博士后竞争(医疗服务、经济学和政策变化) ID 1985179

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1985179s
A. Senthinathan, Mina Tadrous, Swaleh Hussain, B. C. Craven, Susan B. Jaglal, Rahim Moineddin, John Shepherd, Lauren Cadel, Vanessa K. Noonan, Sandra McKay, Karen Tu, S. Guilcher
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引用次数: 0

摘要

COVID-19 大流行对医疗保健的使用产生了重大影响;然而,相关研究尚未调查其对加拿大脊髓损伤/功能障碍(SCI/D)人群的影响。研究 COVID-19 大流行期间 SCI/D 患者的医疗保健使用和提供情况。 我们利用加拿大安大略省的健康管理数据库进行了一项重复性横断面回顾性纵向队列研究。在 5754 名 SCI/D 患者中,确定了在 1) 大流行前(2015 年 3 月至 2020 年 2 月)、2) 大流行初期(2020 年 3 月至 2020 年 5 月)和 3) 大流行(2020 年 6 月至 2022 年 3 月)阶段的医疗保健使用和提供情况(面对面和虚拟)。通过自回归综合移动平均(ARIMA)建模来确定大流行对每月医疗保健使用和提供的影响。 与大流行前的水平相比,大流行开始初期的内科医生就诊率(p=0.0081)、专科医生就诊率(p<0.0001)和泌尿科医生就诊率(p<0.0001)分别大幅下降了 24%、35% 和 30%,随着大流行的发展,部分情况有所恢复。2020 年 4 月,与大流行前相比,内科医生、专科医生、泌尿科医生和初级保健医生的虚拟就诊率显著增加(p<0.0001)。与大流行前相比,大流行初期的急诊室就诊率下降了 46%(p=0.0764),住院率下降了 58%(p=0.0011)。 与大流行前的水平相比,大流行初期的医疗保健利用率有所下降,因为内科医生、专科医生、泌尿科医生和急诊室就诊人数以及住院人数均大幅减少(p<0.05)。随着大流行的发展,虚拟就诊次数的增加弥补了亲自就诊次数的减少,从而使总就诊次数部分恢复。
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Post Doc Competition (Health Services, Economics and Policy Change) ID 1985179
The COVID-19 pandemic has significantly impacted healthcare utilization; however, research has not investigated the impact in the spinal cord injury/dysfunction (SCI/D) population in Canada. To examine healthcare utilization and delivery during the COVID-19 pandemic in individuals with SCI/D. A repeated-cross sectional retrospective longitudinal cohort study design was conducted using health administrative database in Ontario, Canada. In 5,754 individuals with SCI/D, healthcare utilization and delivery (in-person, and virtual) were determined at the 1) pre-pandemic (March 2015 to February 2020), 2) initial pandemic onset (March 2020-May 2020), and 3) pandemic (June 2020 to March 2022) phases. Autoregressive integrated moving average (ARIMA) modelling were conducted to determine pandemic impact on monthly healthcare utilization and delivery. The initial pandemic onset period had a significant reduction of 24% in physician (p=0.0081), 35% in specialist (p<0.0001), and 30% in urologist (p<0.0001) visits, compared to pre-pandemic levels, with a partial recovery as the pandemic progressed. In April 2020, compared to the pre-pandemic period, a significant increase (p<0.0001) for virtual visits for physician, specialist, urologist, and primary care was found. The initial pandemic onset period had a 46% decrease in ED visits (p=0.0764) and 58% decrease in hospital admissions (p=0.0011), compared to the pre-pandemic period. Healthcare utilization dropped in the initial pandemic onset period as physician, specialist, urologist, and ED visits, as well as hospitalization decreased significantly (p<0.05) versus pre-pandemic levels. Virtual visit increases compensated for in-person visit decreases as the pandemic progressed to allow for total visits to partially recover.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
期刊最新文献
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