Impact of the COVID-19 Pandemic on the Intensity of Health Services Use in General Practice: A Retrospective Cohort Study.
Details
Serval ID
serval:BIB_CBCD0F8ED0B2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of the COVID-19 Pandemic on the Intensity of Health Services Use in General Practice: A Retrospective Cohort Study.
Journal
International journal of public health
ISSN
1661-8564 (Electronic)
ISSN-L
1661-8556
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
66
Pages
635508
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Abstract
Objectives: We aimed to explore the impact of the Swiss shutdown in spring 2020 on the intensity of health services use in general practice. Methods: Based on an electronic medical records database, we built one patient cohort each for January-June 2019 (control, 173,523 patients) and 2020 (179,086 patients). We used linear regression to model weekly consultation counts and blood pressure (BP) and glycated hemoglobin (HbA1c) measurement counts per 100 patients and predicted non-shutdown values. Analyses were repeated for selected at-risk groups and different age groups. Results: During the shutdown, weekly consultation counts were lower than predicted by -17.2% (total population), -16.5% (patients with hypertension), -17.5% (diabetes), -17.6% (cardiovascular disease), -15.7% (patients aged <60 years), -20.4% (60-80 years), and -14.5% (>80 years). Weekly BP counts were reduced by -35.3% (total population) and -35.0% (hypertension), and HbA1c counts by -33.2% (total population) and -29.8% (diabetes). p-values <0.001 for all reported estimates. Conclusion: Our results document consequential decreases in consultation counts and chronic disease monitoring during the shutdown. It is crucial that health systems remain able to meet non-COVID-19-related health care needs.
Keywords
COVID-19/epidemiology, Facilities and Services Utilization/statistics & numerical data, General Practice, Humans, Pandemics, Retrospective Studies, COVID-19, SARS-CoV-2, Switzerland, chronic conditions, general practice, health services use, primary care, risk groups
Pubmed
Web of science
Open Access
Yes
Create date
10/10/2023 9:02
Last modification date
13/04/2024 6:06