在新冠肺炎疫情期间,家访护理利用和结果的变化2019年:癌症患者和没有癌症患者之间的比较
Yu Sun1,2,3, Jun Komiyama1,2, Atsushi Miyawaki4
1Department of Health Services Research, Institute of Medicine, University of Tsukuba.
Journal of epidemiology
|February 23, 2026
概括
随着COVID-19的流行,医生主导的家访护理对老年人,特别是那些患有癌症的人,增加了. 癌症患者对家庭终身护理的转变更大,包括死亡人数增加和住院治疗减少.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的蔓延,家庭老年人,特别是癌症患者的医疗保健获得受到重大影响.
- 干扰需要对弱势群体的护理模式进行重新评估.
研究的目的:
- 为了在COVID-19大流行期间比较医生主导的家庭访问护理对老年日本癌症患者和没有癌症患者的启动和结果的变化.
- 评估疫情对死亡率和住院率的影响,在开始家庭护理后的90天内.
主要方法:
- 在日本,使用来自65岁以上患者的全国医疗索赔数据进行了回顾性观察性研究.
- 流行前 (2018年4月至2019年12月) 和流行期间 (2020年1月至2020年12月) 的比较.
- 通过癌症诊断和使用线性回归模型与相互作用项进行分层分析.
主要成果:
- 在大流行期间,癌症和非癌症组的家庭访问护理启动增加.
- 在所有原因和家庭死亡率上升,而住院率在两个群体下降.
- 癌症患者表现出更明显的变化:全因死亡增加1.6%,家庭死亡增加3.8%,住院治疗减少2.9%.
结论:
- 在COVID-19大流行期间,医生主导的家庭访问护理扩大.
- 观察到一个显著的转变,以家庭为基础的终身护理,特别是在癌症患者.
- 有针对性的资源配置对于支持在医疗紧急情况下照顾癌症患者的家庭医生至关重要.
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