一个尺寸不适合所有人:SARS-CoV-2大流行期间儿童急诊的区域动态
Michelle Seiler1, Gregory Biland2, Oliver Gruebner2,3
1University Children's Hospital Zurich, University of Zurich, Zurich, Switzerland.
Frontiers in public health
|September 2, 2025
概括
瑞士的COVID-19封锁减少了儿童急救部门 (ED) 的访问,改变了使用模式. 疫情后,患者旅行的距离更远,不同语言地区观察到区域差异.
科学领域:
- 公共卫生
- 流行病学
- 医疗保健管理
背景情况:
- COVID-19 疫情促使瑞士政府采取封锁措施,以控制疫情,防止医疗系统过度负担.
- 紧急部门 (ED) 的利用率下降,特别是对于非紧急的儿科病例,对区域空间模式的理解有限.
- 这项研究解决了有关大流行期间儿童ED流域变化及其在瑞士的空间分布的知识差距.
研究的目的:
- 分析瑞士三所高等中心儿科ED流域的时间变化.
- 探索COVID-19疫情期间和之后儿童ED使用的空间分布模式.
- 评估这些变化对未来医疗危机规划的影响.
主要方法:
- 从2018年3月到2022年2月在苏黎世,贝林佐纳和日内瓦的儿科急救诊所进行的回顾性纵向队列研究.
- 根据国家封锁时间表将数据分为流行前,流行后和流行后阶段.
- 使用驾驶距离矩阵和地理可视化技术分析患者的行程距离,以绘制流域动态图.
主要成果:
- 在封锁期间,儿童急救诊所的数量减少了50%.
- 在疫情前,更近的位置与更高的急救诊所访问相关;在疫情后,使用转向居住在更远的地方的患者.
- 旅行距离的变化存在区域差异:在苏黎世稳定,在贝林佐纳增加了11%,在日内瓦减少了3%.
结论:
- 在瑞士,COVID-19 疫情引发了儿童寻求紧急护理行为的显著,长期变化.
- 尽管有统一的国家政策,儿童ED使用模式在区域上有所不同,这表明多因素的影响.
- 区域地理可视化为医疗保健规划提供了有价值的见解,需要针对未来危机制定特定区域的战略.
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