在COVID-19大流行期间医疗保健利用的变化和潜在原因 - - 来自瑞士的队列研究
Erika Harju1,2,3, Alexandre Speierer4, Katharina Tabea Jungo4
1Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
International journal of public health
|September 4, 2023
概括
在疫情期间,在疫情期间.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- "COVID-19"大流行严重影响了医疗保健的获取和提供.
- 了解医疗保健利用的变化对于在公共卫生危机期间管理慢性疾病至关重要.
研究的目的:
- 确定疫情第二波期间需要持续治疗的人群中医疗保健利用变化的频率和原因.
- 确定与这些医疗保健利用变化相关的特征.
主要方法:
- "冠状病毒免疫"电子队列研究涉及20岁及以上的参与者,他们每月填写问卷.
- 使用描述性和双变量统计数据来比较医疗保健利用率有变化和没有变化的组.
- 负二项式回归分析了与报告的变化数量相关的特征.
主要成果:
- 在3190名参与者中,五分之一需要定期治疗;其中14%的人报告了医疗保健利用的变化.
- 变化通常与药物调整或高血压或肺栓塞等疾病的副作用有关.
- 女性更有可能报告变化 (IRR=2.15),而高血压患者的可能性较小 (IRR=0.35).
结论:
- 在大流行的第二波期间,很少有需要持续治疗的个人改变了他们的医疗保健利用情况.
- 持续的护理是必不可少的,特别是对于女性和患有高血压以外的慢性疾病的人来说.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Factors Affecting Illness
4.3K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.3K
Bias in Epidemiological Studies
349
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
349
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Study Designs in Epidemiology
264
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
264
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
147
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
147


