Changes in adolescents' planned hospital care during the COVID-19 pandemic: analysis of linked administrative data.
Changes in adolescents' planned hospital care during the COVID-19 pandemic: analysis of linked administrative data.
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DOI：
10.1136/archdischild-2021-323616
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发表时间：
2022-09-20
影响因子：
5.2
通讯作者：
中科院分区：
文献类型：
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作者：
描述在大流行期间，接受儿童社会关怀（CSC）服务或特殊教育需求（SEN）支持的弱势青少年与同龄人相比，计划的医院护理的变化。来自关联数据数据库的教育和儿童健康洞察中的观察性队列（英格兰所有儿童的关联去识别行政健康，教育和社会护理记录）。2019/2020学年7-11年级的所有中学生（N=3 030 235）。接受SEN支持或CSC服务。通过比较预测与观察到的每1000儿童年的人数和比率，估计了大流行前9个月（2020年3月23日至12月31日）的门诊就诊和计划住院人数的变化。五分之一的学生（20.5%）得到某种形式的法定支助：14.2%只得到特殊教育支助，3.6%只得到社区支助服务，2.7%两者都得到。这些弱势青少年计划住院治疗的减少幅度大于同龄人：每1000儿童年门诊就诊人数为-290 vs-225，每1000儿童年计划住院人数为-36 vs-16。总体而言，21%的青少年谁是脆弱的不成比例地承担了25%的门诊就诊减少和37%的计划住院减少。脆弱的青少年不太可能比他们的同龄人有面对面的门诊治疗。这些研究结果表明，社会弱势儿童群体有很高的健康需求，可能需要优先考虑，以确保公平提供，包括在大流行后赶上计划的护理。本文描述了在大流行期间为青少年计划的医院护理的变化，强调了对那些接受儿童社会护理服务或特殊教育需求支持的人的不成比例的影响。
To describe changes in planned hospital care during the pandemic for vulnerable adolescents receiving children’s social care (CSC) services or special educational needs (SEN) support, relative to their peers. Observational cohort in the Education and Child Health Insights from Linked Data database (linked de-identified administrative health, education and social care records of all children in England). All secondary school pupils in years 7–11 in academic year 2019/2020 (N=3 030 235). Receiving SEN support or CSC services. Changes in outpatient attendances and planned hospital admissions during the first 9 months of the pandemic (23 March–31 December 2020), estimated by comparing predicted with observed numbers and rates per 1000 child-years. A fifth of pupils (20.5%) received some form of statutory support: 14.2% received SEN support only, 3.6% received CSC services only and 2.7% received both. Decreases in planned hospital care were greater for these vulnerable adolescents than their peers: −290 vs −225 per 1000 child-years for outpatient attendances and −36 vs −16 per 1000 child-years for planned admissions. Overall, 21% of adolescents who were vulnerable disproportionately bore 25% of the decrease in outpatient attendances and 37% of the decrease in planned hospital admissions. Vulnerable adolescents were less likely than their peers to have face-to-face outpatient care. These findings indicate that socially vulnerable groups of children have high health needs, which may need to be prioritised to ensure equitable provision, including for catch-up of planned care postpandemic. This paper describes changes in planned hospital care for adolescents during the pandemic, highlighting the disproportionate impact on those receiving children’s social care services or special educational needs support.
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DOI：
10.2147/ahmt.s292977
发表时间：
2021
期刊：
Adolescent health, medicine and therapeutics
影响因子：
--
作者：
Proulx-Cabana S;Segal TY;Gregorowski A;Hargreaves D;Flannery H
通讯作者：
Flannery H
影响因子：
6.4
作者：
Thorell LB;Skoglund C;de la Peña AG;Baeyens D;Fuermaier ABM;Groom MJ;Mammarella IC;van der Oord S;van den Hoofdakker BJ;Luman M;de Miranda DM;Siu AFY;Steinmayr R;Idrees I;Soares LS;Sörlin M;Luque JL;Moscardino UM;Roch M;Crisci G;Christiansen H
通讯作者：
Christiansen H
影响因子：
2.9
作者：
Ruzangi, Judith;Blair, Mitch;Saxena, Sonia
通讯作者：
Saxena, Sonia
影响因子：
5.2
作者：
Hargreaves, Dougal S.;Viner, Russell M.
通讯作者：
Viner, Russell M.
影响因子：
15.8
作者：
Fleming M;McLay JS;Clark D;King A;Mackay DF;Minnis H;Pell JP
通讯作者：
Pell JP