Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland

Harju, Erika; Speierer, Alexandre; Jungo, Katharina Tabea; Levati, Sara; Baggio, Stéphanie; Tancredi, Stefano; Noor, Nazihah; Rodondi, Pierre-Yves; Cullati, Stéphane; Imboden, Medea; Keidel, Dirk; Witzig, Melissa; Frank, Irène; Kohler, Philipp; Kahlert, Christian; Crivelli, Luca; Amati, Rebecca; Albanese, Emiliano; Kaufmann, Marco; Frei, Anja; von Wyl, Viktor; Puhan, Milo A.; Probst-Hensch, Nicole; Michel, Gisela; Rodondi, Nicolas; Chocano-Bedoya, Patricia

doi:10.3389/ijph.2023.1606010

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-28471

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland
Authors:	Harju, Erika Speierer, Alexandre Jungo, Katharina Tabea Levati, Sara Baggio, Stéphanie Tancredi, Stefano Noor, Nazihah Rodondi, Pierre-Yves Cullati, Stéphane Imboden, Medea Keidel, Dirk Witzig, Melissa Frank, Irène Kohler, Philipp Kahlert, Christian Crivelli, Luca Amati, Rebecca Albanese, Emiliano Kaufmann, Marco Frei, Anja von Wyl, Viktor Puhan, Milo A. Probst-Hensch, Nicole Michel, Gisela Rodondi, Nicolas Chocano-Bedoya, Patricia
et. al:	No
DOI:	10.3389/ijph.2023.1606010 10.21256/zhaw-28471
Published in:	International Journal of Public Health
Volume(Issue):	68
Issue:	1606010
Issue Date:	2023
Publisher / Ed. Institution:	Frontiers Research Foundation
ISSN:	1661-8564 1661-8556
Language:	English
Subjects:	COVID-19; Digital follow-up; Healthcare utilization; Healthcare delivery; Population-based study
Subject (DDC):	362: Health and social services
Abstract:	Objectives: To describe the frequency of and reasons for changes in healthcare utilization in those requiring ongoing treatment, and to assess characteristics associated with change, during the second wave of the pandemic. Methods: Corona Immunitas e-cohort study (age ≥20 years) participants completed monthly questionnaires. We compared participants reporting a change in healthcare utilization with those who did not using descriptive and bivariate statistics. We explored characteristics associated with the number of changes using negative binomial regression. Results: The study included 3,190 participants from nine research sites. One-fifth reported requiring regular treatment. Among these, 14% reported a change in healthcare utilization, defined as events in which participants reported that they changed their ongoing treatment, irrespective of the reason. Reasons for change were medication changes and side-effects, specifically for hypertension, or pulmonary embolism treatment. Females were more likely to report changes [Incidence Rate Ratio (IRR) = 2.15, p = 0.002]. Those with hypertension were least likely to report changes [IRR = 0.35, p = 0.019]. Conclusion: Few of those requiring regular treatment reported changes in healthcare utilization. Continuity of care for females and chronic diseases besides hypertension must be emphasized.
URI:	https://digitalcollection.zhaw.ch/handle/11475/28471
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Nursing (IPF)
Appears in collections:	Publikationen Gesundheit

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Harju, E., Speierer, A., Jungo, K. T., Levati, S., Baggio, S., Tancredi, S., Noor, N., Rodondi, P.-Y., Cullati, S., Imboden, M., Keidel, D., Witzig, M., Frank, I., Kohler, P., Kahlert, C., Crivelli, L., Amati, R., Albanese, E., Kaufmann, M., et al. (2023). Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland. International Journal of Public Health, 68(1606010). https://doi.org/10.3389/ijph.2023.1606010

Harju, E. et al. (2023) ‘Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland’, International Journal of Public Health, 68(1606010). Available at: https://doi.org/10.3389/ijph.2023.1606010.

E. Harju et al., “Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland,” International Journal of Public Health, vol. 68, no. 1606010, 2023, doi: 10.3389/ijph.2023.1606010.

HARJU, Erika, Alexandre SPEIERER, Katharina Tabea JUNGO, Sara LEVATI, Stéphanie BAGGIO, Stefano TANCREDI, Nazihah NOOR, Pierre-Yves RODONDI, Stéphane CULLATI, Medea IMBODEN, Dirk KEIDEL, Melissa WITZIG, Irène FRANK, Philipp KOHLER, Christian KAHLERT, Luca CRIVELLI, Rebecca AMATI, Emiliano ALBANESE, Marco KAUFMANN, Anja FREI, Viktor VON WYL, Milo A. PUHAN, Nicole PROBST-HENSCH, Gisela MICHEL, Nicolas RODONDI und Patricia CHOCANO-BEDOYA, 2023. Changes in healthcare utilization during the COVID-19 pandemic and potential causes : a cohort study from Switzerland. International Journal of Public Health. 2023. Bd. 68, Nr. 1606010. DOI 10.3389/ijph.2023.1606010

Harju, Erika, Alexandre Speierer, Katharina Tabea Jungo, Sara Levati, Stéphanie Baggio, Stefano Tancredi, Nazihah Noor, et al. 2023. “Changes in Healthcare Utilization during the COVID-19 Pandemic and Potential Causes : A Cohort Study from Switzerland.” International Journal of Public Health 68 (1606010). https://doi.org/10.3389/ijph.2023.1606010.

Harju, Erika, et al. “Changes in Healthcare Utilization during the COVID-19 Pandemic and Potential Causes : A Cohort Study from Switzerland.” International Journal of Public Health, vol. 68, no. 1606010, 2023, https://doi.org/10.3389/ijph.2023.1606010.