Healthcare Access for a Diverse Population with Schizophrenia Following the Onset of the COVID-19 Pandemic.
Healthcare Access for a Diverse Population with Schizophrenia Following the Onset of the COVID-19 Pandemic.
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DOI：
10.1007/s10597-023-01105-1
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发表时间：
2024-01
影响因子：
2.7
通讯作者：
Normand, Sharon-Lise T.
中科院分区：
文献类型：
--
作者：
Horvitz-Lennon, Marcela;Leckman-Westin, Emily;Finnerty, Molly;Jeong, Junghye;Tsuei, Jeannette;Zelevinsky, Katya;Chen, Qingxian;Normand, Sharon-Lise T.
COVID-19对社会中最弱势的成员产生了不成比例的影响，包括少数群体和患有精神分裂症等致残性慢性疾病的人。我们研究了大流行对纽约州精神分裂症医疗补助受益人在大流行后的高峰期的影响，重点是获得关键医疗保健的公平性。我们比较了白色和非白色受益人在大流行前和激增期间对关键行为健康门诊服务和危及生命的住院服务的利用率变化。我们在所有结果中发现了种族和民族差异，大多数差异随时间推移而稳定。唯一的例外是肺炎入院率--尽管在大流行前时期不存在差异，但黑人和拉丁裔受益人在激增时期住院的可能性低于白人，尽管少数族裔的COVID-19疾病负担更重。在获得稀缺的维持生命的医疗保健方面出现的种族和民族差异可能为未来的危机提供教训。在线版本包含补充材料，可通过10.1007/s10597-023-01105-1获得。
COVID-19 has had a disproportionate impact on the most disadvantaged members of society, including minorities and those with disabling chronic illnesses such as schizophrenia. We examined the pandemic’s impacts among New York State’s Medicaid beneficiaries with schizophrenia in the immediate post-pandemic surge period, with a focus on equity of access to critical healthcare. We compared changes in utilization of key behavioral health outpatient services and inpatient services for life-threatening conditions between the pre-pandemic and surge periods for White and non-White beneficiaries. We found racial and ethnic differences across all outcomes, with most differences stable over time. The exception was pneumonia admissions—while no differences existed in the pre-pandemic period, Black and Latinx beneficiaries were less likely than Whites to be hospitalized in the surge period despite minorities’ heavier COVID-19 disease burden. The emergence of racial and ethnic differences in access to scarce life-preserving healthcare may hold lessons for future crises. The online version contains supplementary material available at 10.1007/s10597-023-01105-1.
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在19日大流行期间，患有严重精神疾病的医疗保险受益人的护理中断。
影响因子：
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