Trends in Healthcare Access in Japan during the First Wave of the COVID-19 Pandemic, up to June 2020.
Trends in Healthcare Access in Japan during the First Wave of the COVID-19 Pandemic, up to June 2020.
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DOI：
10.3390/ijerph18063271
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发表时间：
2021-03-22
影响因子：
--
通讯作者：
Hashizume M
中科院分区：
文献类型：
--
作者：
Makiyama K;Kawashima T;Nomura S;Eguchi A;Yoneoka D;Tanoue Y;Kawamura Y;Sakamoto H;Gilmour S;Shi S;Matsuura K;Uryu S;Hashizume M
我们评估了新型冠状病毒病（COVID-19）在第一波疫情期间（截至2020年6月）对日本医疗服务可及性的影响，包括门诊和住院患者人数以及住院时间。本观察性研究使用厚生劳动省提供的医院利用率公开汇总数据--医院报告数据，对2010年12月至2020年6月期间的每月平均每天门诊患者人数、每天平均住院患者人数和每位患者的平均住院时间进行了评价。这些数字与前几年同期的数字进行了比较，使用准泊松回归模型。我们发现，在COVID-19第一波疫情期间，日本全国综合医院的门诊患者和住院患者人数减少，特别是长期护理床位，以及精神科护理患者的住院时间过长。这种有限的医疗服务表明，对弱势群体进行长期健康监测十分重要，需要对医疗设施提供紧急管理支持，为未来可能出现的长期大流行病做好准备。
We evaluated the impact of the new coronavirus disease (COVID-19) on healthcare access in Japan in terms of the number of outpatients and hospitalized patients as well as the length of hospital stays, during the first wave of the pandemic, up to June 2020. This observational study evaluated the monthly average number of outpatients per day at hospitals, the average number of hospitalized patients per day, and the average length of hospital stays per patient, from December 2010 to June 2020, using the hospital reports data, which are open aggregated data on the utilization of hospitals from the Ministry of Health, Labour and Welfare. These numbers were compared with those from the same period of previous years, using a quasi-Poisson regression model. We found a nationwide decrease in the number of outpatients in general hospitals and hospitalized patients, particularly in long-term care beds in Japan, as well as the excess length of hospital stays among psychiatric care patients during the first wave of the COVID-19. This limited access to healthcare demonstrated the importance of the long-term health monitoring of vulnerable populations and the need for urgent management support to healthcare facilities in preparation for possible prolonged pandemics in the future.
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影响因子：
3.7
作者：
Roy S;Ghosh P
通讯作者：
Ghosh P
DOI：
10.1093/ehjdh/ztaa018
发表时间：
2021-03
期刊：
European heart journal. Digital health
影响因子：
--
作者：
Russo V;Rapacciuolo A;Pafundi PC;de Divitiis M;Volpicelli M;Ruocco A;Rago A;Uran C;Nappi F;Attena E;Chianese R;Esposito F;Del Giorno G;D'Andrea A;Ducceschi V;Russo G;Ammendola E;Carbone A;Covino G;Manzo G;Montella GM;D'Onofrio A;Nigro G
通讯作者：
Nigro G
影响因子：
11.3
作者：
Nomura, Shuhei;Kawashima, Takayuki;Hashizume, Masahiro
通讯作者：
Hashizume, Masahiro
DOI：
10.1016/j.jstrokecerebrovasdis.2020.104988
发表时间：
2020-08-01
影响因子：
2.5
作者：
Desai, Shashvat M.;Guyette, Francis X.;Jadhav, Ashutosh P.
通讯作者：
Jadhav, Ashutosh P.
影响因子：
2.7
作者：
Okereke, Melody;Ukor, Nelson Ashinedu;Lucero-Prisno, Don Eliseo, III
通讯作者：
Lucero-Prisno, Don Eliseo, III