Autor: |
Seraphine Zeitouny, Douglas C Cheung, Karen E Bremner, Reka E Pataky, Priscila Pequeno, John Matelski, Stuart Peacock, M Elisabeth Del Giudice, Lauren Lapointe-Shaw, George Tomlinson, Andrew B Mendlowitz, Carol Mulder, Teresa C O Tsui, Nathan Perlis, Jennifer D Walker, Beate Sander, William W L Wong, Murray D Krahn, Girish S Kulkarni |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
PLoS ONE, Vol 18, Iss 9, p e0290646 (2023) |
Druh dokumentu: |
article |
ISSN: |
1932-6203 |
DOI: |
10.1371/journal.pone.0290646 |
Popis: |
IntroductionThe aim of our study was to assess the initial impact of COVID-19 on total publicly-funded direct healthcare costs and health services use in two Canadian provinces, Ontario and British Columbia (BC).MethodsThis retrospective repeated cross-sectional study used population-based administrative datasets, linked within each province, from January 1, 2018 to December 27, 2020. Interrupted time series analysis was used to estimate changes in the level and trends of weekly resource use and costs, with March 16-22, 2020 as the first pandemic week. Also, in each week of 2020, we identified cases with their first positive SARS-CoV-2 test and estimated their healthcare costs until death or December 27, 2020.ResultsThe resources with the largest level declines (95% confidence interval) in use in the first pandemic week compared to the previous week were physician services [Ontario: -43% (-49%,-37%); BC: -24% (-30%,-19%) (both pConclusionsReduced utilization of healthcare services in the overall population outweighed utilization by COVID-19 patients in 2020. Meeting the needs of all patients across all services is essential to maintain resilient healthcare systems. |
Databáze: |
Directory of Open Access Journals |
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