Playing defense? Health care in the era of Covid.
Playing defense? Health care in the era of Covid.
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DOI：
10.1016/j.jhealeco.2022.102665
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发表时间：
2022-09
影响因子：
3.5
通讯作者：
Okeke, Edward N.
中科院分区：
文献类型：
--
作者：
Okeke, Edward N.
卫生工作者必须平衡自己的福利与患者的福利，特别是当患者患有容易传播的疾病时。在疫情爆发期间，这些风险变得更加严重，尤其是在严重疾病或死亡的可能性不可忽视的情况下。降低风险的一种方法是减少与患者的接触。这种变化可以沿着密集或广泛的边缘进行。我利用Covid-19大流行最初几个月的初级保健门诊就诊数据，记录了提供者与患者互动强度的重要变化。值得注意的是，我发现对临床指导方针的遵守，完成常规程序（如体检）的可能性，甚至保健提供者提供的信息质量，都急剧下降。我提出的证据表明，这些影响可能反映了卫生服务提供者的风险缓解行为。
Health workers have to balance their own welfare vs. that of their patients particularly when patients have a readily transmissible disease. These risks become more consequential during an outbreak, and especially so when the chance of severe illness or mortality is non-negligible. One way to reduce risk is by reducing contact with patients. Such changes could be along the intensive or extensive margins. Using data on primary care outpatient encounters during the early months of the Covid-19 pandemic, I document important changes in the intensity of provider–patient interactions. Significantly, I find that adherence to clinical guidelines, the probability that routine procedures such as physical examinations were completed, and even the quality of information given by health providers, all declined sharply. I present evidence that these effects likely reflect risk mitigation behavior by health providers.
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DOI：
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发表时间：
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期刊：
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