Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: a longitudinal analysis from Singapore
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Ahn, SangNam | - |
dc.contributor.author | Kim, Seonghoon | - |
dc.contributor.author | Koh, Kanghyock | - |
dc.date.accessioned | 2022-02-22T17:41:42Z | - |
dc.date.available | 2022-02-22T17:41:42Z | - |
dc.date.created | 2022-02-11 | - |
dc.date.issued | 2022-01-14 | - |
dc.identifier.issn | 1472-6963 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/136524 | - |
dc.description.abstract | Background The COVID-19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID-19 patients. Objectives To examine the associations of the COVID-19 pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health among middle-aged and older individuals in Singapore. Method Utilizing data collected from a monthly panel survey, a difference-in-differences approach was used to characterize monthly changes of healthcare use and spending and estimate the probability of being diagnosed with a chronic condition and self-reported health status before and during the COVID-19 outbreak in 2020. Subjects Data were analyzed from 7569 nationally representative individuals from 2019 January and 2020 December. Measures Healthcare utilization and healthcare spending by medical service categories as well as self-reported health status. Results Between January and April 2020 (the first peak period of COVID-19 in Singapore), doctor visits decreased by 30%, and out-of-pocket medical spending decreased by 23%, mostly driven by reductions in inpatient and outpatient care. As a result, the probability of any diagnosis of chronic conditions decreased by 19% in April 2020. The decreased healthcare utilization and spending recovered after lifting the national lockdown in June, 2020 and remained similar to the pre-pandemic level through the rest of 2020. Conclusions Middle-aged and older Singaporeans' healthcare utilization and the diagnosis of chronic conditions substantially decreased during the first peak period of the COVID-19 outbreak. Further studies to track the longer-term health effect of the pandemic among non-COVID-19 patients are warranted. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.subject | ACCESS | - |
dc.subject | RISK | - |
dc.title | Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: a longitudinal analysis from Singapore | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Koh, Kanghyock | - |
dc.identifier.doi | 10.1186/s12913-021-07446-5 | - |
dc.identifier.scopusid | 2-s2.0-85122986245 | - |
dc.identifier.wosid | 000742659400002 | - |
dc.identifier.bibliographicCitation | BMC HEALTH SERVICES RESEARCH, v.22, no.1 | - |
dc.relation.isPartOf | BMC HEALTH SERVICES RESEARCH | - |
dc.citation.title | BMC HEALTH SERVICES RESEARCH | - |
dc.citation.volume | 22 | - |
dc.citation.number | 1 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services | - |
dc.subject.keywordPlus | ACCESS | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordAuthor | COVID-19 | - |
dc.subject.keywordAuthor | Pandemic | - |
dc.subject.keywordAuthor | Healthcare utilization | - |
dc.subject.keywordAuthor | Healthcare spending | - |
dc.subject.keywordAuthor | Self-reported health status | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.