The effect of COVID-19 on utilization of chronic diseases services.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-06-01 Epub Date: 2023-07-24 DOI:10.1177/17423953231178168

Ghobad Moradi, Bakhtiar Piroozi, Fariba Khayyati, Farhad Moradpour, Hossein Safari, Amjad Mohamadi Bolbanabad, Hamed Fattahi, Fatemeh Younesi, Ali Ebrazeh, Azad Shokri

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引用次数: 0

Abstract

Objectives: The aim of the present study is to evaluate the impact of Covid-19 on utilization of chronic diseases services.

Methods: Interrupted time-series design was used to examine the utilization of chronic diseases services before and during the Covid-19 pandemic among hospitals in Iran. Chronic obstructive pulmonary disease (COPD), asthma, type 2 diabetes, heart failure, and chemotherapy were selected as a proxy to indicate the impact of Covid-19 on utilization of chronic diseases services. Data were collected in 24 sites from 12 months before the onset of Covid-19 (from March 2019 to February 2020) to 12 months during the Covid-19 pandemic (February 2020 to March 2021).

Results: A total of 7,039,378 services were provided, of which 51.92% were provided for women and 62.73% for >65 age group. A sudden decrease was observed in monthly utilization of services during the Covid-19 pandemic; ranging from 13.91 (95% CI = -21.73, 6.10, P = 0.001) for chemotherapy to 606.39 (95% CI = -1040.72, 172.06, P = 0.009) for heart failure services per 100 thousand population. A decrease was observed in COPD services; 15.28 services compared with the period before Covid-19. Subsequently, the monthly utilization trends of asthma, type 2 diabetes, and chemotherapy services increased significantly (P < 0.05).

Discussion: Although chronic diseases are a factor in more severe form of Covid-19, their failure to seek diagnostic, prevention and treatment services has somewhat complicated the issue.

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COVID-19 对利用慢性病服务的影响。

目的：本研究旨在评估 Covid-19 对慢性病服务利用率的影响：本研究旨在评估 Covid-19 对慢性病服务利用率的影响：方法：采用间断时间序列设计研究伊朗医院在 Covid-19 大流行之前和期间使用慢性病服务的情况。选择慢性阻塞性肺病（COPD）、哮喘、2 型糖尿病、心力衰竭和化疗作为替代指标，以显示 Covid-19 对慢性病服务利用率的影响。从Covid-19爆发前的12个月（2019年3月至2020年2月）到Covid-19大流行期间的12个月（2020年2月至2021年3月），在24个地点收集了数据：共提供了 7 039 378 次服务，其中 51.92% 的服务对象为女性，62.73% 的服务对象为 65 岁以上的人群。在 Covid-19 大流行期间，观察到每月服务利用率突然下降；从化疗的 13.91 (95% CI = -21.73, 6.10, P = 0.001) 到心力衰竭服务的 606.39 (95% CI = -1040.72, 172.06, P = 0.009)。与 Covid-19 之前相比，慢性阻塞性肺病服务减少了 15.28 次。随后，哮喘、2 型糖尿病和化疗服务的每月使用趋势显著增加（P 讨论）：虽然慢性病是导致 Covid-19 更为严重的一个因素，但由于他们没有寻求诊断、预防和治疗服务，使得问题变得更加复杂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.