学校缺勤政策和医疗保健使用:差异差异的队列分析
Kirsti Wahlberg1, Kristine Pape1,2, Bjarne Austad3
1Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology, Post box 8905, 7491 Trondheim, Norway.
挪威2016年学校缺勤政策增加了中学学生的全科医生 (GP) 访问. 虽然呼吸道感染增加,但专业医疗保健的使用在很大程度上保持不变,除了耳鼻喉咨询的轻微增加.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗保健利用情况 医疗保健利用情况
- 青少年健康 青少年健康
背景情况:
- 挪威在2016年实施了一项国家政策,要求在高中缺席时提供医疗证明.
- 这一政策变化与在青少年中观察到全科医生 (GP) 访问的增加相吻合.
研究的目的:
- 评估2016年挪威缺勤政策对初级和专业医疗保健使用的影响.
- 为了确定政策是否影响高中学生的医疗保健寻求行为.
主要方法:
- 一项差异差异队列研究分析了14-21岁 (2010-2019) 的挪威青年.
- 使用国家注册表数据,将受2016年政策影响的群体与政策前群体进行比较.
主要成果:
- 该政策显著增加了暴露队列的全科医生联系 (IRR 1.14-1.25),特别是呼吸道感染.
- 在GP心理健康咨询中没有发现与政策相关的重大变化.
- 专家医疗保健的使用没有显示出明确的整体效果,但注意到耳鼻喉 (ENT) 专家接触的数量略有增加.
结论:
- 挪威的学校缺勤政策导致了一般实践使用率的增加.
- 增加的全科医生访问并没有转化为更广泛的专业医疗保健使用量的增加,在耳鼻喉服务方面有一个小的例外.
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