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经合组织成员国的选择性手术的积压,等待时间和等待列表
Luigi Siciliani1, Gaetan Lafortune2, Marie-Clémence Canaud2
1Department of Economics, University of York, Heslington, York YO105DD, United Kingdom.
Health policy (Amsterdam, Netherlands)
|November 7, 2025
概括
在经合组织国家,COVID-19流行病显著增加了27-30%的选择性护理等待时间,而患者治疗等待时间的变化很小. 外科手术量也有所下降,这突显了对卫生系统弹性的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 流行病学 流行病学
背景情况:
- 由于COVID-19大流行,许多经济合作与发展组织 (OECD) 国家暂停了选择性护理,造成了大量的患者积压.
- 此次暂停旨在重新分配资源,以应对COVID-19危机.
研究的目的:
- 从2016年到2023年,量化经合组织国家选择性护理等待时间和外科手术数量的变化.
- 为了区分COVID-19对列出的患者和接受治疗的患者等待时间的影响.
- 评估等待时间和数量作为医疗保健系统在选择性护理中的弹性指标.
主要方法:
- 分析了经合组织国家中选定的大批量选择性手术数据.
- 使用回归模型来测量疫情前后等待时间和外科手术量变化.
- 报告的检查等待时间为"在名单上"和"从添加到名单到治疗".
主要成果:
- 选择性手术名单上的患者的平均等待时间在疫情后的前三年增加了27-30%.
- 接受治疗的患者的等待时间显示在统计学上无意义,增长很小.
- 在前两年,外科手术的数量分别下降了19%和10%,与与医疗支出或资源无关的不同国家特异性影响有关.
结论:
- 医疗系统对选择性护理的弹性需要监测等待时间 (在列表上和治疗),以及手术量.
- 区分等待时间类型对于准确评估系统应变至关重要.
- 这些发现强调需要强有力的战略来管理选择性护理积压,并提高系统的准备能力.
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