在COVID-19大流行期间测量卫生系统弹性,使用基于病假数据的弹性动态指标
Tom H Oreel1, Sophie Hadjisotiriou1, Vítor V Vasconcelos2,3,4
1Department of Geriatrics, Department of Geriatric Medicine Radboud University Medical Center Nijmegen The Netherlands.
Health science reports
|June 24, 2025
概括
来自医疗保健工作者病假数据的动态弹性指标 (DIOR) 显示,在COVID-19大流行期间,荷兰医疗保健系统的弹性下降. 这种方法提供了对卫生危机期间系统适应能力的见解.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 医疗保健系统的弹性对于在破坏性事件期间维持基本服务至关重要.
- 动态弹性指标 (DIOR) 分析时间序列数据,以评估医疗保健系统的运行.
- COVID-19 流行病对全球医疗保健系统构成了重大挑战.
研究的目的:
- 为了确定DIOR是否可以从荷兰医疗保健系统的运行数据中估计.
- 使用DIORs评估荷兰医疗保健系统在COVID-19大流行之前,期间和之后的弹性.
- 评估DIOR作为医疗保健系统弹性指标的实用性.
主要方法:
- 医疗保健专家确定了医疗保健可用性的关键指标.
- 使用了关于荷兰医疗保健工作者病假缺勤率的时间序列数据.
- 在这些跨部门和区域的时间序列数据上,使用移动窗口技术计算了DIOR.
主要成果:
- 病假缺勤率在流行病后增加.
- 在大流行期间,DIORs表现出显著增加的自身相关性,表明弹性降低.
- 弹性趋势在各个部门是一致的,但在区域范围内有所不同.
结论:
- 从医疗保健工作者病假数据中估计的DIOR为医疗保健系统的弹性提供了宝贵的见解.
- 这种方法可以为加强医疗保健系统应对未来干扰的战略提供信息.
- 这些发现突出了医疗保健系统在重大健康事件期间的弹性.
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