Changes in Healthcare Utilization During the COVID-19 Pandemic and Potential Causes-A Cohort Study From Switzerland.

Harju, Erika; Speierer, Alexandre; Jungo, Katharina Tabea; Levati, Sara; Baggio, Stéphanie; Tancredi, Stefano; Noor, Nazihah; Rodondi, Pierre-Yves; Cullati, Stéphane; Imboden, Medea; Keidel, Dirk; Witzig, Melissa; Frank, Irène; Kohler, Philipp; Kahlert, Christian; Crivelli, Luca; Amati, Rebecca; Albanese, Emiliano; Kaufmann, Marco; Frei, Anja; ... (2023). Changes in Healthcare Utilization During the COVID-19 Pandemic and Potential Causes-A Cohort Study From Switzerland. International journal of public health, 68, p. 1606010. Frontiers 10.3389/ijph.2023.1606010

[img]
Preview
Text
ijph-68-1606010.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (1MB) | Preview

Objectives: To describe the frequency of and reasons for changes in healthcare utilization in those requiring ongoing treatment, and to assess characteristics associated with change, during the second wave of the pandemic. Methods: Corona Immunitas e-cohort study (age ≥20 years) participants completed monthly questionnaires. We compared participants reporting a change in healthcare utilization with those who did not using descriptive and bivariate statistics. We explored characteristics associated with the number of changes using negative binomial regression. Results: The study included 3,190 participants from nine research sites. One-fifth reported requiring regular treatment. Among these, 14% reported a change in healthcare utilization, defined as events in which participants reported that they changed their ongoing treatment, irrespective of the reason. Reasons for change were medication changes and side-effects, specifically for hypertension, or pulmonary embolism treatment. Females were more likely to report changes [Incidence Rate Ratio (IRR) = 2.15, p = 0.002]. Those with hypertension were least likely to report changes [IRR = 0.35, p = 0.019]. Conclusion: Few of those requiring regular treatment reported changes in healthcare utilization. Continuity of care for females and chronic diseases besides hypertension must be emphasized.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine

UniBE Contributor:

Speierer, Alexandre Léonard, Jungo, Katharina Tabea, Baggio, Stéphanie, Rodondi, Nicolas, Chocano Bedoya, Patricia Orializ

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1661-8564

Publisher:

Frontiers

Language:

English

Submitter:

Pubmed Import

Date Deposited:

05 Sep 2023 14:21

Last Modified:

18 Dec 2023 11:30

Publisher DOI:

10.3389/ijph.2023.1606010

PubMed ID:

37663371

Uncontrolled Keywords:

COVID-19 digital follow-up healthcare delivery healthcare utilization population-based study

BORIS DOI:

10.48350/186017

URI:

https://boris.unibe.ch/id/eprint/186017

Actions (login required)

Edit item Edit item
Provide Feedback