The effect of Covid-19 pandemic on the primary health care utilization and cost: an interrupted time series analysis.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Cost Effectiveness and Resource Allocation Pub Date : 2025-02-12 DOI:10.1186/s12962-025-00606-y

Mohsen Bayati, Farhad Lotfi, Mehdi Bayati, Zahra Goudarzi

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引用次数: 0

Abstract

Background: Changes in the demand behavior for primary care during the covid-19 pandemic may translate into changes in the overall public health situation in Iran with the increase in the prevalence of non-communicable diseases.

Objective: The present study aimed to investigate the impact of the Covid-19 pandemic on the primary health care utilization and cost in Fars province of Iran.

Methods: Monthly utilization and cost of primary health care was extracted from the data base of Fars province branch of Iran Health Insurance Organization (IHIO) in Iran. The interrupted time series analysis (ITSA) was used to investigate the short-term and long-term effects of Covid-19 on the utilization and cost of primary health care.

Results: The mean difference test showed that the monthly utilization and cost of primary health care after Covid-19 has decreased significantly (64307 for utilization and 11581 US dollars for cost). The ITSA estimates showed that the number of monthly primary health care visits after Covid-19 has decreased significantly by 53,003 in the short term and 2,330 in the long term. Moreover, the cost of primary health care shows a significant decrease of $24,722 and $3,822 per month in the short term and in the long term, respectively.

Conclusion: It found a significant reduction in the utilization of primary health care. Considering the role of primary care in controlling the burden of chronic diseases, planning for active follow-up of patients with chronic conditions should be on the agenda.

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Covid-19大流行对初级卫生保健利用和成本的影响：中断时间序列分析

背景：2019冠状病毒病大流行期间初级保健需求行为的变化可能会随着非传染性疾病患病率的增加而转化为伊朗整体公共卫生状况的变化。目的：了解新冠肺炎疫情对伊朗法尔斯省基层卫生保健服务利用和成本的影响。方法：从伊朗健康保险组织（IHIO）法尔斯省分支机构的每月初级卫生保健利用和费用数据库中提取数据。采用中断时间序列分析（ITSA）调查Covid-19对初级卫生保健利用和成本的短期和长期影响。结果：平均差值检验显示，新冠肺炎疫情后，基层卫生保健的每月使用率和费用均显著下降（使用率为64307美元，费用为11581美元）。ITSA的估计显示，Covid-19后每月初级卫生保健就诊次数在短期内大幅减少了53003次，长期减少了2330次。此外，初级保健费用在短期和长期内每月分别大幅减少24 722美元和3 822美元。结论：调查发现初级卫生保健的利用率显著降低。考虑到初级保健在控制慢性病负担方面的作用，对慢性病患者进行积极随访的计划应列入议程。

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

Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-

CiteScore

3.40

自引率

4.30%

发文量

审稿时长

34 weeks

期刊介绍： Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.