Evidence map›Paper›PMID 39044202›Full record

ArticleBMC health services research2024

Impact of coronavirus disease 2019 on the utilization of hospital services and development of optimal pandemic control strategy in Chinese tertiary hospitals during the Omicron wave.

Dan Yu, Dong Wang, Yi Chen, Ting Dong, Yinchu Zhang, Mengjun Huang, Anhua Wu, Yi Ouyang, Wendong Chen, Zhaoxin Qian

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dan Yu *Xiangya Hospital of Central South University, Changsha, China.
Dong Wang *Xiangya Hospital of Central South University, Changsha, China.
Yi ChenChangsha Normin Health Technology Ltd, Changsha, China.
Ting DongXiangya Hospital of Central South University, Changsha, China.
Yinchu ZhangThe People's Hospital of Liuyang, Changsha, China.
Mengjun HuangChangsha Central Hospital, Changsha, China.
Anhua WuXiangya Hospital of Central South University, Changsha, China.
Yi OuyangXiangya Hospital of Central South University, Changsha, China.
Wendong ChenXiangya Hospital of Central South University, Changsha, China.
Zhaoxin QianXiangya Hospital of Central South University, Changsha, China. xyqzx@csu.edu.cn.

Funding

China Medical Board 20-367
6 · The paper itself

Abstract

backgroundThis study aimed to assess the impact of coronavirus disease 2019 (COVID-19) on hospital service utilization and revenue in Chinese tertiary hospitals and develop an optimal pandemic control strategy (OPCS) for the peak period of the Omicron wave.

methodsRetrospective data from three Chinese tertiary hospitals (provincial, city, and county level) were analyzed for three phases: pre-outbreak (Jan-Apr 2019), outbreak (Jan-Apr 2020), and post-outbreak (Jan-Apr 2021). OPCS was developed under the guidance of the China government pandemic control policy during post-break phase of COVID-19. A decision-tree model was constructed to compare OPCS to strict pandemic control strategy during outbreak phase for the hospital service utilization and hospital revenue in a provincial tertiary hospital during the Omicron wave.

resultsOutpatient, emergency room (ER) visits, hospitalizations, and intensive care admissions dropped by 33.8-53.4% during the outbreak, with the provincial hospital being the most affected. Hospital revenue also declined, especially for the provincial hospital (40.1%). Post-outbreak, most services recovered, but ER visits remained lower (11.6% decrease for provincial hospital, 46.5% for county hospital). Total income and expenditure decreased, with the provincial hospital experiencing the most significant revenue reduction (45.7%). OPCS showed greater utilization of medical services (31.6 times more outpatient visits; 1.7 times more inpatient days; 3.4% more surgery volume) and higher revenue (¥220.8 million more) compared to the strict pandemic control strategy.

conclusionsCOVID-19 measures were associated with less hospital service utilization and revenue in Chinese tertiary hospitals. The developed OPCS in Chinese tertiary hospitals, focusing on isolating infected inpatients but not shutting down the hospital facilities exposed to virus, could be effective in optimizing hospital service utilization and hospital revenue during the Omicron wave.

Indexed as

COVID-19PandemicsTertiary Care CentersChinaEmergency Service, HospitalHospitalizationHumansRetrospective StudiesCoronavirus disease 2019COVID-19Medical service capacityPandemic controlRevenueTertiary hospital

Identifiers

PMID39044202
PMCPMC11267753

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.