脑卒中但没有入院:谁的机会被错过了?
Carine Milcent1, Hanta Ramaroson2, Fleur Maury3
1Center for National Scientific Research - CNRS, Paris School of Economics - PSE, Health Economics, Econometrics, Paris, France.
PloS one
|August 28, 2024
概括
在法国,COVID-19的限制影响了缺血性中风患者获得医疗保健的机会. 弱势群体和老年人在寻求护理方面面临重大延迟,突出了持续存在的医疗保健可访问性差距.
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:
- 由于COVID-19的流行,法国政府采取了严格的措施,大大改变了社会功能.
- 了解这些措施对治疗缺血性中风等严重疾病的医疗保健准入的影响至关重要.
研究的目的:
- 评估COVID-19相关政策对2020年法国缺血性中风患者获得医疗保健的影响.
- 识别不同社会经济和人口群体在寻求医疗保健行为中的差异.
主要方法:
- 法国国家医院出院数据库 (2019-2020) 对中风住院患者的回顾性分析.
- 整合社会经济数据 (收入) 来分析差异.
- 分析的分层分为疫情前,封锁期,过渡期和关闭期.
主要成果:
- 在封锁期间,富裕和弱势群体都不愿意寻求医疗护理,特别是在受到严重影响的地区.
- 与疫情前水平相比,处境不利的患者和老年人 (75岁以上) 的医疗保健准入率恢复速度较慢.
- 在医疗保健的可获得性方面存在着显著的差距,特别是对于社会经济弱势群体,即使在限制放松后,这种差距仍然存在.
结论:
- COVID-19政策为缺血性中风患者获得医疗保健带来了重大障碍,不成比例地影响了弱势群体.
- 在公共卫生危机期间,社会经济地位和年龄是获得医疗保健的关键决定因素.
- 需要采取有针对性的干预措施,以解决由疫情加剧的持续的医疗保健差异.
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