评估COVID-19大流行对菲律宾马尼拉基本糖尿病护理的影响:一项混合方法研究
Greco Mark B Malijan1, John Jefferson V Besa2,3, Jhaki Mendoza2
1San Lazaro Hospital-Nagasaki University Collaborative Research Office, Manila, Philippines.
PLOS global public health
|January 23, 2024
概括
菲律宾马尼拉的COVID-19流行病扰乱了菲律宾马尼拉的糖尿病护理,减少了对咨询,药物和诊断的访问. 金融不稳定和医疗保健系统的变化对患者的获取和负担能力产生了重大影响.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- COVID-19大流行导致全球死亡率和发病率,对医疗保健提供产生了显著的间接影响.
- 医疗保健服务中断影响了全球的慢性疾病管理.
研究的目的:
- 描述COVID-19流行病对患者获得菲律宾马尼拉糖尿病护理的影响.
- 确定导致糖尿病护理的可用性,可访问性和负担能力降低的因素.
主要方法:
- 采用了一种解释性的,顺序性的混合方法方法.
- 数据收集包括横截面调查 (n=150),患者采访 (n=19),医疗保健工作者焦点小组 (n=22) 和管理员采访 (n=3).
- 数据是在2021年10月至2022年1月期间收集的.
主要成果:
- 超过一半的患者 (54.0%) 报告糖尿病护理中断.
- 关键的因素包括封锁,医疗保健系统的"冠状病毒"和金融不稳定.
- 四分之一的患者面临糖尿病护理的灾难性医疗支出.
- 远程医疗被视为一种潜在但不完整的患者外展解决方案.
结论:
- 在菲律宾,COVID-19大流行严重和负面地影响了获得基本糖尿病护理的机会.
- 金融不稳定和医疗保健系统的变化加剧了接入问题.
- 在健康危机期间,需要制定战略来提高糖尿病护理的可用性,可访问性和可负担性.
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