在COVID-19之前和之后的医疗保健利用率的变化,使用来自150万个人的数据
Maria Bygdell1,2, Erik Bülow2, Simon B Larsson3,4,5
1Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Journal of internal medicine
|November 27, 2025
概括
COVID-19 (冠状病毒疾病2019) 可能会导致医疗保健利用率增加,特别是在初级保健中,对于少数人群来说. 这种长期影响凸显了感染后病情对医疗保健系统的持续负担.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 感染后的后续症状对医疗保健系统构成重大负担.
- 了解COVID-19对医疗保健利用的长期影响对于资源规划至关重要.
研究的目的:
- 评估COVID-19对各级医疗保健的长期影响.
- 量化COVID-19感染后医疗保健接触和诊断的变化.
主要方法:
- 瑞典的基于登记的队列研究,包括成年居民.
- 根据人口统计和先前的医疗保健接触,与暴露 (COVID-19) 和未暴露的个人匹配1:1.
- 差异差异 (DID) 分析,以比较指数前和后的医疗保健利用率.
主要成果:
- 包括753,905个匹配的对 (1,415,432个个体).
- 在COVID-19后,医疗保健联系人平均增加0.33,主要是在初级保健中,影响了5%的人口.
- 对严重压力反应的最大诊断特异差异;估计因性别,COVID-19严重程度,变种和疫苗接种情况而异.
结论:
- COVID-19与人口的一个子集的医疗保健利用率增加有关.
- 调查结果强调了COVID-19对个人和医疗需求的持续影响.
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