Using data to improve public health: COVID-19 secondment

利用数据改善公共卫生：COVID-19 借调

• 批准号: MR/W021242/1
• 负责人: Mark Green
• 金额: $ 14.46万
• 依托单位: University of Liverpool
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FW021242%2F1
• 关键词: Using; data; improve; public; health

The COVID-19 pandemic has placed large pressures on the NHS. Initially faced with an uncertain future, the NHS responded through cancelling all non-emergency care to make space to treat patients with COVID-19. While the NHS has demonstrated greater resilience during subsequent waves, there has still been considerable ongoing disruption to the delivery of health care. Cancer screening programmes have been postponed, non-essential surgeries delayed, and GPs have consulted with patients online or via telephones. Some people were discouraged from seeing their GP or visiting a hospital for fear of catching COVID-19 or not wanting to take up resources during a pandemic. It is plausible that this disruption may have negatively impacted people's health. Where screening was delayed, diseases may have not been diagnosed as early as normal, meaning that when people started treatment they were sicker and treatment was less successful. Delayed care might mean that treatable conditions worsen, impacting people's quality of life. Waiting lists have grown, meaning that people wanting to access new care now face longer waits than before which could have longer-term consequences. While the COVID-19 pandemic has affected everyone, the largest health impacts have been experienced among the most disadvantaged communities and it is likely that the disruption of health care will also have had a greater impact on these communities.This fellowship will study the impacts of health care disruption in the UK. It will describe the extent of healthcare disruption, identify which parts of the NHS have been affected most, examine who this disruption has affected and how it varies across the UK. We will examine the experiences of those individuals affected by disruption, including whether it has impacted their health, wellbeing and quality of life.

COVID-19大流行在NHS上施加了巨大的压力。 NHS最初面对不确定的未来，通过取消所有非紧急护理来做出反应，以便为治疗Covid-19患者提供空间。尽管NHS在随后的波浪中表现出了更大的弹性，但仍在不断造成医疗保健的持续中断。癌症筛查计划已被推迟，不必要的手术延迟，而全科医生已在网上或通过电话咨询患者。有些人因担心赶上Covid-19或不想在大流行期间占用资源而灰心地看待GP或去医院去医院。这种破坏可能对人们的健康产生负面影响是合理的。在筛查延迟的地方，可能没有尽早诊断出疾病，这意味着当人们开始治疗时，他们病了，治疗不太成功。延迟护理可能意味着可治疗状况恶化，影响人们的生活质量。等待名单已经成长，这意味着想要获得新护理的人们现在面临的等待时间比以前可能带来的长期后果。虽然Covid-19的大流行影响了所有人，但最大的健康影响是在最不利的社区中经历的，医疗保健的中断也可能对这些社区产生更大的影响。这将研究这些奖学金的影响。英国的医疗保健中断。它将描述医疗保健破坏的程度，确定NHS的哪些部分受到影响最大，检查这种破坏受到的影响以及整个英国的变化。我们将研究受到干扰影响的人的经历，包括它是否影响了他们的健康，福祉和生活质量。

项目成果

Changing patterns of SARS-CoV-2 infection through Delta and Omicron waves by vaccination status, previous infection and neighbourhood deprivation: A cohort analysis of 2.7M people

通过疫苗接种状态、既往感染和邻里剥夺，通过 Delta 波和 Omicron 波改变 SARS-CoV-2 感染模式：对 270 万人进行的队列分析

• DOI: 10.1101/2022.04.05.22273169
• 发表时间: 2022
• 作者: Green M

Trends in inequalities in avoidable hospitalisations across the COVID-19 pandemic: a cohort study of 23.5 million people in England.

• DOI: 10.1136/bmjopen-2023-077948
• 发表时间: 2024-01-08
• 期刊: BMJ OPEN
• 影响因子: 2.9
• 作者: Green, Mark Alan;McKee, Martin;Massey, Jon;Mackenna, Brian;Mehrkar, Amir;Bacon, Seb;Macleod, John;Sheikh, Aziz;Shah, Syed Ahmar;Katikireddi, Srinivasa Vittal
• 通讯作者: Katikireddi, Srinivasa Vittal

Associations between reported healthcare disruption due to COVID-19 and avoidable hospitalisation: Evidence from seven linked longitudinal studies for England

报告的因 COVID-19 造成的医疗保健中断与可避免的住院治疗之间的关联：来自英格兰七项相关纵向研究的证据

• DOI: 10.1101/2023.02.01.23285333
• 发表时间: 2023
• 作者: Green M

Additional file 1 of Changing patterns of SARS-CoV-2 infection through Delta and Omicron waves by vaccination status, previous infection and neighbourhood deprivation: a cohort analysis of 2.7 M people

附加文件 1：通过 Delta 和 Omicron 波改变 SARS-CoV-2 感染模式（按疫苗接种状态、既往感染情况和邻里剥夺）：对 270 万人进行的队列分析

• DOI: 10.6084/m9.figshare.21629220
• 发表时间: 2022
• 作者: Green M

Remote general practitioner consultations during COVID-19.

• DOI: 10.1016/s2589-7500(21)00279-x
• 发表时间: 2022-01
• 期刊: The Lancet. Digital health
• 作者: Green MA;McKee M;Katikireddi SV
• 通讯作者: Katikireddi SV