调查2020年COVID大流行期间一般实践中用户和诊断模式的变化:使用大流行前和期间连续两年丹麦患者数据的队列研究
Jesper Bo Nielsen1, Helene Støttrup Andersen2
1Research Unit for General Practice, University of Southern Denmark Faculty of Health Sciences, Odense, Syddanmark, Denmark jbnielsen@health.sdu.dk.
BMJ open
|June 4, 2025
概括
随着COVID-19大流行,一般医生 (GP) 接触量增加,电子邮件使用量增加,GP的直接参与减少. 诊断模式发生了变化,对皮肤,呼吸道和预防护理的咨询减少了.
科学领域:
- 公共卫生 公共卫生
- 一般实践 一般实践
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19大流行大大改变了医疗保健准入政策.
- 一般医疗 (GP) 服务经历了操作程序和患者互动的转变.
研究的目的:
- 为了比较和分析COVID-19大流行之前和期间诊断模式和GP程序的变化.
- 评估大流行对一般实践服务的性质和提供的影响.
主要方法:
- 通过使用来自丹麦11家全科医生诊所的数据,进行了一项注册研究.
- 分析了大流行前一年 (2019年2月~2020年1月) 和大流行期间的一年 (2020年4月~2021年3月) 的患者数据.
- 关键的结果措施包括诊断模式,咨询类型 (面对面,电子邮件,电话) 和联系人 (GP或GP员工).
主要成果:
- 每名患者平均年均全科医生接触人数从6.3增加到8.3.
- 面对面的咨询保持稳定在53%左右,而电子邮件联系人增加了一倍多,达到26%.
- 在一些诊断组中,医生处理患者接触者的比例从36%降至22%,在一些诊断组中,医生人员处理的比例高达90%. 心血管疾病和2型糖尿病诊断的联系人数保持稳定,但皮肤疾病,呼吸系统症状和预防护理的咨询减少.
结论:
- 疫情显著改变了诊断模式,接触类型和在全科医院内对患者的处理.
- 这些变化代表了全科医生提供的服务的根本转变.
- 需要进行未来的研究,以评估改变患者处理动态对护理质量和患者体验的长期影响.
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