流行病对医疗保健使用和患者成年人死亡的影响:人口研究
Maria Espinoza Vargas1, Andrea S Gershon2,3,4,5, Michael Pugliese1,2
1The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
概括
由于COVID-19大流行,成年患者的医疗保健机会减少,导致死亡率增加. 诊断测试频率与死亡率有关,突显了持续获得护理的必要性.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医疗保健服务.
- 患有的成年人在获得一致的医疗护理方面面临着独特的挑战.
- 了解与流行病相关的医疗保健利用变化对于弱势群体至关重要.
研究的目的:
- 在COVID-19流行病的第一年分析患者成年人医疗保健利用率和死亡率趋势.
- 评估减少门诊访问,诊断测试和不良健康结果 (住院治疗,急诊,死亡) 之间的关联.
主要方法:
- 使用安大略省卫生行政数据进行基于人口的研究 (2020年3月至2021年3月与2016年至2019年相比).
- 时间序列分析 (自回归集成移动平均模型) 来预测月率.
- 准森模型用于检查医疗保健和死亡率之间的相互作用.
主要成果:
- 在流行病早期观察到的门诊访问,诊断测试,急诊室访问和住院的减少.
- 在最初的流行病阶段,所有原因的死亡率暂时增加.
- 较高的死亡率与较低的诊断测试频率相关,表明有显著的相互作用 (p <.0001).
结论:
- 疫情最初减少了成年患者获得医疗保健的机会,随后死亡率上升.
- 保持对诊断测试的准入对于治疗和预防不良事件至关重要.
- 对非紧急医疗服务的限制需要在病护理的流行病规划中仔细考虑.
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