在COVID-19后,应急部门在弱势群体中利用紧急情况的变化 - 庇护所替代命令
Philip R Wang1, Akhil Anand2, James F Bena3
1Department of Psychiatry, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, USA.
Cureus
|June 18, 2024
概括
患有心理健康障碍,物质使用障碍和健康的社会决定因素的患者在COVID-19避难所下令后,急诊室使用率较高,但入院人数较少.
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在场避难所 (SIP) 命令显著改变了医疗保健获取和利用模式.
- 弱势群体,包括患有精神健康 (MH) 障碍,物质使用障碍 (SUD) 和健康的社会决定因素 (SDOH) 的人群,可能会受到不成比例的影响.
研究的目的:
- 在实施COVID-19 SIP命令之前和之后,对患有MH疾病,SUD和SDOH患者的急诊室 (ED) 使用率和入院率进行比较.
主要方法:
- 这是一项回顾性多中心研究,使用了20个EDS的电子病历 (EMR) 数据.
- 数据收集于2019年2月5日至2019年31月12日 (SIP前) 和2020年2月5日至2020年3月12日 (SIP后).
- 波松和后勤回归模型分析了ED利用率和入院率的变化.
主要成果:
- 患有MH疾病,SUD或SDOH的患者在SIP后的ED利用率增加 (RR: 1.20-2.37).
- 综合的MH/SUD和SDOH条件导致ED使用率更高 (RR: 3.31).
- 患有MH/SUD或SDOH的患者在SIP后入院的可能性较小 (OR:分别为0.89和0.67).
结论:
- 易受伤害的人群经历了ED利用率的增加,但SIP订单后的住院病例减少.
- 调查结果强调了在公共卫生危机期间需要解决这些人口的医疗保健需求的必要性.
- 有针对性的干预措施对于减轻危机对弱势群体的影响至关重要.
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