Changes in Health Care Access during the COVID-19 Pandemic: Estimates of National Japanese Data, June 2020-October 2021.

Changes in Health Care Access during the COVID-19 Pandemic: Estimates of National Japanese Data, June 2020-October 2021.
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Covid-19期间医疗保健访问的变化:2020年6月至1月的日本数据估计,2021年10月。

DOI:
10.3390/ijerph19148810
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发表时间:
2022-07-20
影响因子:
--
通讯作者:
Nomura, Shuhei
Nomura, Shuhei
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Tanoue, Yuta;Ghaznavi, Cyrus;Kawashima, Takayuki;Eguchi, Akifumi;Yoneoka, Daisuke;Nomura, Shuhei

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COVID-19大流行扰乱了世界各地住院和门诊患者的医疗服务。我们对2015年3月至2021年10月的全国门诊患者数量、住院患者数量、平均住院时间和新住院人数的月度数据进行了准泊松回归,以评估这些结果在2020年6月至2021年10月之间的变化。于疫情初期,门诊人次低于预期,但于二零二一年秋季恢复正常。在整个疫情期间,住院人数及新入院人数均低于预期,而二零二一年年底报告仍录得赤字。所有床位的住院时间均在预测范围内,但按床位类型分层时,精神科床位的住院时间高于预测值,结核病床位的住院时间低于预测值,长期护理保险床位的住院时间变化不定。日本的医疗保健服务受到COVID-19大流行的影响。
The COVID-19 pandemic has disrupted health care access around the world, both for inpatients and outpatients. We applied a quasi-Poisson regression to national, monthly data on the number of outpatients, number of inpatients, length of average hospital stay, and the number of new hospitalizations from March 2015 to October 2021 to assess how these outcomes changed between June 2020 to October 2021. The number of outpatient visits were lower-than-predicted during the early phases of the pandemic but normalized by the fall of 2021. The number of inpatients and new hospitalizations were lower-than-predicted throughout the pandemic, and deficits in reporting continued to be observed in late 2021. The length of hospital stays was within the predicted range for all beds, but when stratified by bed type, was higher than predicted for psychiatric beds, lower-than-predicted for tuberculosis beds, and showed variable changes in long-term care insurance beds. Health care access in Japan was impacted by the COVID-19 pandemic.
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