COVID-19对使用慢性疾病服务的影响
Ghobad Moradi1, Bakhtiar Piroozi1, Fariba Khayyati1
1Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
由于COVID-19大流行,伊朗的慢性疾病服务的利用率大幅下降,心力衰竭和化疗的使用率大幅下降. 然而,喘,2型糖尿病和化疗服务后来出现了显著的增长.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 慢性疾病对严重的COVID-19结果构成重大风险.
- 了解大流行对医疗保健服务利用的影响对于管理慢性疾病至关重要.
研究的目的:
- 评估COVID-19大流行对伊朗使用慢性疾病服务的影响.
- 分析服务利用情况的变化,包括COPD,喘,2型糖尿病,心力衰竭和化疗.
主要方法:
- 采用中断时间序列设计来比较COVID-19大流行之前和期间的服务利用率.
- 从伊朗的24个医院站点收集了疫情前12个月 (2019年3月至2020年2月) 和疫情期间12个月 (2020年2月至3月) 的数据.
- 分析了慢性阻塞性肺病 (COPD),喘,2型糖尿病,心力衰竭和化疗的服务.
主要成果:
- 总共提供了7,039,378项服务,51.92%为女性,62.73%为65岁以上的个人.
- 在大流行期间,每月服务利用率显著下降,特别是在心力衰竭和化疗方面.
- 虽然COPD服务利用率下降,但喘,2型糖尿病和化疗服务的趋势在最初的下降后显著增加.
结论:
- 起初,COVID-19大流行导致伊朗基本慢性病服务的使用量大幅减少.
- 尽管最初的下降,但一些服务,如喘和2型糖尿病管理最终反弹.
- 疫情期间获得慢性疾病护理的中断凸显了医疗保健提供和患者参与方面的挑战.
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