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Orv Hetil 2021[Feb]; 162 (6): 203-211 PMID33550272show ga
Osszefoglalo. Bevezetes: Az uj tipusu koronavirus-jarvany (COVID-19) az egeszsegugyi ellatohalozatot egy eddig ismeretlen helyzet ele allitotta. A nemzetkozi adatok alapjan a szemeszeti jarobeteg-ellatasban jelentos valtozasok alakultak ki. Celkituzes: Felmerni a COVID-19-jarvany okozta kvantitativ es kvalitativ valtozasokat az Eszak-Kozep-budai Centrum, Uj Szent Janos Korhaz es Szakrendelo Szemeszeti Osztalyanak jarobeteg-szakellatasaban. Modszer: A pandemia elso hullamaban (2020. aprilis 1-30.) mert jarobeteg-forgalmi adatokat hasonlitottuk ossze a megelozo ev azonos periodusaban rogzitett adatokkal. A betegek demografiai jellemzoi mellett megvizsgaltuk a surgossegi besorolasukat, valamint a panaszokhoz kotheto fodiagnozis-csoportok eloszlasat. Rogzitettuk a telemedicina keretein belul tortent ellatasok szamat. Eredmenyek: 2020 vizsgalt idoszakaban 916, mig az elozo ev azonos honapjaban 2835 jarobeteg-eset kerult rogzitesre. A 2020-as idoszakban a torvenyi szabalyozas szerint surgos panaszokkal jelentkezo betegek aranya nem valtozott (p = 0,38), azonban a szakorvosi megiteles szerint surgos panaszokkal erkezo betegek aranya nott (p<0,001) az elozo evhez viszonyitva. A zold halyog, kotohartya-gyulladas, arpa, serules es nedves tipusu maculadegeneratio miatt ellatasra jelentkezo betegek aranya szignifikansan nott (p<0,001 mind), mig a szurke halyog, a szaraz tipusu maculadegeneratio, egyeb, a szemhej es a konnyutak betegsegei, utohalyog miatt es a szemeszeti betegseg nelkul erkezok aranya csokkent (p<0,001 mind). A telemedicina keretei kozott ellatott betegek szama 2020-ban kozel a tizenotszorosere emelkedett 2019-hez kepest (p<0,001). Kovetkeztetes: A COVID-19-pandemia elso hullama soran markans betegszamcsokkenest regisztraltunk a szemeszeti jarobeteg-szakellatasban. Tobb fodiagnozis-csoport eseten szamolhatunk jelentos terapiavesztessel es halasztott ellatasi igeny jelentkezesevel. Az adatok kiertekelese segitseget nyujthat az elkovetkezo evekben az ellatasi folyamat proaktiv atszervezeseben, a humaneroforras-szuksegletek jobb tervezeseben, valamint a teleoftalmologiai ellatas fejleszteseben. Orv Hetil. 2021; 162(6): 203-211. INTRODUCTION: The COVID-19 pandemic put the healthcare network in a hitherto unknown situation. The ophthalmic outpatient care changed internationally. OBJECTIVE: To assess the quantitative and qualitative changes of the outpatient specialty care at the Ophthalmology Department of the North-Central-Buda Center, New St. John's Hospital and Clinic, through the pandemic. METHOD: Outpatient service data during the first wave of the pandemic (April 2020) were compared with those in April 2019. Patient demographics, emergency classification, distribution of the main diagnostic groups (associated with complaints) and services provided via telemedicine were collected. RESULTS: There were 2835 patient visits in 2019 and 916 in 2020. For 2020, the proportion of patients with emergency classification according to legal regulations did not change (p = 0.38), however, using the ophthalmologist's classification increased (p<0.001) significantly. The proportion of patients with glaucoma, conjunctivitis, chalazeon, injury and wet macular degeneration increased (p<0.001 all), while the proportion of patients with cataract, dry macular degeneration, other diseases, other adnexal diseases, secondary cataract and without ophthalmic pathology decreased significantly (p<0.001 for all). Patient number using telemedicine treatment was about 15x of those treated in 2019 (p<0.001). CONCLUSION: During the first wave of the pandemic, a marked decrease in ophthalmic outpatient care volume was recorded. In the case of several main diagnosis groups, significant therapy loss and a delayed need for care could be expected. Evaluation of the data helps in the upcoming years in proactive reorganization of the care process, in better planning of human resource needs, and in improvement of teleophthalmology care. Orv Hetil. 2021; 162(6): 203-211.
Orv+Hetil 2021 ; 162 (6): 203-211
