Impact of COVID-19 infection rates on admissions for ambulatory care sensitive conditions: nationwide difference-in-difference design in Japan.
Impact of COVID-19 infection rates on admissions for ambulatory care sensitive conditions: nationwide difference-in-difference design in Japan.
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DOI：
10.1136/fmch-2022-001736
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发表时间：
2022-10
影响因子：
6.1
通讯作者：
中科院分区：
文献类型：
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作者：
SARS-CoV-2感染（COVID-19）影响了三级医疗机构和初级保健。门诊护理敏感性疾病（ACSC）的入院是初级保健质量的重要指标。然而，还没有全国性的研究，特别是在亚洲，研究了ACSC的入院与当地COVID-19激增之间的关系。本研究旨在研究日本COVID-19感染率较高和较低地区的ACSC入院人数如何变化。这是一项回顾性两阶段横断面研究。我们采用差异中差异设计，比较日本COVID-19感染率较高和较低地区的ACSC住院人数。该研究使用了日本全国范围的数据库。所有患者均为20岁及以上，并于2019年3月至9月（大流行前）及2020年3月至9月（大流行期间）的研究期间因ACSC入院。ACSC的总入院人数为464 560人（2019年为276 530人，2020年为188 030人）。在COVID-19感染率较高和较低的地区之间，每10万人中ACSC的入院人数变化没有统计学意义：7.50（95%CI-87.02至102.01）。此外，在急性、慢性和可预防的ACSC中，每10万人的入院人数没有显著变化。尽管在COVID-19疫情期间，ACSC的入院人数有所减少，但COVID-19感染率较高和较低的地区之间没有显著变化。这意味着COVID-19疫情影响了感染率较高的地区和感染率较低的地区。
SARS-CoV-2 infection (COVID-19) has affected tertiary medical institutions and primary care. Admission for ambulatory care sensitive conditions (ACSCs) is an important indicator of primary care quality. However, no nationwide study, especially in Asia, has examined the association between admissions for ACSCs and local surges in COVID-19. This study aimed to examine how the number of admissions for ACSCs has changed in Japan between the areas with higher and lower rates of COVID-19 infection. This was a retrospective two-stage cross-sectional study. We employed a difference-in-difference design to compare the number of hospital admissions for ACSCs between the areas with higher and lower rates of COVID-19 infection in Japan. The study used a nationwide database in Japan. All patients were aged 20 years and above and were admitted due to ACSCs during the study period between March and September 2019 (before the pandemic) and between March and September 2020 (during the pandemic). The total number of ACSC admissions was 464 560 (276 530 in 2019 and 188 030 in 2020). The change in the number of admissions for ACSCs per 100 000 was not statistically significant between the areas with higher and lower rates of COVID-19 infection: 7.50 (95% CI −87.02 to 102.01). In addition, in acute, chronic and preventable ACSCs, the number of admissions per 100 000 individuals did not change significantly. Although admissions for ACSCs decreased during the COVID-19 pandemic, there was no significant change between the areas with higher and lower rates of COVID-19 infection. This implies that the COVID-19 pandemic affected the areas with higher infection rates and the areas with lower rates.
影响因子：
2.8
作者：
Yamana H;Matsui H;Fushimi K;Yasunaga H
通讯作者：
Yasunaga H