COVID-19如何影响全科医院咨询和收入:爱尔兰的全科医生横截面人口调查证据
Robyn Homeniuk1, Claire Collins1
1Research Centre, Irish College of General Practitioners, Dublin, Ireland.
BMJ open
|April 12, 2024
概括
在爱尔兰,COVID-19大流行大大减少了面对面的全科医生咨询,而远程医疗咨询则增加了. 许多实践报告利减少,对儿童和老年人的咨询减少.
科学领域:
- 初级保健研究研究初级保健研究
- 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的流行病深刻改变了医疗保健的提供.
- 作为初级保健的基石,全科医院在服务提供方面经历了重大转变.
研究的目的:
- 调查因COVID-19大流行而导致爱尔兰通用实践交付的变化.
- 量化咨询类型和实践收入的变化.
主要方法:
- 由爱尔兰通用医师学院管理的一项横截面在线调查.
- 调查是在大流行前 (2020年2月) 和大流行期间 (2020年6月) 进行的.
- 分析了分别来自526个和538个普通实践的数据.
主要成果:
- 面对面的咨询显著下降 (p<0.001),从26的中位数降至8.
- 通用医生 (GP) 远程医疗咨询显著增加 (p<0.001),从中位数2.4增加到11.3.
- 80%的实践报告利下降,儿童和老年人的咨询显著下降.
结论:
- 爱尔兰的通用实践的交付已经永久改变了大流行,预计远程医疗的增加.
- 需要进一步评估,以了解对患者健康结果的影响,并确保护理质量.
- 必须评估患者和医疗保健提供者的经验,以保持高标准的护理和患者安全.
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