新冠疫情对儿童健康随访及疫苗接种的影响：来自土耳其的单机构经验
Effect of COVID-19 pandemic on well child follow-up visits and vaccination: A Single unit experience from Turkey.
作者信息
Tosyali Merve, Koc Feyza
机构信息
Merve Tosyali, MD Division of Social Pediatrics, Department of Pediatrics, Ege University Children's Hospital, Ege University Faculty of Medicine, Ege University, Bornova, Izmir, Turkey.
Feyza Koc, MD Associate Professor, Division of Social Pediatrics, Department of Pediatrics, Ege University Children's Hospital, Ege University Faculty of Medicine, Ege University, Bornova, Izmir, Turkey.
出版信息
Pak J Med Sci. 2025 Jan;41(1):90-95. doi: 10.12669/pjms.41.1.9689.
OBJECTIVE
The aim of the study was to examine the effects of the COVID-19 pandemic on frequency of well-child follow-up visits and immunization rate in Turkish tertiary reference hospital's Well-Child Care Outpatient Clinic.
METHODS
Children aged one month to 18 years who presented to the Well Child Care Outpatient Clinic of a tertiary referral hospital in Turkey for child health follow-up and immunisation were included in the study. Children with chronic diseases or children who needed to be immunised with a different scheme due to their special conditions were not included. In our cross-sectional study, the cases were categorised into two distinct groups based on application dates; those who applied between September 1, 2018, and March 1, 2020, were assessed during the pre-pandemic period, while those who applied between March 11, 2020, and November 1, 2021, were assessed during the pandemic period. The pandemic and pre-pandemic numbers of children admitted to our clinic, their sociodemographic characteristics, and immunizations were compared.
RESULTS
The pre-pandemic number of children admitted for child health follow-up was 9368; the pandemic number was 3830. In the pandemic, 21.8% of children were vaccinated. Although the number of children admitted to our clinic decreased during the pandemic period, vaccination rates increased significantly (p = 0.0036).
CONCLUSION
The COVID-19 pandemic has had a significant impact on healthcare. In addition to the effects that emerged during the pandemic period, it is predicted that there will be many reflections in the post-pandemic period, especially affecting the vulnerable population. Although our study was conducted in a single centre, it is of great importance in terms of revealing the efforts made by healthcare workers in the field of child health follow-up and vaccination during the pandemic period and emphasising that primary healthcare services should continue.
目的
本研究旨在探讨新冠疫情对土耳其三级转诊医院儿童保健门诊健康儿童随访就诊频率及免疫接种率的影响。
方法
纳入在土耳其一家三级转诊医院儿童保健门诊进行儿童健康随访和免疫接种的1个月至18岁儿童。患有慢性病的儿童或因特殊情况需要采用不同免疫接种方案的儿童未纳入研究。在我们的横断面研究中，根据就诊日期将病例分为两个不同的组；2018年9月1日至2020年3月1日就诊的儿童在疫情前时期进行评估，而2020年3月11日至2021年11月1日就诊的儿童在疫情期间进行评估。比较疫情期间和疫情前我院门诊收治儿童的数量、社会人口学特征及免疫接种情况。
结果
疫情前因儿童健康随访收治的儿童数量为9368例；疫情期间为3830例。在疫情期间，21.8%的儿童接种了疫苗。尽管疫情期间我院收治的儿童数量有所减少，但疫苗接种率显著提高（p = 0.0036）。
结论
新冠疫情对医疗保健产生了重大影响。除了疫情期间出现的影响外，预计疫情后还会有许多影响，尤其是对弱势群体的影响。尽管我们的研究是在单一中心进行的，但对于揭示疫情期间医护人员在儿童健康随访和疫苗接种领域所做的努力以及强调初级医疗保健服务应持续开展具有重要意义。
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