Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review.

Details

Ressource 1Download: e056086.full.pdf (533.05 [Ko])
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_ABD5AE6E50BB
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review.
Journal
BMJ open
Author(s)
Dupraz J., Le Pogam M.A., Peytremann-Bridevaux I.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
03/03/2022
Peer-reviewed
Oui
Volume
12
Number
3
Pages
e056086
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
To quantitatively assess the early impact of the COVID-19 pandemic on in-person outpatient care utilisation worldwide, as well as across categories of services, types of care and medical specialties.
Rapid review.
A search of MEDLINE and Embase was conducted to identify studies published from 1 January 2020 to 12 February 2021, which quantitatively reported the impact of the COVID-19 pandemic on the amount of outpatient care services delivered (in-person visits, diagnostic/screening procedures and treatments). There was no restriction on the type of medical care (emergency/primary/specialty care) or target population (adult/paediatric). All articles presenting primary data from studies reporting on outpatient care utilisation were included. Studies describing conditions requiring hospitalisation or limited to telehealth services were excluded.
A total of 517 articles reporting 1011 outpatient care utilisation measures in 49 countries worldwide were eligible for inclusion. Of those, 93% focused on the first semester of 2020 (January to June). The reported results showed an almost universal decline in in-person outpatient care utilisation, with a 56% overall median relative decrease. Heterogeneity across countries was high, with median decreases ranging from 10% to 91%. Diagnostic and screening procedures (-63%), as well as in-person visits (-56%), were more affected than treatments (-36%). Emergency care showed a smaller relative decline (-49%) than primary (-60%) and specialty care (-58%).
The provision of in-person outpatient care services has been strongly impacted by the COVID-19 pandemic, but heterogeneously across countries. The long-term population health consequences of the disruption of outpatient care service delivery remain currently unknown and need to be studied.
CRD42021237366.
Keywords
Adult, Ambulatory Care, COVID-19/epidemiology, Child, Delivery of Health Care, Humans, Pandemics, SARS-CoV-2, COVID-19, International Health Services, organisation of health services, paediatric A&E and ambulatory care, primary care, public health
Pubmed
Open Access
Yes
Create date
04/03/2022 8:38
Last modification date
15/03/2022 7:34
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