Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals’ risk assessment and decision making

Shukla, Prakriti; Lee, Myeong; Whitman, Samantha A.; Pine, Kathleen H.

doi:10.1016/j.socscimed.2022.115164

Cited by 26 publications

(20 citation statements)

References 56 publications

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“…A dominant feature of the trends starting in late 2020 and continuing consistently through 2021 was the downward slope decline in dental care claims not considered in the "Definitely/Highly Likely" and "Probably" urgent/ emergency treatment categories (Figures 1, 2, and 3). While the pandemic might have been the starting event for such trend in 2020 [29], it is necessary to postulate complementary explanations for it in 2021: there were no SARS-CoV-2 outbreaks of the magnitude of the first wave in 2020. Other factors have been at play: it is worthwhile noting that economic outlook has historically had an impact on dental utilization.…”

Section: Discussionmentioning

confidence: 99%

Trends in dental insurance claims in the United States in the context of the COVID‐19 pandemic: A 3‐year perspective (2019–2022)

Maupomé

Scully

Yepes

et al. 2023

J Public Health Dent

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Objectives: We showed in a previous analysis the patterns of disruption for private dental insurance claims in the United States caused by the SARS-CoV-2 pandemic in 2020. The present report examines trends during 2020 and 2021, that is, contrasting perspectives during 2019 with the acute phase of the pandemic in 2020, and 2021. Methods: Private dental insurance paid claims from a data warehouse were obtained, encompassing a 5% random sample of records between January 2019 and December 2021 for child and adult insureds who filed a claim in 2019, 2020, and 2021. We classified claims into one of four categories based on the likelihood of being associated with urgent/emergency care. Results: The precipitous reduction in dental care claims in March-June 2020 recovered to almost pre-pandemic levels by the fall of 2020. However, a downward decline in private dental insurance claims started in the late fall of 2020 and continued through 2021. Differential impacts in dental care categories-in terms of urgency of care-were evident 2021, closely resembling previous trends in 2020. Conclusions: Dental care claims from the first year of the 2020 SARS-CoV-2 pandemic were contrasted with perspectives in 2021. A downward trend in demand/ availability changes in dental care insurance claims set in for 2021, perhaps linked to perceptions of the overall economic situation. Such downward trend has continued overall, even after considering seasonal changes and the acceleration of the pandemic during the Delta, Omicron, and other variants.

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Section: Discussionmentioning

confidence: 99%

Trends in dental insurance claims in the United States in the context of the COVID‐19 pandemic: A 3‐year perspective (2019–2022)

Maupomé

Scully

Yepes

et al. 2023

J Public Health Dent

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“…Unemployed adults were four times more likely to lack insurance than employed adults (41.4% vs 10.0%; p < 0.001). 4,38 A transnational study which collected screening test data (breast cancer and CRC) from 79 countries revealed that even a 1% increase in the unemployment rate was linked to an increase in cancer death rates, and these correlations persisted for up to 5 years after the unemployment rate started to rise. 39 Statistics show that households who receive unemployment insurance may encounter short-term health effects through at least three different pathways, as benefit income may be used to help with social demands that are connected to one's health, such as paying for food and shelter; covering the costs associated with getting to and from medical appointments, insurance premiums and co-pays; and reducing stress.…”

Section: Unemployment and The So CI O -Economi C Impac Ts Of The Covi...mentioning

confidence: 99%

“…People who lose their jobs during this economic and health crisis may also lose their health insurance, which has hampered recent and possibly longer‐term screening practices and raised the risk of receiving a diagnosis of late‐stage cancer; in turn, this triggers a chain reaction of less effective treatment options, increases the possibility of more severe side effects from those treatments, and increases cancer death rates. Unemployed adults were four times more likely to lack insurance than employed adults (41.4% vs 10.0%; p < 0.001) 4,38 . A transnational study which collected screening test data (breast cancer and CRC) from 79 countries revealed that even a 1% increase in the unemployment rate was linked to an increase in cancer death rates, and these correlations persisted for up to 5 years after the unemployment rate started to rise 39 …”

