在COVID-19大流行之前和之后,一般实践特征,病例组合和二级护理出勤/入院之间的关系:一个OpenSAFELY队列研究的协议
Mengxuan Zou1, Shrinkhala Dawadi2, Luisa M Pettigrew2
1Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, England, BS8 2BN, UK.
Wellcome open research
|January 27, 2026
概括
一般诊所面临着来自季节性疾病和多病症的冬季压力. 了解实践和患者因素是管理二级护理使用的关键,特别是在COVID-19大流行之前和之后,对于门诊护理敏感条件 (ACSCs) 尤其如此.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 一般的做法一般的做法
- 公共卫生 公共卫生
背景情况:
- 由于季节性传染病和患者多病症增加,英国医疗保健服务面临着严重的冬季压力.
- 了解二级护理利用的驱动因素,特别是对于门诊护理敏感条件 (ACSCs),对于有效的资源配置至关重要.
- 由于COVID-19大流行改变了初级和中级护理活动,因此需要对大流行前后的趋势进行分析.
研究的目的:
- 调查一般实践特征和患者病例组合如何影响冬季月份的二级护理使用.
- 为了比较COVID-19大流行之前和之后的二级保健利用模式.
- 在一般实践中识别导致冬季压力的因素.
主要方法:
- 利用OpenSAFELY-TPP访问英格兰约2600家普通诊所 (2018-2025) 的链接电子健康记录.
- 在冬季月份 (10月至2月) 分析了A&E出席率和入院率,比较了疫情前和后的时期.
- 检查了实践层面因素 (咨询率,规模,地区) 和患者病例组合 (年龄,种族,贫困,多病症) 与二级护理结果之间的关联.
主要成果:
- 该研究将总结实践特征,患者人口统计,病例组合和服务使用随时间变化的变化.
- 将使用通用线性模型来评估实践水平暴露与二级护理结果之间的关联.
- 将根据年龄分布进行子组分析,并对流感季节定义,假日和天气进行敏感性分析.
结论:
- 这项描述性研究提供了对一般实践中二级护理使用差异的见解.
- 识别了导致冬季压力的实践层面和患者病例组合因素.
- 通过分析疫情前后趋势,为卫生系统规划提供必要的基准数据.
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