Usual source of primary care and preventive care measures in the COVID-19 pandemic: a nationwide cross-sectional study in Japan

Aoki, Takuya; Fujinuma, Yasuki; Matsushima, Masato

doi:10.1136/bmjopen-2021-057418

Cited by 8 publications

(13 citation statements)

References 22 publications

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“…In a Norwegian study [ 18 ], compared with the same period in 2019, the number of individuals seeking inpatient services for mental health declined from 16 to 7. Asian countries such as South Korea, Japan, and Australia, and the United States also found that the utilization of mental health services declined during the COVID-19 period [ 19 , 20 , 21 , 22 ]. This phenomenon may be the result of strict isolation measures and medical restrictions, which delayed patient admission plans.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Utilization of Inpatient Mental Health Services in Shanghai, China

Chen

Pan

et al. 2022

Healthcare

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(1) Purpose: The ongoing COVID-19 pandemic has had an impact on mental health and the utilization of hospital-based inpatient mental health care worldwide. The aim of this study was to determine the impact of this pandemic on the utilization of this service in Shanghai by comparison with hospital-based health care records during the preceding 4 years. (2) Methods: The medical records were provided by the Shanghai Municipal Health Insurance Bureau. Diagnostic coding was based on International Classification of Diseases-10th revision (ICD-10), and inpatients with codes from F00 to F99 were examined. (3) Results: Inpatients were compared according to gender, age, pandemic stage, and type of mental disease. Utilization of psychiatric inpatient care in Shanghai during each of the four stages of the pandemic (1 January 2016 to 21 January 2020; 22 January 2020 to 9 February 2020; 10 February 2020 to 1 March 2020; 2 March 2020 to 31 July 2020) was analyzed. Before the lockdown, the utilization of psychiatric inpatient care had an overall upward trend; after the lockdown, the number of inpatients dropped sharply; as of 31 July 2020, it has not been restored. The utilization of this service for most types of mental disease declined rapidly during the pandemic; for vascular dementia (VAD, F01), it was relatively steady. The observed number of inpatient patients was about 51.07% lower than the predicted number in 2020. (4) Conclusions: The COVID-19 pandemic led to the implementation of prevention and control measures that reduced the utilization of psychiatric inpatient care in Shanghai. The use of inpatient services for categories F20–F29 had the greatest decline, and VAD (F01) had the smallest change during the pandemic. This service consequence of COVID-19 is apparent; to assure access to adequate service during a pandemic, health care professionals should pay close attention to changes in the utilization of different mental health services.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Utilization of Inpatient Mental Health Services in Shanghai, China

Chen

Pan

et al. 2022

Healthcare

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“…The data for this study were sourced from the National Usual source of Care Survey (NUCS), which was conducted in May 2021 during the COVID-19 fourth wave in Japan. The NUCS was a nationwide mail survey that collected data on the USC, patient experience of primary care, healthcare utilisation, health conditions, health-related quality of life and sociodemographic characteristics of a representative sample of the Japanese adult population 7. One of the primary research objectives of the NUCS was to evaluate primary care access for COVID-19 consultation among residents who have a USC and to examine their associations with patient experience.…”

Section: Methodsmentioning

confidence: 99%

“…The NUCS was a nationwide mail survey that collected data on the USC, patient experience of primary care, healthcare utilisation, health conditions, health-related quality of life and sociodemographic characteristics of a representative sample of the Japanese adult population. 7 One of the primary research objectives of the NUCS was to evaluate primary care access for COVID-19 consultation among residents who have a USC and to examine their associations with patient experience. In the NUCS, a nationally representative panel in Japan, which was administered by the Nippon Research Center, was used to select potential participants.…”

Section: Methodsmentioning

confidence: 99%

“…Japanese primary care services are generally provided in both community clinics and outpatient departments of small-sized and medium-sized hospitals that are predominantly privately owned and managed 5. The Ministry of Health, Labour and Welfare has recommended that all individuals should have a USC voluntarily6 and former surveys have reported that approximately half of the Japanese adult residents had a USC 7 8. However, patient registration with primary care physicians has not been institutionalised.…”

