Makoto Kaneko, Sayuri Shimizu, Ai Oishi, Kiyohide Fushimi
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We employed a difference-in-difference design to compare the number of hospital admissions for ACSCs between the areas with higher and lower rates of COVID-19 infection in Japan.</p><p><strong>Setting: </strong>The study used a nationwide database in Japan.</p><p><strong>Participants: </strong>All patients were aged 20 years and above and were admitted due to ACSCs during the study period between March and September 2019 (before the pandemic) and between March and September 2020 (during the pandemic).</p><p><strong>Results: </strong>The total number of ACSC admissions was 464 560 (276 530 in 2019 and 188 030 in 2020). The change in the number of admissions for ACSCs per 100 000 was not statistically significant between the areas with higher and lower rates of COVID-19 infection: 7.50 (95% CI -87.02 to 102.01). In addition, in acute, chronic and preventable ACSCs, the number of admissions per 100 000 individuals did not change significantly.</p><p><strong>Conclusion: </strong>Although admissions for ACSCs decreased during the COVID-19 pandemic, there was no significant change between the areas with higher and lower rates of COVID-19 infection. 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引用次数: 2
摘要
目的:SARS-CoV-2感染(COVID-19)已影响到三级医疗机构和初级保健。门诊敏感条件(ACSCs)入院是初级保健质量的重要指标。然而，没有一项全国性的研究，特别是在亚洲，研究了acsc的入院与当地COVID-19激增之间的关系。这项研究旨在研究日本ACSCs入院人数在COVID-19感染率较高和较低地区之间的变化。设计:这是一项回顾性的两阶段横断面研究。我们采用了差异中差异设计来比较日本COVID-19感染率较高和较低地区之间ACSCs的住院人数。研究背景:该研究使用了日本的一个全国性数据库。参与者:所有患者年龄在20岁及以上，并在2019年3月至9月(大流行前)和2020年3月至9月(大流行期间)的研究期间因ACSCs入院。结果:ACSC总招生人数为464 560人(2019年276 530人，2020年188 030人)。在COVID-19感染率较高和较低的地区，每10万ACSCs入院人数的变化无统计学意义:7.50人(95% CI -87.02 ~ 102.01)。此外，在急性、慢性和可预防的ACSCs中，每10万人的入院人数没有显著变化。结论:虽然新冠肺炎大流行期间ACSCs的入院率有所下降，但高感染率地区和低感染率地区之间没有显著变化。这意味着新冠肺炎大流行既影响了感染率高的地区，也影响了感染率低的地区。
Impact of COVID-19 infection rates on admissions for ambulatory care sensitive conditions: nationwide difference-in-difference design in Japan.
Objectives: SARS-CoV-2 infection (COVID-19) has affected tertiary medical institutions and primary care. Admission for ambulatory care sensitive conditions (ACSCs) is an important indicator of primary care quality. However, no nationwide study, especially in Asia, has examined the association between admissions for ACSCs and local surges in COVID-19. This study aimed to examine how the number of admissions for ACSCs has changed in Japan between the areas with higher and lower rates of COVID-19 infection.
Design: This was a retrospective two-stage cross-sectional study. We employed a difference-in-difference design to compare the number of hospital admissions for ACSCs between the areas with higher and lower rates of COVID-19 infection in Japan.
Setting: The study used a nationwide database in Japan.
Participants: All patients were aged 20 years and above and were admitted due to ACSCs during the study period between March and September 2019 (before the pandemic) and between March and September 2020 (during the pandemic).
Results: The total number of ACSC admissions was 464 560 (276 530 in 2019 and 188 030 in 2020). The change in the number of admissions for ACSCs per 100 000 was not statistically significant between the areas with higher and lower rates of COVID-19 infection: 7.50 (95% CI -87.02 to 102.01). In addition, in acute, chronic and preventable ACSCs, the number of admissions per 100 000 individuals did not change significantly.
Conclusion: Although admissions for ACSCs decreased during the COVID-19 pandemic, there was no significant change between the areas with higher and lower rates of COVID-19 infection. This implies that the COVID-19 pandemic affected the areas with higher infection rates and the areas with lower rates.
期刊介绍：
Family Medicine and Community Health (FMCH) is a peer-reviewed, open-access journal focusing on the topics of family medicine, general practice and community health. FMCH strives to be a leading international journal that promotes ‘Health Care for All’ through disseminating novel knowledge and best practices in primary care, family medicine, and community health. FMCH publishes original research, review, methodology, commentary, reflection, and case-study from the lens of population health. FMCH’s Asian Focus section features reports of family medicine development in the Asia-pacific region. FMCH aims to be an exemplary forum for the timely communication of medical knowledge and skills with the goal of promoting improved health care through the practice of family and community-based medicine globally. FMCH aims to serve a diverse audience including researchers, educators, policymakers and leaders of family medicine and community health. We also aim to provide content relevant for researchers working on population health, epidemiology, public policy, disease control and management, preventative medicine and disease burden. FMCH does not impose any article processing charges (APC) or submission charges.
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