在美国的COVID-19大流行期间,眼科护理利用的转变
Charles Li1, Flora Lum2, Evan M Chen3
1American Academy of Ophthalmology, San Francisco, CA, USA. cli@aao.org.
Communications medicine
|December 14, 2023
概括
随着COVID-19大流行,眼科护理的使用量大幅下降,在最初的暂停期间使用率下降了67%,之后下降了13%. 本次对眼部护理使用情况的分析强调了未得到满足的临床需求和对视力健康的持久影响.
科学领域:
- 眼科医生 眼科 眼科
- 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:
- 由于COVID-19流行病的限制,医疗保健利用率下降,特别是在眼科.
- 需要分析方法来了解各种疾病中与流行病相关的卫生服务使用变化.
研究的目的:
- 分析261个诊断的眼科护理利用率的流行病引起的变化.
- 为了确定模式和量化患者体积在最初的流行病阶段和之后的偏差.
主要方法:
- 利用美国眼科护理注册表,其中包含4462万名患者和2455家诊所的数据.
- 开发基于大流行前数据的预测模型,以估计预期的患者数量.
- 从2020年1月到2021年12月,观察到的和预期的数量之间的计算偏差,重点关注停顿和停顿后的时期.
主要成果:
- 观察到眼科护理的持续减少,影响视力障碍的主要原因,如AMD,糖尿病视网膜病变,白内障和绿内障.
- 在休息期间 (2020年3月至5月) 的利用率低于预期的67%,而在休息后 (2020年6月至2021年12月) 的利用率低于预期的13%.
- 较不严重的情况显示出更大的减少;一些紧急情况的利用率增加,造成不可逆转的发病风险.
结论:
- 开发了一个高分辨率的分析框架,以研究大流行期间的医疗保健中断.
- 该框架提供了关于眼科医学的未满足临床需求的见解.
- 这种方法可以适应在其他医疗领域和环境中分析医疗保健利用变化.
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