在退伍军人卫生管理局使用长期COVID诊所:对前进道路的影响
David P Bui1, Elizabeth Bast2, Hanh Trinh3
1VA Health Systems Research (HSR) Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, OR 97239, United States.
Health affairs scholar
|May 5, 2025
概括
退伍军人卫生管理局 (VHA) 的长期COVID护理显示了低诊断码的使用和有限的长期COVID诊所 (LCC) 的访问. 改善LCC的有效性和访问对于长期COVID的退伍军人来说至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长期的COVID带来了各种挑战,影响了日常生活和生活质量.
- 长期COVID的有效管理需要协调,多学科的护理.
- 退伍军人卫生管理局 (VHA) 在2020年启动了全国长期COVID诊所 (LCC) 网络.
研究的目的:
- 检查长期COVID的ICD-10 U09.9诊断码的使用趋势.
- 评估退伍军人中VHA长期COVID诊所 (LCC) 的使用情况.
- 分析不同老兵子组和地区的LCC可访问性和使用模式.
主要方法:
- 对494,547名经证实感染SARS-CoV-2的退伍军人进行了回顾性队列研究.
- 分析了2020年3月至2022年4月的VHA数据,用于诊断代码和LCC访问趋势,直到2024年5月.
- 对患有和没有U09.9代码的患者中LCC使用率的检查,按人口统计和地区分层.
主要成果:
- 总体而言,5.9%的队列获得了U09.9代码,2%至少有一次LCC访问.
- 在具有U09.9代码的退伍军人中,只有17.4%的人使用LCC,这表明整体参与度低.
- 与其他地区 (使用率<7%) 相比,LCC的使用在南方人口普查地区 (28%的使用率) 显著更高.
结论:
- 目前在VHA中使用长COVID诊断码和LCC的使用率很低.
- 在LCC接入方面存在显著差异,地区差异影响退伍军人护理.
- 对LCC有效性的进一步研究和公平获取策略的进一步研究对于解决长期COVID患者群体需求至关重要.
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