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Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4700032
Author(s) Harju, E.; Speierer, A.; Jungo, K. T.; Levati, S.; Baggio, S.; Tancredi, S.; Noor, N.; Rodondi, P. Y.; Cullati, S.; Imboden, M.; Keidel, D.; Witzig, M.; Frank, I.; Kohler, P.; Kahlert, C.; Crivelli, L.; Amati, R.; Albanese, E.; Kaufmann, M.; Frei, A.; Von Wyl, V.; Puhan, M. A.; Probst-Hensch, N.; Michel, G.; Rodondi, N.; Chocano-Bedoya, P.; Corona Immunitas Res Grp,
Author(s) at UniBasel Imboden, Medea
Keidel, Dirk
Witzig, Melissa
Probst Hensch, Nicole
D'Acremont, Valérie
Jeong, Ayoung
Mösli, Nicolai
Paris, Daniel Henry
Vermes, Thomas
Year 2023
Title Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland
Journal International journal of public health
Volume 68
Pages / Article-Number 1606010
Keywords COVID-19; digital follow-up; healthcare utilization; healthcare delivery; population-based study
Mesh terms Female; Humans; Young Adult; Adult; Pandemics; Switzerland, epidemiology; Cohort Studies; COVID-19, epidemiology; Patient Acceptance of Health Care; Hypertension
Abstract 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 & GE;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.
ISSN/ISBN 1661-8556
Full Text on edoc Available
Digital Object Identifier DOI 10.3389/ijph.2023.1606010
PubMed ID
ISI-Number WOS:001044607600001
Document type (ISI) Journal Article

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