在COVID-19大流行期间,综合性癌症中心的长期趋势
Emily C Chow1, Nicholas D Sandercott1, Olivia E Yoo1
1Department of Otolaryngology-Head and Neck Surgery, Karmanos Cancer Institute & Wayne State University, Detroit, Michigan, USA.
Cancer reports (Hoboken, N.J.)
|June 25, 2023
概括
由于COVID-19大流行,癌症查和治疗减少,导致更先进的诊断. 癌症护理服务面临重大干扰,包括更少的手术和更长的住院时间.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 2019年新冠病毒病 (COVID-19) 流行病严重扰乱了全球的医疗保健系统.
- 癌症护理模式需要调整,以减轻患者和提供者感染风险.
- 综合性癌症中心在维持服务提供方面面临前所未有的挑战.
研究的目的:
- 量化COVID-19大流行对主要癌症中心癌症护理的影响.
- 分析患者访问,癌症查和治疗方式的变化.
- 评估对医院资源利用指标的影响,例如住院时间.
主要方法:
- 从疫情前年到2022年,对调度和医院数据库的回顾性分析.
- 追踪现场和远程医疗访问,癌症查和治疗.
- 住院时间 (LOS) 和病例混合指数 (CMI) 的计算,以评估患者的敏度和资源使用.
主要成果:
- 远程医疗访问激增,占2020财年第三季度总体接触的20%.
- 2020年,癌症治疗,特别是手术,减少了23%.
- 平均逗留时间 (LOS) 增加,与较高的病例混合指数 (CMI) 相关联,表明病情更严重的患者.
- 与大流行前水平相比,2021年查性乳房影像下降了58%.
结论:
- 随着COVID-19大流行,癌症查和治疗的数量大幅减少.
- 在大流行期间延迟或放弃的护理可能导致更先进的癌症的诊断和治疗.
- 医疗保健系统必须制定有弹性的策略,以确保在公共卫生危机期间癌症护理的连续性.
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