UNIGE document Scientific Article
previous document  unige:151553  next document
add to browser collection
Title

Impact of the COVID-19 pandemic on the intensity of health services use in general practice: a retrospective cohort study

Authors
Rachamin, Yael
Senn, Oliver
Streit, Sven
Dubois, Julie
Jungo, Katharina Tabea
Published in International journal of public health. 2021, vol. 66
Abstract 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-19SARS-CoV-2Health services useGeneral practicePrimary careChronic conditionsRisk groupsSwitzerland
Identifiers
Full text
Structures
Research group Continuity of Primary Care
Citation
(ISO format)
RACHAMIN, Yael et al. Impact of the COVID-19 pandemic on the intensity of health services use in general practice: a retrospective cohort study. In: International Journal of Public Health, 2021, vol. 66. doi: 10.3389/ijph.2021.635508 https://archive-ouverte.unige.ch/unige:151553

197 hits

84 downloads

Update

Deposited on : 2021-05-10

Export document
Format :
Citation style :