在COVID-19流行病的第一波疫情中,在周末扩大了对全科医院服务的访问
Knut-Arne Wensaas1, Kristian A Simonsen1, Lina K Welle-Nilsen2
1Research Unit for General Practice, NORCE Norwegian Research Centre, Norway.
Scandinavian journal of public health
|December 11, 2023
概括
伯根的一般诊所在COVID-19大流行期间为呼吸道感染提供了周末的机会. 这种重组证明是可行的,增强了患者的紧急初级保健服务.
科学领域:
- 公共卫生 公共卫生
- 主要护理医学 医疗保健
- 传染病流行病学 传染病流行病学
背景情况:
- 早期的COVID-19流行病在了解疾病传播和组织初级医疗保健方面提出了挑战.
- 关于发病率,症状和疾病轨迹的不确定性需要适应性医疗保健策略.
研究的目的:
- 评估重组通用实践服务的可行性,以包括延长周末访问.
- 为了确定患者使用这些新可访问的周末初级保健服务.
主要方法:
- 采用了观察性研究设计,涉及到一个简单的干预.
- 挪威伯根的一般诊所被要求为呼吸道感染 (RTIs) 提供周末咨询 (电话,视频,电子咨询).
- 收集的数据包括参与实践,RTIs患者咨询,以及疑似或确诊的COVID-19病例.
主要成果:
- 在2020年3月的两个周末,参与率从45%增加到53%的实践,覆盖51%至64%的人口.
- 最初的周末有336个RTI咨询 (8个确诊,113个疑似COVID-19) 来自25个实践.
- 第二个周末报告了158个RTI咨询 (4个确诊,41个疑似COVID-19) 从23个实践.
结论:
- 大约一半的Bergen的一般实践成功地在短时间内实施了RTIs的周末可访问性.
- 虽然个体实践咨询人数不多,但集体努力显著增强了急诊初级保健能力.
- 这次重组证明了在公共卫生危机期间提高医疗保健可访问性的可行策略.
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