退伍军人中COVID-19感染后门诊医疗保健使用的变化
Paul L Hebert1,2, Kyle E Kumbier3, Valerie A Smith4,5,6
1Center for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
JAMA network open
|February 9, 2024
概括
COVID-19 感染显著增加了退伍军人门诊护理的使用率,高利用率在感染后持续长达 12 个月. 这表明在最初的疾病后,对医疗保健需求的持续影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- COVID-19对门诊医疗利用的影响尚不清楚,只有有限的比较研究.
- 现有的研究往往依赖于人口监测,而不是直接的队列比较.
研究的目的:
- 为了比较COVID-19感染和没有感染的退伍军人之间的六个类别的门诊医疗保健使用情况.
- 分析感染前期,中期和长期感染后期医疗保健利用情况的变化.
主要方法:
- 退伍军人事务局初级保健患者的回顾性队列研究.
- 结合了COVID-19感染和未感染的退伍军人的队列.
- 使用VA和CMS数据,分析2019年1月至2022年12月的门诊访问情况.
主要成果:
- 门诊使用,不包括手术护理,在COVID-19感染的退伍军人感染期间在所有类别中显著增加.
- 总体来看的增加是每30天5.12,主要是由初级保健驱动的.
- 感染后的365天内使用率的增加持续,远程医疗占额外访问的一半.
结论:
- COVID-19 感染导致门诊医疗利用率显著且持续增加.
- 这些发现突显了COVID-19相关的长期健康影响和医疗保健需求.
- 该研究强调需要继续监测和资源分配用于COVID-19后护理.
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