The effect of COVID-19 on utilization of chronic diseases services.
| Autor: | Moradi G; Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran., Piroozi B; Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran., Khayyati F; Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran., Moradpour F; Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran., Safari H; Health Promotion Research Center, Iran University of Medical Science, Tehran, Iran., Mohamadi Bolbanabad A; Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran., Fattahi H; Centre for Primary Health Care Network Management, Ministry of Health and Medical Education, Tehran Iran., Younesi F; Center for Health Human Resources Research & Studies, Ministry of Health and Medical Education, Tehran, Iran., Ebrazeh A; Department of Public Health, School of Public Health, Qom University of Medical Sciences, Qom, Iran., Shokri A; Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran. |
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| Jazyk: | angličtina |
| Zdroj: | Chronic illness [Chronic Illn] 2024 Jun; Vol. 20 (2), pp. 309-319. Date of Electronic Publication: 2023 Jul 24. |
| DOI: | 10.1177/17423953231178168 |
| Abstrakt: | Objectives: The aim of the present study is to evaluate the impact of Covid-19 on utilization of chronic diseases services. Methods: Interrupted time-series design was used to examine the utilization of chronic diseases services before and during the Covid-19 pandemic among hospitals in Iran. Chronic obstructive pulmonary disease (COPD), asthma, type 2 diabetes, heart failure, and chemotherapy were selected as a proxy to indicate the impact of Covid-19 on utilization of chronic diseases services. Data were collected in 24 sites from 12 months before the onset of Covid-19 (from March 2019 to February 2020) to 12 months during the Covid-19 pandemic (February 2020 to March 2021). Results: A total of 7,039,378 services were provided, of which 51.92% were provided for women and 62.73% for >65 age group. A sudden decrease was observed in monthly utilization of services during the Covid-19 pandemic; ranging from 13.91 (95% CI = -21.73, 6.10, P = 0.001) for chemotherapy to 606.39 (95% CI = -1040.72, 172.06, P = 0.009) for heart failure services per 100 thousand population. A decrease was observed in COPD services; 15.28 services compared with the period before Covid-19. Subsequently, the monthly utilization trends of asthma, type 2 diabetes, and chemotherapy services increased significantly ( P < 0.05). Discussion: Although chronic diseases are a factor in more severe form of Covid-19, their failure to seek diagnostic, prevention and treatment services has somewhat complicated the issue. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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