新冠疫情对慢性病服务利用的影响。

The effect of COVID-19 on utilization of chronic diseases services.

机构信息

Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Health Promotion Research Center, Iran University of Medical Science, Tehran, Iran.

出版信息

Chronic Illn. 2024 Jun;20(2):309-319. doi: 10.1177/17423953231178168. Epub 2023 Jul 24.

DOI:10.1177/17423953231178168

PMID:37488977

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10372501/

Abstract

OBJECTIVES

The aim of the present study is to evaluate the impact of Covid-19 on utilization of chronic diseases services.

METHODS

Interrupted time-series design was used to examine the utilization of chronic diseases services before and during the Covid-19 pandemic among hospitals in Iran. Chronic obstructive pulmonary disease (COPD), asthma, type 2 diabetes, heart failure, and chemotherapy were selected as a proxy to indicate the impact of Covid-19 on utilization of chronic diseases services. Data were collected in 24 sites from 12 months before the onset of Covid-19 (from March 2019 to February 2020) to 12 months during the Covid-19 pandemic (February 2020 to March 2021).

RESULTS

A total of 7,039,378 services were provided, of which 51.92% were provided for women and 62.73% for >65 age group. A sudden decrease was observed in monthly utilization of services during the Covid-19 pandemic; ranging from 13.91 (95% CI = -21.73, 6.10, = 0.001) for chemotherapy to 606.39 (95% CI = -1040.72, 172.06, = 0.009) for heart failure services per 100 thousand population. A decrease was observed in COPD services; 15.28 services compared with the period before Covid-19. Subsequently, the monthly utilization trends of asthma, type 2 diabetes, and chemotherapy services increased significantly ( < 0.05).

DISCUSSION

Although chronic diseases are a factor in more severe form of Covid-19, their failure to seek diagnostic, prevention and treatment services has somewhat complicated the issue.

摘要

目的

本研究旨在评估新冠疫情对慢性病服务利用的影响。

方法

采用中断时间序列设计，考察了伊朗医院在新冠疫情前后慢性病服务的利用情况。慢性阻塞性肺疾病（COPD）、哮喘、2 型糖尿病、心力衰竭和化疗被选为代表新冠疫情对慢性病服务利用影响的指标。数据收集自新冠疫情前 12 个月（2019 年 3 月至 2020 年 2 月）和疫情期间 12 个月（2020 年 2 月至 2021 年 3 月）的 24 个地点。

结果

共提供了 7039378 次服务，其中 51.92%为女性，62.73%为>65 岁人群。在新冠疫情期间，服务的月利用率突然下降；化疗服务的降幅为 13.91（95%CI=-21.73,6.10，=0.001），心力衰竭服务的降幅为 606.39（95%CI=-1040.72,172.06，=0.009），每 10 万人。COPD 服务减少了 15.28 次，与新冠疫情前相比。随后，哮喘、2 型糖尿病和化疗服务的月利用趋势显著增加（<0.05）。