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德国美因茨市在 COVID-19 大流行期间的医疗预约和医疗服务。

Medical appointments and provision of medical care during the COVID-19 pandemic in Mainz, Germany.

机构信息

Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center, Johannes Gutenberg University, Mainz, Germany.

Preventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.

出版信息

PLoS One. 2023 Jan 12;18(1):e0280292. doi: 10.1371/journal.pone.0280292. eCollection 2023.

Abstract

Previous evidence suggested that non-COVID-19-related medical care was reduced during the first wave of the COVID-19 pandemic, but it remained unclear whether or to which extent this effect lasted beyond the first wave, or existed in a longer time frame. Here, we consider questionnaire data of the Gutenberg-COVID-19 study together with pre-pandemic baseline data of the Gutenberg Health Study concerning the region around Mainz, Germany, to study the effects of the pandemic on the provision of medical care until April 2021. We observed that the proportion of cancelled medical appointments was low and that the fraction of participants with a medical appointment as an indicator for the number of appointments being made was in line with pre-pandemic levels. Appointments were more likely cancelled by the patient (rather than the provider), and more likely cancelled by medical specialists such as dentists or ophthalmologists (rather than GPs). In conclusion, we found some evidence that, at least with regard to realized appointments, the medical system and the provision of medical care were not harmed by the COVID-19 pandemic on a longer time scale.

摘要

先前的证据表明,在 COVID-19 大流行的第一波期间,与 COVID-19 无关的医疗服务减少了,但尚不清楚这种影响是否持续到第一波之后,或者是否存在更长的时间框架。在这里,我们结合德国美因茨地区的 Gutenberg-COVID-19 研究的问卷调查数据以及 Gutenberg Health Study 的大流行前基线数据,研究了大流行对 2021 年 4 月之前医疗服务提供的影响。我们观察到取消医疗预约的比例较低,并且将有医疗预约的参与者比例作为预约数量的指标与大流行前的水平一致。预约更有可能被患者(而不是提供者)取消,并且更有可能被牙医或眼科医生等医疗专家(而不是全科医生)取消。总之,我们发现一些证据表明,至少就已实现的预约而言,医疗系统和医疗服务在较长时间内没有受到 COVID-19 大流行的损害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d83/9836284/d7a082f34653/pone.0280292.g001.jpg

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