在战争引起的人口流离失所中,提供初级医疗保健的调整
Assi Cicurel1,2, Yael Wolff Sagy3, Ilan Feldhamer4
1Southern district , Clalit Health Services, Beer‑Sheva, Israel.
Israel journal of health policy research
|June 10, 2025
概括
战争引发的流离失所减少了初级保健访问,但远程医疗的采用激增,保持了护理的连续性. 医疗保健系统应该将远程医疗整合到对流离失所人口的紧急计划中.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 战争研究 战争研究
背景情况:
- 关于战争对高收入国家的平民的影响的研究是有限的.
- 战争期间的国内流离失所破坏了医疗保健的获取和连续性.
- 医疗保健系统需要适应战略,以减轻战争对平民健康的影响.
研究的目的:
- 检查战争引起的人口流离失所期间的初级医疗保健提供适应情况.
- 评估这些调整对初级医疗保健利用的影响.
主要方法:
- 使用Clalit健康服务 (CHS) 电子病历 (EMR) 的观察性,重复的横截面研究.
- 在战后的五个月中,对486万CHS成员进行了初级保健访问率与前一年的比较.
- 分析了按人口群体 (疏散者,活动限制者,国家其他地区) 和访问类型 (面对面,远程医疗) 的访问率.
主要成果:
- 医疗保健适应包括弹出诊所,扩大在线服务 (24/7),并专门支持流离失所者.
- 总体而言,初级保健访问最初有所下降,特别是在疏散人口中 (高达43.9%).
- 访问率在12周内恢复,这是由于远程医疗的使用增加,特别是在流离失所的人群中.
结论:
- 战争和流离失所导致初级保健访问减少,但远程医疗使用显著增加.
- 远程医疗,特别是由常规医生提供时,有助于保持护理的连续性和患者与提供者的关系.
- 将远程医疗整合到应急准备中对于确保在流离失所期间获得医疗保健至关重要.
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