澳大利亚2019-2024年私人病理学检测中断
Melanie Keech1, Shane Kavanagh1,2, John Crothers3
1School of Health & Social Development, Faculty of Health, Deakin University, Waurn Ponds, Geelong, VIC 3216, Australia.
Pathogens (Basel, Switzerland)
|August 28, 2025
概括
由于COVID-19大流行,澳大利亚各地的非COVID病理检测显著减少,影响了疾病诊断和慢性疾病管理. 这些下降持续多年,表明对医疗保健业务的持续负面影响.
科学领域:
- 公共卫生
- 流行病学
- 医疗服务研究
背景情况:
- 像COVID-19这样的流行病会扰乱医疗保健系统,直接影响疾病和间接影响运营变化.
- 害怕感染和改变寻求医疗服务的行为可能会减少非COVID相关医疗服务的出席.
- 病理检测对于疾病的诊断和管理至关重要,使其破坏成为严重的公共卫生问题.
研究的目的:
- 评估COVID-19大流行对澳大利亚非COVID病理检测量的影响.
- 量化疫情相关封锁期间特定病理学测试类别的变化.
- 评估这些影响对病理学服务的持续性.
主要方法:
- 利用来自澳大利亚四个州/地区的全国私人提供者的病理学数据 (2019-2024年).
- 包括组织学,前列腺特异性抗原,妇科细胞学,全血细胞计,血红蛋白A1c和人类免疫缺陷病毒等测试.
- 在封锁期间的每周测试量与2019年的同等数周相比.
主要成果:
- 在2020年3月的全国封锁期间,所有病理学测试都显示出大幅下降.
- 随后的封锁也与检测量出现重大中断有关.
- 与2019年相比,大多数测试的年度测试量在2020年下降,减少将持续到2024年.
结论:
- COVID-19 疫情对非COVID 病理检测产生了重大和持续的负面影响.
- 减少病理检测增加了诊断延迟和慢性疾病管理中断的风险.
- 这些发现突显出需要制定策略来缓解与流行病相关的基本诊断服务的中断.
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