Inequalities in healthcare use during the COVID-19 pandemic.

Autor: Frey A; Leverhulme Centre for Demographic Science, 42 Park End St, Oxford, OX1 1JD, UK.; Nuffield College, University of Oxford, 1 New Rd, Oxford, OX1 1NF, UK.; Amsterdam Health and Technology Institute, Paasheuvelweg 25, Amsterdam, 1105 BP, The Netherlands.; Stanford University, 450 Jane Stanford Way, Stanford, CA, 94305, USA.; Department of Sociology, University of Oxford, 42 Park End St, Oxford, OX3 7LF, UK., Tilstra AM; Leverhulme Centre for Demographic Science, 42 Park End St, Oxford, OX1 1JD, UK.; Nuffield College, University of Oxford, 1 New Rd, Oxford, OX1 1NF, UK.; Department of Sociology, University of Oxford, 42 Park End St, Oxford, OX3 7LF, UK.; Nuffield Department of Population Health, University of Oxford, 42 Park End St, Oxford, OX1 1JD, UK., Verhagen MD; Leverhulme Centre for Demographic Science, 42 Park End St, Oxford, OX1 1JD, UK. mark.verhagen@nuffield.ox.ac.uk.; Nuffield College, University of Oxford, 1 New Rd, Oxford, OX1 1NF, UK. mark.verhagen@nuffield.ox.ac.uk.; Amsterdam Health and Technology Institute, Paasheuvelweg 25, Amsterdam, 1105 BP, The Netherlands. mark.verhagen@nuffield.ox.ac.uk.; Department of Sociology, University of Oxford, 42 Park End St, Oxford, OX3 7LF, UK. mark.verhagen@nuffield.ox.ac.uk.; Nuffield Department of Population Health, University of Oxford, 42 Park End St, Oxford, OX1 1JD, UK. mark.verhagen@nuffield.ox.ac.uk.
Jazyk: angličtina
Zdroj: Nature communications [Nat Commun] 2024 Feb 29; Vol. 15 (1), pp. 1894. Date of Electronic Publication: 2024 Feb 29.
DOI: 10.1038/s41467-024-45720-2
Abstrakt: The COVID-19 pandemic led to reductions in non-COVID related healthcare use, but little is known whether this burden is shared equally. This study investigates whether reductions in administered care disproportionately affected certain sociodemographic strata, in particular marginalised groups. Using detailed medical claims data from the Dutch universal health care system and rich full population registry data, we predict expected healthcare use based on pre-pandemic trends (2017 - Feb 2020) and compare these expectations with observed healthcare use in 2020 and 2021. Our findings reveal a 10% decline in the number of weekly treated patients in 2020 and a 3% decline in 2021 relative to prior years. These declines are unequally distributed and are more pronounced for individuals below the poverty line, females, older people, and individuals with a migrant background, particularly during the initial wave of COVID-19 hospitalisations and for middle and low urgency procedures. While reductions in non-COVID related healthcare decreased following the initial shock of the pandemic, inequalities persist throughout 2020 and 2021. Our results demonstrate that the pandemic has not only had an unequal toll in terms of the direct health burden of the pandemic, but has also had a differential impact on the use of non-COVID healthcare.
(© 2024. The Author(s).)
Databáze: MEDLINE
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