COVID-19 对老年人使用慢性门诊护理敏感疾病急诊的影响。

IF 2.4 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of the American Board of Family Medicine Pub Date : 2024-10-25 DOI:10.3122/jabfm.2023.230386R1

Arch G Mainous, Lu Yin, James F Medley, Aaron A Saguil, Frank A Orlando

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引用次数: 0

摘要

背景：COVID-19大流行病的社会隔离要求鼓励患者避免前往公共场所，包括诊室就医。非住院护理敏感性疾病（ACSCs）是指可以通过优质初级保健进行管理的疾病，当获取途径受到限制时，这些疾病会导致可避免的急诊室就诊：利用全国医院非住院医疗调查中 2019 年至 2021 年的全国急诊就诊数据，我们研究了 COVID-19 大流行对老年人（年龄≥65 岁）ACSC 急诊就诊的影响：结果：2019 年（17.4%）至 2021 年（18.5%）期间，老年人因 ACSC 就诊的急诊就诊比例有所增加。农村地区（26.4%-28.6%）和城市地区（15.4%-16.8%）的这一趋势表明，从 2019 年到 2021 年，这一比例显著上升（P ）：ACSC 急诊室使用率的上升与大流行期间正常初级保健的延迟是一致的。

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Impact of COVID-19 on Chronic Ambulatory-Care-Sensitive Condition Emergency Department Use Among Older Adults.

Background: The COVID-19 pandemic social distancing requirements encouraged patients to avoid public spaces including in-office health care visits. Ambulatory-care-sensitive conditions (ACSCs) represent conditions that can be managed with quality primary care and when access is limited, these conditions can lead to avoidable emergency department (ED) visits.

Methods: Using national data on ED visits from 2019 to 2021 in the National Hospital Ambulatory Care Survey, we examined the impact of COVID-19 pandemic on ACSC ED visits among older adults (aged ≥65).

Results: The proportion of ED visits among older adults that were for ACSCs increased between 2019 (17.4%) and 2021 (18.5%). The trend in both rural (26.4%-28.6%) and urban areas (15.4%-16.8%) shows a significant jump from 2019 to 2021 (P < .001).

Conclusions: This rise in ACSC ED use is consistent with a delay in normal primary care during the pandemic.

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来源期刊

Journal of the American Board of Family Medicine 医学-医学：内科

CiteScore

4.90

自引率

6.90%

发文量

168

审稿时长

4-8 weeks

期刊介绍： Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.