检查COVID-19对慢性脊髓损伤/功能障碍患者医疗保健利用的影响:一项人口研究

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Arrani Senthinathan¹, Mina Tadrous^2,3, Swaleh Hussain^3,4

¹Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada. arani.senthinathan@utoronto.ca.

|September 2, 2023

概括

COVID-19显著减少了脊髓损伤/功能障碍 (SCI/D) 患者的医疗保健访问. 虚拟护理增加了,在疫情期间部分恢复了总访问量.

科学领域:

医疗服务研究医疗服务研究
康复医学是康复的医学.
流行病学流行病学

背景情况:

COVID-19 疫情深刻影响了全球的医疗保健服务.
脊髓损伤/功能障碍 (SCI/D) 患者通常需要持续的医疗护理.
了解SCI/D医疗保健中与流行病相关的转变对于服务连续性至关重要.

研究的目的:

分析COVID-19大流行期间SCI/D患者的医疗保健利用和提供方面的变化.
为了比较疫情前,最初的流行病和后来的流行病时期的医疗保健准入.

主要方法:

进行了追溯纵向队列时间序列分析.
分析了来自加拿大安大略省5754名SCI/D患者 (2004-2014年诊断) 的数据.
自主回归集成移动平均 (ARIMA) 建模评估了2015年3月至2022年3月的每月医疗保健利用率和提供情况.

主要成果:

最初的流行病发作出现了显著的减少:24%的医生访问,35%的专家访问和30%的泌尿科医生访问.
虚拟访问在2020年4月大幅增加,弥补了面对面访问的下降.
在最初的流行病发作期间,住院病例减少了58%.

结论:

由于COVID-19大流行,SCI/D患者的医疗保健利用率大幅下降,特别是在专家和医院访问方面.
虚拟护理的兴起部分缓解了总体医疗保健访问的减少.
调查结果强调了需要适应性的医疗保健模型,以确保在公共卫生危机期间为SCI/D人口提供一致的护理.

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