Section: Unemployment and The Socio‐economic Impacts Of The Covid‐19 ...mentioning

confidence: 99%

The COVID‐19 pandemic has impeded cytopathology practices and hindered cancer screening and management

Huang

Chen

2023

Cytopathology

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The COVID‐19 pandemic has had a global impact on the environment and economy and has affected hospital administration and patient behaviour. Since human‐to‐human coronavirus transmission occurs via droplets and physical contact, health care professionals are particularly vulnerable to contracting COVID‐19. Many cytopathology laboratories updated their workflow, established new standard biosafety protocols, and built digital pathology or telescope platforms to mitigate these risks and deal with the shortage of health care personnel. The COVID‐19 pandemic also disrupted medical education—all indoor training events, including conferences, multidisciplinary tumour boards, seminars, and microscope inspections were postponed. As a result, many laboratories now use new web‐based applications and platforms to maintain educational programs and multidisciplinary tumour boards. To comply with government directives, health care facilities postponed non‐emergency surgeries, reduced the number of routine medical examinations, restricted visitor numbers, and scaled back cancer screening activities, resulting in a sharp decline in cytopathology diagnoses, cancer screening specimens, and molecular testing for cancer. Subsequent misses or delays in the diagnosis and treatment of cancer were not uncommon. This review aims to provide comprehensive summaries of the consequences of the COVID‐19 pandemic for cytopathology, particularly in terms of cancer diagnosis, workload, human resources, and molecular testing.

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“…Delays in routine healthcare during COVID-19 are a critical issue, not only because of the magnitude of delays that occurred during the pandemic, but also due to the sheer volume of delays in routine care. According to the evidence, colon and breast cancer screenings dropped by more than 80% and the healthcare delays negatively affected quality of life, morbidity, and mortality among the population ( 8 ). Another complication of this pandemic is the increase in the possibility of malnutrition due to quarantine and unemployment, which leads to the negation of the achievements of the national health and nutrition programs.…”

Section: Introductionmentioning

confidence: 99%

The necessity revealed by COVID-19 pandemic: Paradigm shift of Iran's healthcare system

Mohammadpour

Delavari

Kavosi

et al. 2023

Front. Public Health

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BackgroundCOVID-19 pandemic has resulted in drastic changes around the world, revealing vulnerable aspects of healthcare systems. This study aimed to explore how Iranian healthcare system experienced the paradigm shift during the pandemic and determine the aspects that need improvement during the pandemic era.MethodThis qualitative study was conducted in 2021. A framework analysis approach was used to analyze the content of the 19 semi-structured interviews with the healthcare system experts from Shiraz University of Medical Sciences (SUMS). The interviews‘ audio files changed into transcript after each session and data was saturated at the 19 interview. To increase the trustworthiness of the study, Guba and Lincoln's criteria including credibility, transferability, dependability, and confirmability were used. Goldsmith's five-step framework analysis was used applying MAX QDA version 10 software.ResultEight main themes and 20 subthemes were explored. The main themes included “strengthening the electronic health infrastructure,” “research for evidence-based decision making,” “dedicated financing to the pandemic,” “prevention of disruption in the effective provision of services and medicines,” “enriching the authority of the Ministry of Health by focusing on interactions,” “recruiting, managing and empowering health human resources with attention to financial and non-financial incentives,” “reforming educational approaches in training students in medical universities,” as well as “lessons learned from neglected aspects.”ConclusionTo be ready to respond to a possible future pandemic and for a paradigm shift, bold steps must be taken to make fundamental changes in various aspects of the healthcare system including e-health development, evidence-based decision making, dedicated budgets for pandemics, reinforcement of interactions at the national and international level, as well as sufficient attention to healthcare workers from all financial, non-financial and educational aspects.

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Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals’ risk assessment and decision making

Cited by 26 publications

References 56 publications

Trends in dental insurance claims in the United States in the context of the COVID‐19 pandemic: A 3‐year perspective (2019–2022)

Trends in dental insurance claims in the United States in the context of the COVID‐19 pandemic: A 3‐year perspective (2019–2022)

The COVID‐19 pandemic has impeded cytopathology practices and hindered cancer screening and management

The necessity revealed by COVID-19 pandemic: Paradigm shift of Iran's healthcare system

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