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波兰新冠疫情期间急诊与慢性病科室老年住院患者对医疗及非医疗服务的使用情况

The Use of Medical and Non-Medical Services by Older Inpatients from Emergency vs. Chronic Departments, during the SARS-CoV-2 Pandemic in Poland.

作者信息

Demczyszak Iwona, Mazurek Justyna, Marciniak Dominik M, Hap Katarzyna, Kuciel Natalia, Biernat Karolina, Sutkowska Edyta

机构信息

University Rehabilitation Centre, Wroclaw Medical University, 50-556 Wroclaw, Poland.

Department of Drugs Form Technology, Wroclaw Medical University, 50-556 Wroclaw, Poland.

出版信息

Healthcare (Basel). 2021 Nov 12;9(11):1547. doi: 10.3390/healthcare9111547.

Abstract

The COVID-19 pandemic has forced numerous changes in medical care. The monitoring of current needs and problems among the elderly in health care facilities seems to be essential. This study aims to assess the difference in terms of the use of medical and non-medical services before planned or emergency hospitalisation by the older population during the strict lockdown period due to the SARS-CoV-2 pandemic in Poland. The study used the FIMA (Fragebogen zur Inanspruchnahme medizinischer und nicht-medizinischer Versorgungsleistungen im Alter) questionnaire. Patients admitted on a planned basis ( = 61) were on average 4 years younger, self-administered the questionnaire more frequently and used the services of different types of therapists. Patients admitted on an emergency basis ( = 60) were more likely to visit general practitioners and other specialists and used the carer's allowance benefits. In the case of the elderly, emergency hospitalisation during the pandemic is more frequently preceded by seeking outpatient care in specialists in various fields, covered by insurance. The chronically ill use the services of various therapists while awaiting hospitalisation, usually not covered by health insurance. For both groups, the age > 73 years is critical for the use of assisting means and completing the self-administered questionnaire, which can be used in planning the health care in these patients.

摘要

新冠疫情迫使医疗保健领域发生了诸多变化。对医疗保健机构中老年人当前的需求和问题进行监测似乎至关重要。本研究旨在评估在波兰因新冠疫情实施严格封锁期间,老年人群在计划住院或急诊住院前使用医疗和非医疗服务方面的差异。该研究使用了FIMA(老年医学和非医学服务使用情况调查问卷)问卷。计划住院的患者( = 61)平均年龄小4岁,更频繁地自行填写问卷,并使用不同类型治疗师的服务。急诊住院的患者( = 60)更有可能就诊于全科医生和其他专科医生,并使用护理津贴福利。就老年人而言,在疫情期间急诊住院之前,更常出现的情况是在保险覆盖范围内寻求各领域专科医生的门诊护理。慢性病患者在等待住院期间使用各种治疗师的服务,这些服务通常不在医疗保险范围内。对于这两组患者,73岁以上的年龄对于使用辅助手段和完成自行填写问卷至关重要,这可用于规划这些患者的医疗保健。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6538/8624313/323a497183ed/healthcare-09-01547-g001.jpg

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