在COVID封锁之前,期间和之后,在学术医疗中心的类风湿关节炎的风湿病学家亲自和虚拟诊所访问频率,在COVID封锁期间和之后
Yuxuan Jiang1, Robert S Rudin2, Leah M Santacroce3
1Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Rheumatology and therapy
|May 9, 2025
概括
类风湿性关节炎 (RA) 患者的门诊访问量最初在COVID封锁期间下降,但很快恢复到大流行前的水平. 风湿病诊所访问量在封锁后持续增加,表明实践恢复.
科学领域:
- 类风湿病学 类风湿病学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医疗保健的提供.
- 小专科诊所在患者访问量和方式方面经历了前所未有的变化.
研究的目的:
- 为了分析类风湿性关节炎 (RA) 亚专科诊所的门诊访问量趋势.
- 为了比较COVID-19封锁期间之前,期间和之后的访问量和类型 (面对面和虚拟).
主要方法:
- 评估了2018年11月至2021年9月257名RA患者的每月面对面和虚拟访问数据.
- 使用Poisson回归来模拟访问量趋势和多变量线性回归来进行预测分析.
- 访问被分类为面对面,虚拟视频或虚拟电话.
主要成果:
- 风湿病学访问量在流行前保持稳定,然后在封锁后每月增加2%.
- 在封锁期间,61%的访问是虚拟的 (51%的视频,10%的电话),与大流行前的规范有显著的转变.
- 封锁后,访问量恢复到大流行前的水平,趋势越来越强,虚拟访问减少到11%.
结论:
- 尽管COVID-19的初始干扰,但学术中心的风湿病门诊访问量表现出强的复苏.
- 这项研究强调了风湿病学实践的弹性和虚拟护理在流行病后的不断变化的作用.
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