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首页> 外文期刊>Frontiers in Medicine >Impact of COVID-19 Pandemic on the Clinical Activities in Obstetrics and Gynecology: A National Survey in China
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Impact of COVID-19 Pandemic on the Clinical Activities in Obstetrics and Gynecology: A National Survey in China

机译：Covid-19大流行对妇产科临床活动的影响：中国国家调查

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Objective: Few studies have quantified the influence of coronavirus disease 2019 (COVID-19) pandemic on medical providers. This is the first national study to investigate the impact of the pandemic on physicians practicing obstetrics and gynecology in China. Methods: A two-stage, stratified, cluster sampling method was performed based on the city categories (category 1, fewer than 10,000 beds; category 2, 10,000–30,000; and category 3, more than 30,000) and public hospital levels (primary, secondary, and tertiary). Physicians practicing obstetrics and gynecology reported the relevant changes in their general clinical activities and changes in the management of specific diseases or conditions occurring during the periods that they were most strongly affected. These changes were compared by municipal and hospital characteristics. Results: Questionnaires were collected from a representative sample of 11,806 physicians actively practicing obstetrics and gynecology in 779 hospitals from 157 cities of 31 provinces. Except emergency visits and online consultations, category 3 cities, tertiary hospitals and general hospitals had greater reductions in overall clinical activities than category 1 cities, primary hospitals and specialized hospitals (all adjusted p 0.05), respectively. The differences also existed in the management of specific diseases and conditions, especially for less urgent conditions, including cervical cancer screening, instructions regarding contraception and miscarriage, and assisted reproduction (all p 0.05). Conclusions: During the COVID-19 pandemic, the clinical obstetrics and gynecology activities in China markedly decreased, with significant differences across municipal and hospital characteristics. Trial Registration: This study was registered with ClinicalTrials.gov on July 27, 2020 ( {"type":"clinical-trial","attrs":{"text":"NCT04491201","term_id":"NCT04491201"}} NCT04491201 ).
机译：目的：少数研究量化了冠状病毒疾病2019（Covid-19）大流行对医疗提供者的影响。这是第一次调查大流行对我国练习妇产科妇科的影响的国家研究。方法：基于城市类别进行两级，分层的集群采样方法（第1类，少于10,000张床; 2类，10,000-30,000类;和第3类，超过30,000）和公立医院水平（小学，次要和第三次）。医师练习妇产科妇产科报告了他们一般临床活动的相关变化以及在它们最强烈影响期间发生的特定疾病或条件的管理变化。这些变化由市政和医院特征进行比较。结果：从11,806名医生的代表性样本中收集问卷，积极练习779家医院的妇产科，从31个省份的157个城市。除紧急访问和在线磋商中，3类城市，第三大专院校和综合医院的整体临床活动分别比1类城市，初级医院和专业医院（全部调整为P <0.05）较高。在特定疾病和病症的管理中也存在差异，特别是对于较少的迫切条件，包括宫颈癌筛查，有关避孕和流产的说明，以及辅助繁殖（所有P <0.05）。结论：在Covid-19大流行期间，中国的临床妇产科和妇科活动显着下降，遍布市和医院特征差异。审判注册：本研究于2020年7月27日在临床库中注册了（{“类型”：“临床 - 试验”，“attrs”：{“text”：“nct04491201”，“term_id”：“nct04491201”}} nct04491201）。

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