{"title":"韩国 COVID-19 大流行期间消化道内窥镜检查活动的应变能力差距。","authors":"Hye-Yeon Kim, Jeong-Ho Yang, Sun-Seog Kweon","doi":"10.4068/cmj.2024.60.3.180","DOIUrl":null,"url":null,"abstract":"<p><p>This study assessed the impact of distancing measures during the COVID-19 pandemic on cancer diagnostic activities, including gastrointestinal endoscopy (GIE). It analyzed GIE volumes from 2020 to 2022 in comparison to 2018-2019, considering variations in resilience linked to socioeconomic status (SES). The analysis utilized data from the Korean Health Insurance Review and Assessment Services database, covering the entire population and medical facilities. Diagnostic GIE rates (2018-2022) in Gwangju Metropolitan City and Jeonnam province were examined, comparing age-standardized rates (ASRs) by area, gender, and SES. The results indicated a decline in ASRs for colonoscopy and endoscopic gastroduodenoscopy (EGD) in 2020 compared to 2018-2019, followed by an increase in 2021-2022, except for EGD in the medical aid population. SES based and rural-urban disparities were evident in the recovery of GIE rates. The findings suggest that equity-focused strategies are needed to ensure equitable healthcare access among different socioeconomic groups after pandemic.</p>","PeriodicalId":94372,"journal":{"name":"Chonnam medical journal","volume":"60 3","pages":"180-186"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458310/pdf/","citationCount":"0","resultStr":"{\"title\":\"Resilience Gap in Gastrointestinal Endoscopy Activity during the COVID-19 Pandemic in South Korea.\",\"authors\":\"Hye-Yeon Kim, Jeong-Ho Yang, Sun-Seog Kweon\",\"doi\":\"10.4068/cmj.2024.60.3.180\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study assessed the impact of distancing measures during the COVID-19 pandemic on cancer diagnostic activities, including gastrointestinal endoscopy (GIE). It analyzed GIE volumes from 2020 to 2022 in comparison to 2018-2019, considering variations in resilience linked to socioeconomic status (SES). The analysis utilized data from the Korean Health Insurance Review and Assessment Services database, covering the entire population and medical facilities. Diagnostic GIE rates (2018-2022) in Gwangju Metropolitan City and Jeonnam province were examined, comparing age-standardized rates (ASRs) by area, gender, and SES. The results indicated a decline in ASRs for colonoscopy and endoscopic gastroduodenoscopy (EGD) in 2020 compared to 2018-2019, followed by an increase in 2021-2022, except for EGD in the medical aid population. SES based and rural-urban disparities were evident in the recovery of GIE rates. The findings suggest that equity-focused strategies are needed to ensure equitable healthcare access among different socioeconomic groups after pandemic.</p>\",\"PeriodicalId\":94372,\"journal\":{\"name\":\"Chonnam medical journal\",\"volume\":\"60 3\",\"pages\":\"180-186\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458310/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chonnam medical journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4068/cmj.2024.60.3.180\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/25 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chonnam medical journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4068/cmj.2024.60.3.180","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/25 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
本研究评估了COVID-19大流行期间的疏远措施对癌症诊断活动（包括消化道内窥镜检查（GIE））的影响。研究分析了 2020 年至 2022 年与 2018-2019 年的 GIE 数量对比，并考虑了与社会经济地位（SES）相关的复原力差异。分析利用了韩国健康保险审查和评估服务数据库中的数据，涵盖了全部人口和医疗机构。研究对光州广域市和全罗南道的 GIE 诊断率（2018-2022 年）进行了检查，并比较了不同地区、性别和社会经济地位的年龄标准化比率（ASRs）。结果显示，与2018-2019年相比，2020年结肠镜检查和内镜胃十二指肠镜检查（EGD）的ASR有所下降，随后在2021-2022年有所上升，但医疗援助人群的EGD除外。在 GIE 率的恢复方面，基于社会经济地位的差异和城乡差异显而易见。研究结果表明，需要制定以公平为重点的战略，以确保不同社会经济群体在大流行后获得公平的医疗服务。
Resilience Gap in Gastrointestinal Endoscopy Activity during the COVID-19 Pandemic in South Korea.
This study assessed the impact of distancing measures during the COVID-19 pandemic on cancer diagnostic activities, including gastrointestinal endoscopy (GIE). It analyzed GIE volumes from 2020 to 2022 in comparison to 2018-2019, considering variations in resilience linked to socioeconomic status (SES). The analysis utilized data from the Korean Health Insurance Review and Assessment Services database, covering the entire population and medical facilities. Diagnostic GIE rates (2018-2022) in Gwangju Metropolitan City and Jeonnam province were examined, comparing age-standardized rates (ASRs) by area, gender, and SES. The results indicated a decline in ASRs for colonoscopy and endoscopic gastroduodenoscopy (EGD) in 2020 compared to 2018-2019, followed by an increase in 2021-2022, except for EGD in the medical aid population. SES based and rural-urban disparities were evident in the recovery of GIE rates. The findings suggest that equity-focused strategies are needed to ensure equitable healthcare access among different socioeconomic groups after pandemic.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
