
1Health Policy Center, Urban Institute, Washington, District of Columbia, USA.
Cancer medicine
|June 22, 2023
概括
随着COVID-19的流行,癌症查显著减少,特别是对于少数群体. 延迟查可能导致后期诊断,并加剧健康差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于COVID-19的流行,导致非紧急医疗服务减少.
- 推迟癌症查可能会导致先进的诊断,并加剧健康差异.
- 在获得医疗保健方面,种族和民族差异可能会加剧.
研究的目的:
- 检查疫情对乳腺癌和结肠直肠癌查率的影响.
- 分析不同种族和族群的查率变化.
主要方法:
- 在2019-2020年使用电子健康记录 (EHR) 数据分析提供者对乳房影像和结肠镜检查的订单.
- 使用差异差异设计来评估大流行期间查订单的变化.
- 检查了查下降的差异,跨种族和种族群体.
主要成果:
- 与2019年相比,在所有组中,从2020年3月至5月期间观察到的乳房影像和结肠镜检查显著下降.
- 从2020年6月到12月,查发生了部分反弹,特别是在白人和黑人患者中.
- 其他种族和族群的查率仍然低于预期.
结论:
- 疫情造成了广泛的错过或延迟的癌症查,可能导致不良健康结果.
- 调查结果突出了对高质量的种族和种族数据的关键需求,以追踪和解决医疗保健差异.
- 迫切需要注意减轻查延迟对癌症结果的长期后果.
相关概念视频
Statistical Methods for Analyzing Epidemiological Data
426
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
426
Cancer Survival Analysis
402
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
402
Bias in Epidemiological Studies
375
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
375
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Methods of Documentation VII: EMR
868
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
868
Study Designs in Epidemiology
284
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
284


