由于COVID-19大流行,萨格勒布的家庭实践工作管理发生了变化
1Family Medicine Department, Health Centre Zagreb-West, Zagreb, Croatia.
Family practice
|July 27, 2023
概括
随着COVID-19大流行,家庭医学实践 (FMP) 的工作量发生了重大变化,电话和电子邮件咨询的数量增加,而面对面访问和程序的数量减少. 这种FMP服务的转变在2022年之前并没有完全恢复.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球范围内,COVID-19疫情对全球医疗保健系统产生了深远的影响.
- 家庭医学实践 (FMP) 在工作量和服务交付方面经历了重大变化.
- 了解这些变化对于调整初级保健服务至关重要.
研究的目的:
- 在COVID-19大流行期间量化FMP工作负载结构的变化.
- 为了比较2021-2022年与2019年的咨询,检查和程序的数量和类型.
- 评估大流行对FMP的诊断治疗程序 (DTP) 的影响.
主要方法:
- 一项横截面研究分析了萨格勒布172家FMP的月度工作报告.
- 将2019年3月和4月,2021年和2022年的数据进行了比较.
- 诊断治疗程序 (DTP) 分为管理,咨询 (电话/电子邮件,面对面),检查,预防工作和其他程序.
主要成果:
- 在2021年,检查和面对面咨询减少了36.20%.
- 电话和电子邮件咨询升了120.12%,每天患者增加了6.67%.
- 管理工作在2022年增长了17.58%;医疗工作的份额波动,但仍然很高.
- 家庭检查和心电图仍然保持一致,尽管其他手术的总体减少.
结论:
- 由于COVID-19大流行,FMP的工作量发生了重大变化,远程咨询的数量大幅增加.
- 基本的面对面检查和程序出现了下降,到2022年还没有恢复.
- FMP适应策略需要解决虚拟护理的持续增长和面对面服务的减少.
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