National Medical Institute of the MSWiA, Warsaw, Poland.
Department of Spatial Econometrics, Faculty of Economics and Sociology, University of Lodz, Lodz, Poland.
Sci Rep. 2024 May 25;14(1):11975. doi: 10.1038/s41598-024-62671-2.
A situation of emergency involving the whole population introduces changes in the dynamics of the health services that are provided. The magnitude of these shifts should be also linked to the medical speciality within which the health benefits are delivered. The aim of the paper was to identify changes in tendencies in inpatient medical service delivery during the COVID-19 pandemic by medical specialties. On the basis of a database extracted for in-patient treatment received from the public payer, a retrospective analysis was carried out. Comparing the values of the dynamics of the services provided in each medical speciality, the period before the COVID-19 pandemic was collated to the years of the pandemic (2020-2021). In the period before COVID-19, positive patient dynamics were observed in more than half of the specialities. Between 2020 and 2021, virtually all specialties reversed the trend and negative dynamics were recorded. The dynamics in 2021 indicate a process of return to the values from 2015 to 2019. Emergency situation has affected the dynamics of healthcare provision in different specialities to various extent. The most resistant to the negative impulses of the state of emergency were the areas that are strictly organisationally and financially defined (e.g. the group of "therapeutic and drug programmes").
涉及全民的紧急情况会改变所提供的医疗服务的动态。这些转变的规模也应该与提供医疗福利的医疗专业相关。本文的目的是确定在 COVID-19 大流行期间，按医学专业划分，住院医疗服务提供方面的趋势变化。在从公共支付方提取的住院治疗数据库的基础上，进行了回顾性分析。将大流行前时期（2020-2021 年）与每个医学专业提供服务的动态值进行比较。在 COVID-19 之前，超过一半的专业观察到积极的患者动态。在 2020 年至 2021 年期间，几乎所有的专业都扭转了这一趋势，记录了负面的动态。2021 年的动态表明，这是一个回归到 2015 年至 2019 年水平的过程。紧急情况以不同程度影响了不同专业的医疗服务动态。在紧急状态的负面冲击下最具抵抗力的是在组织和财务上严格界定的领域（例如“治疗和药物方案”组）。
