Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas.
Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas.
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DOI：
10.3390/ijerph18115734
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发表时间：
2021-05-27
影响因子：
--
通讯作者：
Palakshappa D
中科院分区：
文献类型：
--
作者：
Brown CL;Montez K;Amati JB;Simeonsson K;Townsend JD;Orr CJ;Palakshappa D
我们旨在确定与2019年4月相比，2019冠状病毒病如何影响2020年4月儿科初级保健就诊的数量和类型，以及哪些特征与2020年获得护理相关。我们对2019年4月和2020年4月从两个州的四个大型学术机构接受护理的患者进行了回顾性图表审查。如果受试者年龄在0-18岁之间，并且于2019年4月或2020年4月在儿科诊所就诊，则纳入受试者。我们提取了就诊次数、就诊类型和就诊诊断;以及患者特征，包括年龄、种族/民族和保险状况。逻辑回归分析确定了与2020年4月获得护理相关的特征。我们包括120，230次访问。参与者中有50%是白色，一半有医疗补助。2020年，健康和急性就诊的次数明显减少，2020年为42，670次，而2019年为77，560次; 2020年为6616次远程医疗就诊。2020年，慢性病的就诊人数显著减少。如果参与者是黑人或西班牙裔，更年轻，参加急性访问或有私人保险，则更有可能参加2020年的访问。在COVID-19大流行期间，儿科初级保健的就诊和慢性病随访均大幅减少。
We aimed to determine how COVID-19 affected the number and type of pediatric primary care visits in April 2020, compared to April 2019, and which characteristics were associated with obtaining care in 2020. We performed a retrospective chart review of patients receiving care in April 2019 and April 2020 from four large, academic institutions across two states. The subjects were included if they were aged 0–18 years and were seen in a pediatric clinic in April 2019 or April 2020. We extracted the number of visits, visit type, and visit diagnosis; and the patient characteristics, including age, race/ethnicity, and insurance status. Logistic regression analysis identified characteristics associated with obtaining care in April 2020. We included 120,230 visits. Participants were 50% white and half had Medicaid. In 2020 there were significantly fewer visits for both well and acute visits with 42,670 visits in 2020 compared to 77,560 in 2019; 6616 were telehealth visits in 2020. Visits for chronic conditions were significantly decreased in 2020. Attending a visit in 2020 was more likely if the participant was black or Hispanic, younger, attending an acute visit, or had private insurance. During the COVID-19 pandemic, pediatric primary care decreased substantially for both well visits and follow-up of chronic conditions.
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影响因子：
13.8
作者：
Pelletier JH;Rakkar J;Au AK;Fuhrman D;Clark RSB;Horvat CM
通讯作者：
Horvat CM
影响因子：
4.5
作者：
Grossman Z;Chodick G;Reingold SM;Chapnick G;Ashkenazi S
通讯作者：
Ashkenazi S
DOI：
10.1016/j.ajem.2021.01.072
发表时间：
2021-05
期刊：
The American journal of emergency medicine
影响因子：
--
作者：
Levene R;Fein DM;Silver EJ;Joels JR;Khine H
通讯作者：
Khine H
影响因子：
4.4
作者：
Alobuia, Wilson M.;Dalva-Baird, Nathan P.;Kebebew, Electron
通讯作者：
Kebebew, Electron
影响因子：
11.8
作者：
Feldman, Amy G.;O'Leary, Sean T.;Danziger-Isakov, Lara
通讯作者：
Danziger-Isakov, Lara