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丹麦首次新冠疫情封锁期间就医的相关考量与经验

Considerations and experiences with healthcare-seeking during the first COVID-19 lockdown in Denmark.

作者信息

Raasthøj Holst Isabella, Sætre Lisa Maria Sele, Lauridsen Gitte Bruun, Balasubramaniam Kirubakaran, Haastrup Peter, Wehberg Sonja, Jarbøl Dorte Ejg

机构信息

The Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense M, Denmark.

出版信息

Scand J Prim Health Care. 2025 Jun;43(2):434-447. doi: 10.1080/02813432.2025.2452924. Epub 2025 Jan 20.

Abstract

AIM

To (1) examine considerations before and experiences with GP contact during the first COronaVIrus Disease 2019 (COVID-19) lockdown among Danish citizens; (2) analyse the associations with sex, age, chronic disease, and socioeconomic factors; and (3) explore changes in healthcare-seeking behaviour post-pandemic.

METHOD

A total of 100,000 Danes aged 20 years or older, randomly selected in the general population, were invited to participate in a survey examining considerations and experiences with healthcare seeking during the first COVID-19 lockdown. Data were collected in spring 2022 and linked to register data on socioeconomic factors. Descriptive statistics and multivariable logistic regression models were applied.

RESULTS

Of the 27,369 eligible individuals, 18% reported a need to contact their GP. Being worried about burdening the healthcare system was most frequently reported (45%), followed by being in doubt about acceptable contact reasons (33%), and concern about infection (24%). Although 44% of those who needed to contact their GP found the digital solutions advantageous, individuals frequently found it difficult to discuss symptoms by telehealth (29%) and that they were examined less thoroughly. Generally, women, younger people, and individuals with lower socioeconomic status were more likely to be worried and report difficulties with contact to general practice. Some 86% of the respondents reported no changes in healthcare-seeking behaviour post-pandemic.

CONCLUSION

The results may assist in the organisation of healthcare in case of future lockdowns. Yet, the COVID-19 pandemic has only slightly affected the healthcare-seeking behaviour in the Danish general population.

摘要

目的

(1)调查丹麦公民在2019年冠状病毒病(COVID-19)首次封锁期间与全科医生(GP)联系之前的考虑因素及相关经历;(2)分析与性别、年龄、慢性病和社会经济因素之间的关联;(3)探索疫情后寻求医疗行为的变化。

方法

从普通人群中随机抽取100,000名年龄在20岁及以上的丹麦人,邀请他们参与一项调查,该调查旨在研究在首次COVID-19封锁期间寻求医疗服务的考虑因素及经历。数据于2022年春季收集,并与社会经济因素的登记数据相关联。应用描述性统计和多变量逻辑回归模型。

结果

在27,369名符合条件的个体中,18%报告有必要联系他们的全科医生。最常被报告的是担心给医疗系统带来负担(45%),其次是对可接受的联系原因存在疑虑(33%),以及担心感染(24%)。尽管44%需要联系全科医生的人认为数字解决方案具有优势,但人们经常发现通过远程医疗讨论症状很困难(29%),而且他们接受的检查不够全面。一般来说,女性、年轻人和社会经济地位较低的个体更有可能感到担忧,并报告在联系全科医疗方面存在困难。约86%的受访者报告疫情后寻求医疗行为没有变化。

结论

这些结果可能有助于在未来封锁情况下组织医疗服务。然而,COVID-19大流行对丹麦普通人群的寻求医疗行为影响较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ee7/12090286/ec187dcac6fe/IPRI_A_2452924_F0001_B.jpg

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