论文标题
大流行压力和公共卫生保健：英格兰的证据
Pandemic Pressures and Public Health Care: Evidence from England
论文作者
论文摘要
本文记录了Covid-19的大流行对医疗保健系统的压力对非循环199护理的可及性和质量产生重大不利敲门作用。我们观察到A＆E的性能持续恶化，等待时间更长。获得专业护理的机会急剧有限；特别是延迟或无法访问的诊断服务；严重破坏了获得癌症护理的质量和质量。我们发现，在Covid-19下，提供者在非杂化相关医院情节中经历了更多的过多死亡，例如治疗心脏病发作。我们估计，由于19 COVID-19死亡，这是由于Covid-19造成的破坏造成的，至少有一个这种非旋转19例与19例非covid-19的原因与医院入院的患者中至少有一个相关的多余死亡。从2020年3月到2021年2月，总共约有4,003例非共同死亡人数。此外，至少有32,189名失踪的癌症患者应该反而开始接受治疗，这表明由于过去由于延迟获得护理而导致未来的多余死亡人数增加。
This paper documents that the COVID-19 pandemic induced pressures on the health care system have significant adverse knock-on effects on the accessibility and quality of non-COVID-19 care. We observe persistently worsened performance and longer waiting times in A&E; drastically limited access to specialist care; notably delayed or inaccessible diagnostic services; acutely undermined access to and quality of cancer care. We find that providers under COVID-19 pressures experience notably more excess deaths among non-COVID related hospital episodes such as, for example, for treatment of heart attacks. We estimate there to be at least one such non-COVID-19 related excess death among patients being admitted to hospital for non-COVID-19 reasons for every 30 COVID-19 deaths that is caused by the disruption to the quality of care due to COVID-19. In total, this amounts to 4,003 non COVID-19 excess deaths from March 2020 to February 2021. Further, there are at least 32,189 missing cancer patients that should counterfactually have started receiving treatment which suggests continued increased numbers of excess deaths in the future due to delayed access to care in the past.
