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加拿大艾伯塔省长新冠患者获得医疗服务的途径:一项随机、横断面调查研究。

Accessing Care Services for Long COVID Sufferers in Alberta, Canada: A Random, Cross-Sectional Survey Study.

机构信息

Neurosciences, Rehabilitation, and Vision Strategic Clinical Network, Alberta Health Services, Edmonton, AB T5J 3E4, Canada.

Division of Physical Medicine and Rehabilitation, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2E1, Canada.

出版信息

Int J Environ Res Public Health. 2023 Jul 27;20(15):6457. doi: 10.3390/ijerph20156457.

Abstract

Designing appropriate rehabilitation programs for long COVID-19 remains challenging. The purpose of this study was to explore the patient experience of accessing long COVID-19 rehabilitation and recovery services. In this cross-sectional, observational study, a telephone survey was administered to a random sample of persons with long COVID-19 in a Canadian province. Participants included adults who tested positive for COVID-19 between March and October 2021. Survey respondents ( = 330) included individuals who had been previously hospitalized for COVID-19 ( = 165) and those who had not been hospitalized ('non-hospitalized') for COVID-19 ( = 165). Significantly more previously hospitalized respondents visited a family doctor for long COVID-19 symptoms compared to non-hospitalized respondents (hospitalized: = 109 (66.1%); non-hospitalized: = 25 (15.2%); ( < 0.0001)). Previously hospitalized respondents reported significantly more referrals to specialty healthcare providers for long COVID-19 sym`ptoms (hospitalized: = 45 (27.3%); non-hospitalized: = 6 (3.6%); ( < 0.001)). A comparable number of respondents in both groups accessed care services that did not require a referral to manage their long COVID-19 symptoms (hospitalized: = 31 (18.8%); non-hospitalized: = 20 (12.1%); ( = 0.20)). These findings demonstrate the diversity of recovery services used by individuals with long COVID-19 and emphasize the need for multidisciplinary long COVID-19 rehabilitation and recovery care pathways.

摘要

为长新冠设计合适的康复方案仍然具有挑战性。本研究旨在探讨患者获得长新冠康复和恢复服务的体验。在这项横断面观察研究中,对加拿大一个省份的长新冠患者进行了随机抽样的电话调查。参与者包括在 2021 年 3 月至 10 月期间新冠病毒检测呈阳性的成年人。调查对象(=330)包括以前因新冠住院的患者(=165)和未住院的患者(=165)。与未住院的患者相比,以前因新冠住院的患者因长新冠症状看家庭医生的比例明显更高(住院:=109(66.1%);未住院:=25(15.2%);(<0.0001))。以前因新冠住院的患者报告因长新冠症状向专科医疗保健提供者转诊的比例明显更高(住院:=45(27.3%);未住院:=6(3.6%);(<0.001))。两组中有相当数量的患者因长新冠症状使用不需要转诊的护理服务(住院:=31(18.8%);未住院:=20(12.1%);(=0.20))。这些发现表明长新冠患者使用的康复服务具有多样性,并强调需要多学科的长新冠康复和恢复护理途径。

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