Understanding the impact of the COVID-19 pandemic on healthcare services for adults during three waves of COVID-19 infections: A South African private sector experience

Autor: N Nematswerani, L Steenkamp, S Haneef, RM Naidoo, S Fonn
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: SAMJ: South African Medical Journal, Volume: 113, Issue: 4, Pages: 1156-1164, Published: APR 2023
Popis: Background. Since the onset of the COVID‑19 pandemic, healthcare resources have been repurposed to focus on COVID‑19. Resourcereallocation and restrictions to movement that affected general access to care may have inadvertently resulted in undue disruptions in the continuum of care for patients requiring non-COVID‑19 healthcare services.Objectives. To describe the change in pattern of health service use in the South African (SA) private sector.Methods. We conducted a retrospective study of a nationwide cohort of privately insured individuals. An analysis of claims data wasperformed for non-COVID‑19 related healthcare services provided from April 2020 to December 2020 (year 1 of COVID‑19) andApril 2021 to December 2021 (year 2 of COVID‑19) relative to the same period in 2019 prior to the COVID‑19 pandemic in SA. Over andabove plotting the monthly trends, we tested for statistical significance of the changes using a Wilcoxon test given the non-normality of all the outcomes.Results. Between April and December 2020, relative to the same period in 2021, and also relative to the same period in 2019, we found a 31.9% (p
Databáze: OpenAIRE