冠状病毒疾病的区域变化2019年日本的死亡率:一项生态研究
Akihisa Nakamura1, Kazuhiko Kotani1, Shuji Hatakeyama2,3
1Division of Community and Family Medicine, Center for Community Medicine, Jichi Medical University, Shimotsuke, Japan.
JMA journal
|November 9, 2023
概括
区域特征影响COVID-19死亡率. 每张医院床位更多的医生和较少的长期护理设施与较低的2019年冠状病毒病 (COVID-19) 死亡率相关,特别是在人口较少的地区.
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:
- 冠状病毒疾病2019 (COVID-19) 结果在地理位置上有所不同.
- 诸如医疗保健资源分配等区域因素可能会影响COVID-19死亡率.
研究的目的:
- 调查日本地区特征与COVID-19死亡率之间的关系.
- 评估医生和医院床位分配如何影响各县的COVID-19死亡率.
主要方法:
- 在日本的第七波COVID-19浪潮 (2022年6月至10月) 期间的生态研究.
- COVID-19死亡指数计算为每新病例的死亡人数.
- 分析了区域因素 (人口,医生,医院床位,长期护理设施,老龄化率) 与死亡指数之间的相关性,按人口规模分层.
主要成果:
- COVID-19死亡率与医生与每张病床的医生负相关 (r = -0.386,p = 0.007).
- 死亡率与长期护理设施正相关 (r = 0.397,p = 0.006) 和老龄化率 (r = 0.471,p = 0.001).
- 在人口较少的地区,死亡率较低,每张病床医生数量较多 (β = -0.543,p = 0.024) 并且随着老化率的增加 (β = 0.434,p = 0.032) 死亡率较高.
结论:
- 医疗保健资源分配,特别是医生和医院床位,与COVID-19死亡率有关.
- 针对较小,老年人群的医疗保健系统的有针对性的改进可能会降低COVID-19死亡率.
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