COVID-19和家庭护理利用:来自英国老龄化纵向研究的证据
Anastasia Arabadzhyan1, Nikita Jacob1, Panagiotis Kasteridis1
1Centre for Health Economics, University of York, UK.
Journal of the economics of ageing
|June 16, 2025
概括
随着COVID-19大流行,50岁以上的成年人家庭护理受到干扰,整体使用量下降,但未满足的需求增加,特别是少数民族和慢性疾病患者. 疫情政策影响了获得基本卫生和社会护理服务的机会.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19大流行给全球卫生和社会护理系统带来了前所未有的挑战.
- 弱势群体,包括老年人,在基本服务中经历了重大干扰.
- 了解对家庭护理的具体影响对于解决健康不平等至关重要.
研究的目的:
- 调查COVID-19大流行对英格兰50岁及以上人群在家庭护理使用的影响.
- 评估家庭护理使用的广泛和密集边缘的变化.
- 评估不同社会人口群体之间未满足护理需求和获得急性和初级护理的相对风险.
主要方法:
- 利用了来自英国长度老龄化研究 (ELSA) 的数据.
- 在大流行期间分析了家庭护理使用的变化 (广泛和密集的边际).
- 检查了未满足需求和医疗保健获取的相对风险,并按社会人口统计因素分层分层.
主要成果:
- 观察到整体家庭护理使用率下降,主要是由于减少非正式护理 (广泛差距).
- 现有用户接受的护理量增加 (密集性利率) 部分抵消了这一下降.
- 家庭护理需求未得到满足的相对风险显著增加,特别是对于少数民族,肌肉骨和精神健康状况的个人,以及那些没有工作或退休的人.
- 单独生活的人和50-59岁的人有更高的未满足需求,但仍然可以获得初级保健.
结论:
- 疫情制政策虽然旨在保护弱势群体,但无意中减少了对重要卫生和社会护理服务的访问.
- 这些干扰导致了更多的未满足的护理需求,并加剧了先前存在的健康和社会不平等.
- 需要采取政策干预措施,以减轻公共卫生危机对家庭护理和公平的负面影响.
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