在上海COVID-19 Omicron爆发期间,中国的动态零COVID政策和医疗保健利用模式
Hong Xiao1, Fang Liu2, Joseph M Unger3
1Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA. xiaohongpku@gmail.com.
Communications medicine
|October 11, 2023
概括
上海Omicron疫情显著减少了中国的医疗保健访问. 严格的COVID-19封锁政策导致门诊访问和住院患者出院的更大中断.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 2022年4月在上海爆发的SARS-CoV-2 Omicron变种疫情引发了严格的封锁.
- 评估医疗保健利用率的变化以及缓解策略在此期间的影响至关重要.
研究的目的:
- 评估上海COVID-19 Omicron疫情对中国各地医疗保健利用的影响.
- 调查COVID-19缓解措施的严格性与医疗保健服务中断之间的关系.
主要方法:
- 利用来自中国大陆日常卫生信息系统的省级数据.
- 进行了中断时间序列分析,以评估医疗保健利用的变化.
- 采用线性回归来将人口流动限制 (移出指数) 与医疗保健利用率变化联系起来.
主要成果:
- 上海疫情造成了巨大的损失:上海有2350万例门诊诊所和60万例住院诊所,其他地区有150.3万例门诊诊所和3600万例住院诊所.
- 搬出指数减少了10个百分点,与门诊诊次数下降了2.7%,住院病人的出院次数下降了4.3%.
- 分析了2016年1月至2022年5月的整体医疗保健利用数据,其中包括COVID-19后期 (2020年1月至2022年5月) 的重要数据.
结论:
- 上海COVID-19 Omicron疫情导致上海和其他中国地区的门诊和住院服务大幅减少.
- 增加了COVID-19封锁政策的严格性,与医疗保健利用的更严重中断直接相关.
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