The Impact of COVID-19 on Hospital Admissions for Twelve High-Burden Diseases and Five Common Procedures in the Philippines: A National Health Insurance Database Study 2019-2020

Uy, Jhanna; Van, Vanessa T. Siy; Ulep, Valerie Gilbert T.; Bayani, Diana Beatriz; Walker, Damian

doi:10.1016/j.lanwpc.2021.100310

Cited by 23 publications

(20 citation statements)

References 21 publications

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“…Telemedicine enables patients to avoid situations that would expose them to SARS-CoV-2, the causative agent of COVID-19, such as traveling and staying for long periods in high-risk environments. These safety concerns, together with lockdown restrictions, resulted to significant declines in hospital admissions for non-urgent procedures (2). Innovative solutions through telemedicine have been introduced including video visits (25).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The COVID-19 pandemic has negatively impacted the capacity to deliver essential health services especially among low-and-middle income countries such as the Philippines (1). Hospital admissions and procedures declined as lockdown restrictions were imposed in the country (2). Telemedicine provides an opportunity to minimize exposure to health workers and patients, while allowing patients to access high-quality healthcare that is safe, efficient, and cost-effective (3,4).…”

Section: Introductionmentioning

confidence: 99%

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Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic

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Bertiz

et al. 2022

Preprint

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Introduction: The capacity to deliver essential health services has been negatively impacted by the COVID-19 pandemic particularly due to lockdown restrictions. Telemedicine provides a safe, efficient, and effective solution that addresses the needs of patients and the health system. However, there remain implementation challenges and barriers to patient adoption in resource-limited settings as in the Philippines. This study thus aimed to describe patient perspectives and experiences with telemedicine services, and explore the factors that influence telemedicine use and satisfaction. Methods: This study used a mixed-methods design through online surveys and in-depth interviews. An online survey using Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician & Group Adult Visit Survey 4.0 (beta) and Telehealth Usability Questionnaire (TUQ) was accomplished by 200 participants aged 18 to 65 years. A subsample of 16 participants was interviewed to provide insights to the quantitative data. We used descriptive statistics to analyze survey data and grounded theory to analyze data from interviews. Results: Participants were generally satisfied with telemedicine services, with most reporting that this was an efficient and convenient alternative to face-to-face consultations. However, only 2 in 5 perceived telemedicine as affordable. Our quantitative findings suggest that participants preferred telemedicine services rather than in-person consultations, especially in cases where they feel that their condition is not urgent and does not need extensive physical examination. Safety against COVID-19, and the availability of multiple communication platforms contributed to patient satisfaction with telemedicine. Negative perceptions of patients on their telemedicine provider, perceived higher costs, poor connectivity and other technological issues were found to be barriers to patient satisfaction. Discussion: Telemedicine is viewed as a safe and efficient alternative to receiving care. Continued adoption of telemedicine will require improvements in technology and better patient communication related to their telemedicine provider and the associated costs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic

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Bertiz

et al. 2022

Preprint

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confidence: 99%

“…In the Philippines, a lower-middle income country in Southeast Asia (SEA), this inequity has been magnified during the coronavirus disease 2019 (COVID-19) pandemic where access to and willingness to seek treatment have been reduced due to fear of being infected, lockdowns preventing patients from traveling to healthcare facilities, and unemployment reducing purchasing power and demand for healthcare. 2 Under the Z Benefit Package of the country's national health insurance system, Filipinos diagnosed with stage 0-IIIA breast cancer are entitled to coverage of all necessary materials and services needed for the entire course of their treatment. 3 This includes payment for hospital room fees, drugs and laboratory examinations, operating room and professional fees, and other services.…”

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confidence: 99%

Access to Surgical Treatment for Breast Cancer in the Philippines

Dee

Eala

et al. 2022

Ann Surg Oncol

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Female breast cancer is the most commonly diagnosed cancer worldwide; however, while high-income countries have the highest incidence rates, lower-middle income countries have the highest mortality rates. In this article, we describe the landscape of disparities in access to surgical care for patients with breast cancer in the Philippines, a lower-middle income country in Southeast Asia. We describe the payment landscape that allows access to care for patients with non-metastatic disease, and draw attention to the fact that despite some degree of insurance for most Filipinos, great barriers to access remain in the form of a low number of surgical providers, geographic disparities, and persistent socioeconomic barriers. Lastly, we suggest steps forward to improve equity in access to surgical care for Filipino patients with breast cancer.

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Variations in Hospital Admissions of Non-Communicable Disease Patients Before and During The COVID-19 Pandemic (A Tertiary Care Setting, January 2018–June 2021)

Kara,

Cakir

2024

J Epidemiol Glob Health

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Background This study aimed to analyze the variations (if any) in hospital admissions of patients with any of the five common non-communicable diseases (NCDs), based on secondary analysis of electronic health records of patients admitted to Hacettepe University Hospitals at least once, from January 1, 2018 through June 15, 2021. Design Data were recruited from hospital’s electronic health records on patients with diagnoses of ischemic heart disease, hypertension, diabetes, cancer, and chronic obstructive pulmonary disease, using relevant ICD-10 codes. Results Compared to the corresponding time span in the pre-pandemic period, the number of hospital admissions of patients with selected five NCDs significantly decreased during the pandemic, with an official start in Turkey on March 11, 2020. Number of total-, out-patient-, and in-patient admissions of NCD patients were significantly lower in the pandemic period compared to the expected values in time series analysis, controlling for patient characteristics, and seasonality. Conclusions Study findings suggest that there has been a prominent impediment in NCD patients’ access to, and/or use of health care services over the pandemic, which might evolve to higher admission rates, severity and fatality of such patients in the upcoming years. Further studies are warranted for confirmation of our findings in other care settings, with individual-based data on care compensation through settings other than regular admission sites (if any), and/or the reasons for under-use of services.

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The Impact of COVID-19 on Hospital Admissions for Twelve High-Burden Diseases and Five Common Procedures in the Philippines: A National Health Insurance Database Study 2019-2020

Cited by 23 publications

References 21 publications

Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic

Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic

Access to Surgical Treatment for Breast Cancer in the Philippines

Variations in Hospital Admissions of Non-Communicable Disease Patients Before and During The COVID-19 Pandemic (A Tertiary Care Setting, January 2018–June 2021)

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