长期COVID患者的医疗保健利用:一个OpenSAFELY队列研究
Liang-Yu Lin1,2,3, Alasdair D Henderson4, Oliver Carlile4
1Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. liang-yu.lin@lshtm.ac.uk.
BMC medicine
|June 20, 2024
概括
长期的COVID显著增加了医疗保健的使用和成本. 与没有这种情况的人相比,长期COVID患者的医疗保健利用率和费用提高了49%.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 长期COVID (COVID-19后的情况) 对医疗保健系统构成了潜在的负担.
- 长期COVID对英国国家卫生服务 (NHS) 中医疗保健利用率和相关成本的确切影响需要详细调查.
研究的目的:
- 量化和评估与长期COVID相关的医疗保健利用率和成本.
- 在被诊断为长期COVID的个人中比较医疗保健资源的使用与匹配的对照.
主要方法:
- 通过OpenSAFELY平台使用匿名的初级和二级保健电子健康记录进行了一项匹配的队列研究.
- 52,988名长期COVID患者与264,867名没有长期COVID的对照进行了匹配.
- 在诊断后的12个月内,使用统计模型分析了医疗保健的利用率 (GP访问,处方,住院,A&E,门诊预约) 和成本.
主要成果:
- 与对照组相比,长期COVID患者的医疗利用率显著提高 (OR:8.29),相对风险增加49% (RR:1.49).
- 长期COVID组每人每年约支付2500英,比对照组的1500英高出44%.
- 长期COVID诊断与每年30次医疗保健访问有关,而对照组为16次.
结论:
- 长期的COVID大大增加了医疗保健利用率和相关的财务成本.
- 调查结果强调需要公共卫生战略来分配资源用于长期COVID预防,治疗和支持.
相关概念视频
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:29Documentation in Long-Term and Home Healthcare Setting
878
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
878
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
01:22Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:29Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84