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Impact of the Covid-19 pandemic on primary care utilization : evidence from Sweden using national register data

Ekman, Björn LU ; Arvidsson, Eva ; Thulesius, Hans LU ; Wilkens, Jens LU and Cronberg, Olof LU orcid (2021) In BMC Research Notes 14(1).
Abstract

OBJECTIVE: To analyze changes in primary care utilization as a result of the Covid-19 pandemic. Swedish national register data from 2019 to 2020 on utilization of services were used to compare overall utilization levels and across types of contacts and patient groups. A specific objective was to assess the extent to which remote types of patient consultations were able to compensate for any observed fall in on-site visits. Data were stratified by sex and age to investigate any demographic pattern.

RESULTS: Findings show significant reductions in overall utilization of services as the pandemic occurred in the first quarter of 2020. On-site visits fell during the first wave of the pandemic and rebounded thereafter. Patients over 65... (More)

OBJECTIVE: To analyze changes in primary care utilization as a result of the Covid-19 pandemic. Swedish national register data from 2019 to 2020 on utilization of services were used to compare overall utilization levels and across types of contacts and patient groups. A specific objective was to assess the extent to which remote types of patient consultations were able to compensate for any observed fall in on-site visits. Data were stratified by sex and age to investigate any demographic pattern.

RESULTS: Findings show significant reductions in overall utilization of services as the pandemic occurred in the first quarter of 2020. On-site visits fell during the first wave of the pandemic and rebounded thereafter. Patients over 65 years of age appear to have reduced utilization to a larger extent compared with younger groups. Simultaneously, remote contacts increased from around 12% before the pandemic to 17% of the total number of consultations. However, the net effect of changes in service utilization suggests an overall reduction of around 12 percent in the number of primary care consultations as a result of the pandemic. No differences between men and women were observed. Further research will continue to monitor changes in primary care utilization as the pandemic continues.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Research Notes
volume
14
issue
1
article number
424
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85119959593
  • pmid:34819161
ISSN
1756-0500
DOI
10.1186/s13104-021-05839-7
language
English
LU publication?
yes
additional info
© 2021. The Author(s).
id
69ff4e7a-8a04-4dca-a516-1baac38ab5a5
date added to LUP
2021-11-26 14:01:02
date last changed
2024-04-06 14:02:51
@article{69ff4e7a-8a04-4dca-a516-1baac38ab5a5,
  abstract     = {{<p>OBJECTIVE: To analyze changes in primary care utilization as a result of the Covid-19 pandemic. Swedish national register data from 2019 to 2020 on utilization of services were used to compare overall utilization levels and across types of contacts and patient groups. A specific objective was to assess the extent to which remote types of patient consultations were able to compensate for any observed fall in on-site visits. Data were stratified by sex and age to investigate any demographic pattern.</p><p>RESULTS: Findings show significant reductions in overall utilization of services as the pandemic occurred in the first quarter of 2020. On-site visits fell during the first wave of the pandemic and rebounded thereafter. Patients over 65 years of age appear to have reduced utilization to a larger extent compared with younger groups. Simultaneously, remote contacts increased from around 12% before the pandemic to 17% of the total number of consultations. However, the net effect of changes in service utilization suggests an overall reduction of around 12 percent in the number of primary care consultations as a result of the pandemic. No differences between men and women were observed. Further research will continue to monitor changes in primary care utilization as the pandemic continues.</p>}},
  author       = {{Ekman, Björn and Arvidsson, Eva and Thulesius, Hans and Wilkens, Jens and Cronberg, Olof}},
  issn         = {{1756-0500}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Research Notes}},
  title        = {{Impact of the Covid-19 pandemic on primary care utilization : evidence from Sweden using national register data}},
  url          = {{http://dx.doi.org/10.1186/s13104-021-05839-7}},
  doi          = {{10.1186/s13104-021-05839-7}},
  volume       = {{14}},
  year         = {{2021}},
}