医疗访问频率下降与COVID-19早期慢性疾病恶化之间的关联 - 一项纵向研究
Takeshi Takakubo1, Yuko Odagiri1, Masaki Machida1,2
1Department of Preventive Medicine and Public Health, Tokyo Medical University, Japan.
Internal medicine (Tokyo, Japan)
|April 3, 2024
概括
在COVID-19大流行期间,许多患有慢性疾病的日本患者减少了医疗访问,增加了疾病恶化的风险. 心理痛苦和失业等因素加剧了这些结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的蔓延,医疗保健的准入和患者的行为发生了重大变化.
- 了解流行病期间慢性疾病的医疗治疗变化对于患者的治疗结果至关重要.
研究的目的:
- 在早期COVID-19大流行期间,分析日本慢性病患者在医疗治疗行为中的转变.
- 确定导致该人口慢性疾病恶化的因素.
主要方法:
- 在线招募的2400名参与者的纵向面板调查.
- 在基线 (2020年5月) 和后续 (2021年2月) 评估医疗访问频率,药物坚持和远程医疗使用情况.
- 对社会人口统计学因素,心理压力和自我报告的慢性疾病恶化的分析.
主要成果:
- 34%的参与者最初减少了医疗访问的频率,在随访时减少到16.5%.
- 在基线和随访时,慢性疾病恶化报告为5.1%.
- 疾病恶化与年龄较小,医疗访问较少,失业,吸烟史和心理压力有关.
结论:
- 流行病早期减少医疗访问与慢性疾病恶化相关.
- 心理困扰,失业和吸烟史被确定为不良结果的关键风险因素.
- 在公共卫生危机期间,需要针对弱势群体的干预措施,以维持慢性疾病管理.
相关概念视频
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
COPD: Pathogenesis and Clinical Features
269
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
269
Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K
Causality in Epidemiology
407
Causality or causation is a fundamental concept in epidemiology, vital for understanding the relationships between various factors and health outcomes. Despite its importance, there's no single, universally accepted definition of causality within the discipline. Drawing from a systematic review, causality in epidemiology encompasses several definitions, including production, necessary and sufficient, sufficient-component, counterfactual, and probabilistic models. Each has its strengths and...
407


