调查安大略省卫生行政数据中COVID-19后疾病诊断码的使用情况
Joseph S Munn1,2,3, Clare L Atzema4,5,6,7, Peter C Austin4,5,7
1Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, G1 06 - 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada. joe.munn@mail.utoronto.ca.
安大略省 安大略省 安大略省 安大略省 安大略省
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 安大略省医疗保险计划 (OHIP) 在2023年1月推出了COVID-19后病情 (PCC) 的诊断代码.
- 本研究分析了接收PCC代码的个体的初始影响和特征.
研究的目的:
- 估计安大略省COVID-19后疾病 (PCC) 的发病率.
- 比较PCC码的和没有PCC码的个体的人口统计和临床特征.
- 调查与PCC相关的医疗保健利用模式.
主要方法:
- 使用安大略省卫生行政数据 (2023年1月至2024年1月) 的回顾性队列研究.
- 通过OHIP医生计费数据库通过PCC代码识别的个人.
- 患者特征和医疗保健利用情况的比较,PCC前后代码分配.
主要成果:
- 7,343人获得PCC代码;中位数年龄62岁,60%为女性.
- 在女性,老年人,安大略省北部居民和患有并发病的人群中,观察到接受PCC代码的几率更高.
- 在PCC代码分配后,医疗保健的使用量显著增加,达到每人每年100.61次.
结论:
- OHIP PCC 代码可能低估了安大略省COVID-19 后病情的真实发病率.
- 医疗保健利用率的显著增加表明,该代码捕获了患有严重PCC的个人.
- 确定的患者特征与现有文献一致,验证了队列中PCC患者的代表性.
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