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在COVID-19大流行期间缩减2型糖尿病患者的慢性疾病管理计划:医疗保健利用模式的变化
Corinne Rijpkema1,2, Lotte Ramerman1, Lilian Peters3,4
1Health Data and Learning Health Systems, Nivel Netherlands Institute for Health Services Research, Utrecht, Netherlands.
Frontiers in medicine
|June 26, 2025
概括
在COVID-19大流行期间,荷兰2型糖尿病患者的慢性疾病管理计划减少与增加的医院和全科医生护理有关. 这些发现为未来的流行病医疗保健策略提供了洞察力.
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:
- 针对2型糖尿病患者的慢性疾病管理计划 (CDMP) 在COVID-19大流行期间被缩小.
- 这种减少对其他环境中的医疗保健利用的影响以前是未知的.
- 这项研究调查了疫情期间荷兰2型糖尿病患者医疗保健使用的变化.
研究的目的:
- 在COVID-19大流行期间检查2型糖尿病患者医疗保健利用的变化.
- 评估减少CDMP对全科医生 (GP) 办公时间外护理,医院护理和普通GP护理的影响.
- 为未来的流行病提供医疗保健策略的信息.
主要方法:
- 利用了来自CDMP的15247名荷兰2型糖尿病患者的常规医疗保健数据.
- 链接电子病例记录与全科医生办公时间外登记和医院索赔数据.
- 雇员回归分析,以比较2020-2021年 (流行病) 和2019年 (非流行病) 的医疗保健利用情况.
主要成果:
- 在2020-2021年期间,CDMP护理显著下降,在2020年第二季度达到2019年水平的38%.
- 办公时间以外的GP访问最初在2020年第一季度上升,但与2019年相比,在2021年第一季度下降.
- 在2021年第二季度,医院护理增加了11.3%,在2021年第三季度,定期GP护理增加了11.1%.
- 减少CDMP与2021年增加的定期GP护理以及2021年晚些时候增加的医院护理有关.
结论:
- 在大流行期间,降低2型糖尿病患者的CDMP规模导致了医院和定期GP护理的临时增加.
- 疫情凸显了在公共卫生危机期间需要适应性医疗保健提供模式,如远程医疗.
- 调查结果为优化CDMP和医疗保健系统在未来的流行病中的弹性提供了宝贵的教训.
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