Patients' impressions of after-hours house-call services during the COVID-19 pandemic in Japan: a questionnaire-based observational study.
Patients' impressions of after-hours house-call services during the COVID-19 pandemic in Japan: a questionnaire-based observational study.
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DOI：
10.1186/s12875-021-01534-5
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发表时间：
2021-09-15
影响因子：
2.9
通讯作者：
Tamiya N
中科院分区：
文献类型：
--
作者：
Morita K;Inokuchi R;Jin X;Ishikawa M;Tamiya N
2019冠状病毒病（COVID-19）大流行严重影响了医疗服务的获取，这引发了人们对延迟接受医疗服务的风险增加的担忧。本研究旨在使用患者问卷评估患者在COVID-19大流行期间对下班后出诊（AHHC）医疗服务的印象。这是一项横断面观察性研究，使用了2020年4月至2021年1月使用AHHC医疗服务的患者的匿名病历数据和基于互联网的问卷。我们总结了患者在COVID-19大流行期间对AHHC医疗服务的印象，并按患者特征分层。问卷的问题如下：（i）您是否因为怀疑自己感染了COVID-19而使用AHHC医疗服务？(ii)您是否认为AHHC医疗服务的使用有助于预防COVID-19的传播？(iii)如果没有AHHC医疗服务，你会采取什么行动？共有1802名患者回答了问卷（回答率：11.3%）。首先，700名（40.8%）响应者表示他们因怀疑COVID-19而使用AHHC医疗服务。其次，大多数应答者（88.8%）认为AHHC医疗服务阻止了COVID-19的传播。第三，774（43.0%）的应答者认为，如果没有使用AHHC医疗服务，他们会去急诊室或叫救护车。此外，411（22.8%）的应答者表示，如果AHHC医疗服务不可用，尽管有需要紧急关注的情况，他们将留在家中或等到工作时间。AHHC医疗服务可能是那些不愿寻求医疗服务的人的策略之一，从而降低紧急情况下延迟去医院就诊的风险。此外，AHHC医疗服务还可以通过避免与医院内的其他患者接触来预防COVID-19的传播。
Access to healthcare has been strongly affected by the coronavirus disease 2019 (COVID-19) pandemic, which has raised concerns about the increased risk of delays in receiving medical care. This study aimed to assess the patients’ impressions of after-hour house-call (AHHC) medical services during the COVID-19 pandemic using a patient questionnaire. This was a cross-sectional observational study of anonymized medical record data and internet-based questionnaires from patients who used AHHC medical services from April 2020 to January 2021. We summarized the patients’ impressions of AHHC medical services during the COVID-19 pandemic stratified by patient characteristics. The questions of the questionnaire were as follows: (i) Did you use the AHHC medical services because you suspected you had COVID-19 infection? (ii) Do you feel that the use of AHHC medical services has helped prevent transmission of COVID-19? (iii) What action would you have taken in the absence of AHHC medical services? A total of 1802 patients responded to the questionnaire (response rate: 11.3%). First, 700 (40.8%) of the responders indicated that they had used AHHC medical services because of suspicion of COVID-19. Second, most responders (88.8%) felt that AHHC medical services prevented transmission of COVID-19. Third, 774 (43.0%) of the responders considered that they would have visited an emergency department or called an ambulance if AHHC medical services had not been used. Furthermore, 411 (22.8%) of the responders indicated that they would remain at home or wait until working hours if AHHC medical services were not available despite having a condition that required emergency attention. AHHC medical services may be one of the strategies for those who refrain from seeking healthcare services, thus reducing the risk of delayed hospital visits during emergencies. Furthermore, AHHC medical services may also contribute to preventing transmission of COVID-19 by avoiding contact with other patients in the hospital.
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影响因子：
1.6
作者：
Kastritis E;Tsitsimpis K;Anninos E;Stamatelopoulos K;Kanakakis I;Lampropoulos C;Chatzidou S;Michopoulos S;Papamichail C;Kostis E;Manios E;Kontogiannis S;Paraskevaidis I;Terpos E;Mitrakou A;Dimopoulos MA
通讯作者：
Dimopoulos MA
影响因子：
8.3
作者：
Sharma R;Kuohn LR;Weinberger DM;Warren JL;Sansing LH;Jasne A;Falcone G;Dhand A;Sheth KN
通讯作者：
Sheth KN
影响因子：
3.1
作者：
Morimura, Naoto;Aruga, Tohru;Ishikawa, Hideki
通讯作者：
Ishikawa, Hideki
影响因子：
9.7
作者：
Grol, Richard;Giesen, Paul;van Uden, Caro
通讯作者：
van Uden, Caro
影响因子：
3.7
作者：
Ehara A
通讯作者：
Ehara A