Section: Introductionmentioning

confidence: 99%

“… 5 The Ministry of Health, Labour and Welfare has recommended that all individuals should have a USC voluntarily 6 and former surveys have reported that approximately half of the Japanese adult residents had a USC. 7 8 However, patient registration with primary care physicians has not been institutionalised.…”

Section: Introductionmentioning

confidence: 99%

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Patient experience of residents with restricted primary care access during the COVID-19 pandemic

Aoki

Fujinuma²,

Matsushima

2022

Fam Med Com Health

Self Cite

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ObjectivesTo evaluate primary care access for COVID-19 consultation among residents who have a usual source of care (USC) and to examine their associations with patient experience during the pandemic in Japan.DesignNationwide cross-sectional study.SettingJapanese general adult population.Participants1004 adult residents who have a USC.Main outcome measuresPatient experience assessed by the Japanese version of Primary Care Assessment Tool Short Form (JPCAT-SF).ResultsA total of 198 (19.7%) reported restricted primary care access for COVID-19 consultation despite having a USC. After adjustment for possible confounders, restricted primary care access for COVID-19 consultation was negatively associated with the JPCAT-SF total score (adjusted mean difference = −8.61, 95% CI −11.11 to −6.10). In addition, restricted primary care access was significantly associated with a decrease in all JPCAT-SF domain scores.ConclusionsApproximately one-fifth of adult residents who had a USC reported restricted primary care access for COVID-19 consultation during the pandemic in Japan. Our study also found that restricted primary care access for COVID-19 consultation was negatively associated with a wide range of patient experience including first contact. Material, financial and educational support to primary care facilities, the spread of telemedicine and the application of a patient registration system might be necessary to improve access to primary care during a pandemic.

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The relationship between having a usual source of primary care and COVID‐19 parental vaccine hesitancy: A nationwide survey among Japanese mothers

Kushibuchi

Tsuchida

et al. 2023

J of Gen and Family Med

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Background: Studies have shown that a usual source of care increases the receipt of child preventive care; however, the relationship between having a usual source of primary care and COVID-19 parental vaccine hesitancy has not been fully investigated.The aims of this study were to elucidate the characteristics of mothers with a primary care physician, and to explore the relationship between having a usual source of primary care and COVID-19 parental vaccine hesitancy among mothers in Japan. Method:This cross-sectional survey-based study included 4516 mothers. Using a chisquare test, the characteristics of mothers with and without a primary care physician were compared. Poisson regression was applied to evaluate the relationship between having a usual source of primary care and parental COVID-19 vaccine hesitancy.Results: Mothers with a usual source of primary care had higher education, lower mental distress, had younger children, and were less hesitant toward the child's COVID-19 vaccination. Vaccine hesitancy was observed in 39.8% of mothers with a usual source of primary care and 45.5% of those without. Poisson regression analysis showed that mothers with a primary care physician were less vaccine-hesitant (IRR = 0.90, 95% CI = 0.84-0.96) after adjusting for potential confounders. Conclusion:This study suggested that having a usual source of primary care may contribute to lower parental COVID-19 vaccine hesitancy. However, the high vaccine hesitancy rate, even among mothers with a usual source of primary care, warrants healthcare providers to be equipped to help parents make informed decisions about vaccination through the continuity of care.

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Usual source of primary care and preventive care measures in the COVID-19 pandemic: a nationwide cross-sectional study in Japan

Cited by 8 publications

References 22 publications

Impact of the COVID-19 Pandemic on Utilization of Inpatient Mental Health Services in Shanghai, China

Impact of the COVID-19 Pandemic on Utilization of Inpatient Mental Health Services in Shanghai, China

Patient experience of residents with restricted primary care access during the COVID-19 pandemic

The relationship between having a usual source of primary care and COVID‐19 parental vaccine hesitancy: A nationwide survey among Japanese mothers

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