一个负责任的护理组织在COVID-19大流行期间保持对尾炎的访问
Alicia D Menchaca1, Candace C Style2, Ling Wang3
1Center for Regenerative Medicine, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio; Department of General Surgery, Indiana University, Indianapolis, Indiana.
The Journal of surgical research
|July 28, 2023
概括
在儿童医疗补助患者中,COVID-19大流行并没有增加复杂尾炎. 负责任的护理组织 (ACO) 可以确保在危机期间继续获得医疗保健.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 报告显示,在大流行期间,儿科尾炎治疗延迟,导致复杂病例增加.
- COVID-19大流行对儿科急性尾炎发病率和严重程度的影响需要调查.
研究的目的:
- 研究COVID-19流行病与儿科Medicaid患者急性尾炎的发生率和严重程度之间的关联.
- 评估一个负责任的护理组织 (ACO) 模式是否会在公共卫生危机期间影响医疗保健的准入.
主要方法:
- 一个基于人口的方法,使用来自俄俄州儿科医疗补助ACO (儿童合作伙伴) 的索赔数据,从2017年4月到2020年8月.
- 计算了每10万例急性尾炎的月度发病率,覆盖了一生,并比较了随着时间的推移复杂尾炎的发病率.
- 在特定的医院进行了复杂与非复杂尾炎的诊断代码验证.
主要成果:
- 在四年内,在急性尾炎的总体发病率中没有发现显著差异.
- 在研究期间,复杂尾炎病例的比例有显著变化 (P=0.005).
- 与2019年和2020年相比,2018年发生的复杂尾炎病例比例较高.
结论:
- 在研究的ACO中,COVID-19大流行并没有与儿童医疗补助病人的急性尾炎治疗机会减少有关.
- 这些发现表明,ACO可以在意外的公共卫生紧急情况下为其人口提供持续的医疗保健服务.
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