New Nosocomephobia? Changes in Hospitalizations during the COVID-19 Pandemic

While the coronavirus disease-2019 (COVID-19) pandemic directly caused millions of hospitalizations and deaths, its indirect impacts on people with other illnesses can be of equal importance. Using discharge records in a major Chinese megacity where there was a limited number of COVID-19 cases, we find significant declines in the number of hospital admissions for a whole spectrum of disease categories during the pandemic. The declines were larger in COVID-19 designated hospitals and top-grade hospitals. In-hospital mortality and length of stay (LOS) were higher for stroke, ischaemic heart diseases, and malignant neoplasms, while women delivering in hospitals had fewer C-sections and shorter LOS. Our results suggest that people avoided necessary hospitalization out of fear of being infected by COVID-19. To prevent the adverse impacts of delaying health care, policymakers should establish clear guidelines encouraging people to seek necessary care, especially during the reopening period.