COVID-19大流行对加拿大阿尔伯塔省结核病计划绩效的影响:基于人口的评估
Seun Akinfolarin1, Divya Shah1, Courtney Heffernan1
1Department of Medicine, the Faculty of Medicine and Dentistry (Akinfolarin, Shah, Heffernan, Samardzic, Lau, Love, Cooper, Doroshenko, Egedahl, Long), University of Alberta; Alberta Health (Colquhoun), Government of Alberta; the School of Public Health (Colquhoun, Cooper, Doroshenko, Long), University of Alberta; Alberta Health Services (Valaire, Tyrrell), Government of Alberta; Department of Laboratory Medicine and Pathology, Faculty of Medicine and Dentistry (Tyrrell), University of Alberta, Edmonton, Alta.
阿尔伯塔结核病 (TB) 计划在COVID-19期间保持了表现,转诊人数减少,但评估率有所改善. 在减少结核病发病率方面没有取得进展,突出需要更好的预防和数据系统.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于COVID-19大流行,全球结核病 (TB) 服务受到严重破坏.
- 评估对加拿大的结核病计划对阿尔伯塔省的影响至关重要.
研究的目的:
- 评估阿尔伯塔省的结核病计划在COVID-19大流行之前和期间的表现.
- 估计大流行对关键结核病服务提供的影响.
主要方法:
- 对比了10个项目绩效指标和目标,跨越了大流行前和大流行期间.
- 利用中断时间序列分析来评估大流行对移民查及时性的影响.
- 分析病例和密切接触管理指标,考虑诊所类型 (门诊与虚拟).
主要成果:
- 根据人口群体,结核病发病率在流行前和流行期间之间没有显著差异.
- 尽管转诊减少,但在疫情期间,评估的移民和接触者的比例增加了.
- 与疫情期间的门诊相比,虚拟诊所通常表现不佳.
结论:
- 阿尔伯塔省的结核病计划由于其集中模式和受保护的员工,表现出了弹性.
- 没有观察到减少结核病发病率的进展,这表明需要加强预防策略.
- 建议加强对预防的资源配置,并建立一个更快速响应的信息系统.
相关概念视频
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