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在COVID-19大流行期间,医疗保健使用方面的不平等

Arun Frey^1,2,3,4,5, Andrea M Tilstra^1,2,5,6, Mark D Verhagen^7,8,9,10,11

¹Leverhulme Centre for Demographic Science, 42 Park End St, Oxford, OX1 1JD, UK.

Nature communications

|February 29, 2024

概括

随着COVID-19大流行,非COVID医疗保健的使用减少,不成比例地影响了贫困群体,女性和移民等边缘化群体. 这些获得医疗保健的不平等现象在2020年和2021年持续存在.

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:

全球范围内,COVID-19疫情对全球医疗保健系统造成了重大破坏.
观察到非COVID相关的医疗保健利用率有所减少,但这一负担的公平分配尚不清楚.

研究的目的:

调查管理的非COVID医疗保健减少是否不成比例地影响了特定的社会人口群体.
为了确定哪些人口在疫情期间对医疗保健获得的影响更大.

主要方法:

利用了来自荷兰全民医疗保健系统的详细医疗索赔和完整人口登记数据.
根据大流行前的趋势 (2017年至2020年2月) 预测预期的医疗保健使用情况.
将预期的医疗保健使用与2020年和2021年观察到的使用进行比较,以确定差异.

主要成果:

2020年每周接受治疗的患者数量下降了10%,而2021年与大流行前水平相比下降了3%.
这些下降在贫困线以下的个人,女性,老年人以及具有移民背景的人群中更为明显.
在2020年和2021年期间,医疗保健获取方面的不平等持续存在,特别是在最初的COVID-19浪潮期间,对于中低紧急程序.

结论:

COVID-19大流行对非COVID医疗保健利用产生了差异性的影响.
获得医疗保健的不平等情况加剧了,不成比例地影响了弱势和边缘化的人口.
疫情的负担超出了直接的COVID-19健康影响,影响了基本医疗保健服务的公平使用.

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