在COVID-19期间地理上获得紧急儿科牙科护理:以色列的一项基于人口的研究
Dana Atia Joachim1,2, Ephraim Shapiro1, Thabet Asbi2,3,4
1Department of Health Systems Management, Ariel University, Ariel, Israel.
Israel journal of health policy research
|January 11, 2026
概括
在COVID-19封锁期间,儿科紧急牙科护理的地理不平等在COVID-19封锁期间显而易见. 服务的可用性和使用量因地区而异,影响了儿童.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 儿科牙科 儿科牙科
背景情况:
- 全球范围内,COVID-19大流行严重扰乱了医疗保健系统.
- 儿童牙科服务在维持获得护理的机会方面面临着独特的挑战.
- 在疫情期间为儿童提供紧急牙科护理的地理差异并未得到充分理解.
研究的目的:
- 在以色列首次COVID-19封锁期间,检查儿童在紧急牙科服务中存在的地理差异.
- 分析儿科急诊牙科诊所和服务负担的区域差异.
- 在公共卫生危机期间确定影响儿童紧急牙科护理获取的因素.
主要方法:
- 分析了以色列主要医疗服务提供商对12岁以下儿童的6,024次紧急牙科诊所的分析.
- 疫情前,第一次封锁和封锁后的数据比较 (2019年3月至2021年5月).
- 使用负载比 (LR) 和地理可用性指数 (GAI) 进行空间分析,以评估四个地区的服务分布和可访问性.
主要成果:
- 在封锁期间,儿童的紧急牙医访问减少了40.2%,区域差异 (31.2%-44.8%).
- 在服务负担 (LR) 和可用性 (GAI) 中观察到显著的区域差异.
- 耶路撒冷地区显示出高比例的侵入性治疗和胀/病例;极端正统的社区有不同的利用模式.
结论:
- 在危机时期,儿科紧急牙科护理的获取存在显著的地理不平等.
- 服务可用性和利用率之间的矛盾关系需要战略规划.
- 建议包括优化设施安置,考虑人口特定需求,并确保均衡的资源分配,以便在未来的危机期间获得公平的机会.
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