在英格兰,COVID-19和患者报告的英格兰全科医院的经验
1UDSB, University of Dundee, Dundee, United Kingdom p.f.allanson@dundee.ac.uk.
BJGP open
|May 13, 2025
概括
在英格兰,在COVID-19大流行期间,一般医生 (GP) 的患者体验最初有所改善,但随后急剧下降. 这些变化反映了公众态度的转变和服务质量的实际变化.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 一般实践一般实践
背景情况:
- 随着COVID-19大流行,英格兰的GP实践运作发生了重大变化,从面对面的预约转移到远程咨询.
- 这种转变需要对患者体验和服务质量的影响进行评估.
研究的目的:
- 在COVID-19大流行期间,从患者的角度评估英格兰一般实践质量的变化.
- 从2018年到2023年,分析患者报告体验指标 (PREM) 的趋势.
主要方法:
- 采用了来自年度全科医院患者调查 (2018-2023) 的实践级数据.
- 采用一个指数来评估基于所有PREM类别患者反应分布的医疗保健质量变化.
- 评估在实践和国家层面的变化.
主要成果:
- 在全国范围内,患者报告的体验在2020年和2021年之间有所改善,尽管存在流行病限制.
- 经验在2021年至2022年之间急剧下降,恢复了大流行前的下降趋势.
- 每年在不同的GP实践中观察到质量变化的显著差异.
结论:
- 在大流行期间,患者在全科医院的经验反映了公众对国家卫生服务 (NHS) 的态度的转变.
- 报告的变化也表明了一般实践服务提供的性质和质量的实际变化.
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