Barriers to emergency department usage during the COVID-19 pandemic.
Barriers to emergency department usage during the COVID-19 pandemic.
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DOI：
10.1002/emp2.12316
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发表时间：
2020-12
影响因子：
2.3
通讯作者：
Raja AS
中科院分区：
文献类型：
--
作者：
Niforatos JD;Chaitoff A;Zheutlin AR;Feinstein MM;Raja AS
本研究的目的是确定公众在 2019 年冠状病毒病 (COVID-19) 大流行期间愿意使用急诊室 (ED) 治疗紧急/紧急疾病的可能性。 2020 年 5 月 24 日至 25 日，对 Amazon Mechanical Turk 的非概率样本进行了机构审查委员会批准的横断面调查。通过 McNemar 测试评估了在大流行之前和期间使用 ED 的自我报告意愿的变化（主要结果）； COVID-19 知识和看法是次要结果。共有 855 名调查参与者（466 名 [54.5%] 男性；699 名 [81.8%] 白人；中位年龄 39 岁）。报告大流行前使用 ED 的可能性的比例 (71% [604/855]) 在大流行期间显着下降 (49% [417/855]；P < 0.001)；在大流行期间不太可能去急诊室的人数显着增加（41% [347/855] vs 22% [417/855]，P < 0.001）。如果参与者不太可能在大流行前使用 ED（调整后的比值比，4.55；95% 置信区间，3.09-6.7）或正确回答更多的 COVID-19 知识问题（调整后的比值比，1.37；95% 置信区间，1.17-1.60），那么他们就不太可能在大流行期间使用 ED。此外，23.4%（n = 200）的受访者认为疫情不会对社会构成严重威胁。 COVID-19 知识得分较高的受访者更有可能认为疫情严重（比值比，1.57；95% 置信区间，1.36-1.82）。这项调查研究调查了公众在 COVID-19 大流行期间使用急诊室的意愿。只有 49% 的受访者愿意在大流行期间感到不适时去急诊室，而大流行前这一比例为 71%。
The objective of this study was to determine the public's likelihood of being willing to use an emergency department (ED) for urgent/emergent illness during the coronavirus disease 2019 (COVID‐19) pandemic. An institutional review board–approved, cross‐sectional survey of a non‐probability sample from Amazon Mechanical Turk was administered May 24–25, 2020. Change in self‐reported willingness to use an ED before and during the pandemic (primary outcome) was assessed via McNemar's test; COVID‐19 knowledge and perceptions were secondary outcomes. There were 855 survey participants (466 [54.5%] male; 699 [81.8%] White; median age 39). Proportion reporting likelihood to use the ED pre‐pandemic (71% [604/855]) decreased significantly during the pandemic (49% [417/855]; P < 0.001); those unlikely to visit the ED increased significantly during the pandemic (41% [347/855] vs 22% [417/855], P < 0.001). Participants were unlikely to use the ED during the pandemic if they were unlikely to use it pre‐pandemic (adjusted odds ratio, 4.55; 95% confidence interval, 3.09–6.7) or correctly answered more COVID‐19 knowledge questions (adjusted odds ratio, 1.37; 95% confidence interval, 1.17–1.60). Furthermore, 23.4% (n = 200) of respondents believed the pandemic was not a serious threat to society. Respondents with higher COVID‐19 knowledge scores were more likely to view the pandemic as serious (odds ratio, 1.57; 95% confidence interval, 1.36–1.82). This survey study investigated the public's willingness to use the ED during the COVID‐19 pandemic. Only 49% of survey respondents were willing to visit the ED during a pandemic if they felt ill compared with 71% before the pandemic.
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DOI：
10.15585/mmwr.mm6942e1
发表时间：
2020-10-23
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
Gold JAW;Rossen LM;Ahmad FB;Sutton P;Li Z;Salvatore PP;Coyle JP;DeCuir J;Baack BN;Durant TM;Dominguez KL;Henley SJ;Annor FB;Fuld J;Dee DL;Bhattarai A;Jackson BR
通讯作者：
Jackson BR
DOI：
10.15585/mmwr.mm6918e2
发表时间：
2020-05-08
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Schuchat A;CDC COVID-19 Response Team
通讯作者：
CDC COVID-19 Response Team
影响因子：
3.6
作者：
Chaitoff, Alexander;Niforatos, Joshua;Vega, Jose
通讯作者：
Vega, Jose
影响因子：
5.4
作者：
Berinsky, Adam J.;Huber, Gregory A.;Lenz, Gabriel S.
通讯作者：
Lenz, Gabriel S.
影响因子：
2.5
作者：
Spechbach, Herve;Rochat, Jessica;Ehrler, Frederic
通讯作者：
Ehrler, Frederic