2021
DOI: 10.1016/j.ypmed.2021.106696
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Vulnerable patients forgo health care during the first wave of the Covid-19 pandemic

Abstract: During the first wave of the Covid-19 pandemic, access to health care was limited, and patients encountered important delays for scheduled appointments and care. Empirical data relying on patients' reports of forgoing health care are scarce. This study investigated Covid-19-related self-reports of forgoing health care in a sample of vulnerable outpatients in Geneva, Switzerland. We collected data from 1167 adult outpatients, including clinically vulnerable patients (with chronic diseases), geriatric patients (… Show more

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Cited by 35 publications
(32 citation statements)
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“…Similar results were also found in other studies conducted in Italy (Lugli et al, 2020) and other countries (Baggio et al, 2021) during the first wave of the COVID-19 pandemic. Postponing healthcare interventions can have negative consequences on patients' health, such as complications, hospitalisation and death (Baggio et al, 2021;Lugli et al, 2020) and therefore healthcare services should be organised to allow regular checks to be carried out safely.…”
Section: Discussionsupporting
confidence: 91%
“…Similar results were also found in other studies conducted in Italy (Lugli et al, 2020) and other countries (Baggio et al, 2021) during the first wave of the COVID-19 pandemic. Postponing healthcare interventions can have negative consequences on patients' health, such as complications, hospitalisation and death (Baggio et al, 2021;Lugli et al, 2020) and therefore healthcare services should be organised to allow regular checks to be carried out safely.…”
Section: Discussionsupporting
confidence: 91%
“…Patient factors, such as fear of COVID-19 exposure, were also contributing factors, which is consistent with some prior studies. [7][8][9][10][11] Our estimate for forgone medical care during the pandemic was lower than the estimate from prior work (40.9%). 7 There may be multiple explanations for this discrepancy in findings, for example, differences in the timing of measurement (eg, right after the onset of the pandemic or later), study population (eg, adults or older adults), and questions asked (eg, forgone medical care overall or forgone medical care because of COVID-19).…”
Section: Jama Health Forum | Original Investigationcontrasting
confidence: 86%
“…Patient factors, such as fear of COVID-19 exposure, were also contributing factors, which is consistent with some prior studies. 7 , 8 , 9 , 10 , 11 …”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Policy makers and healthcare practitioners should give special consideration to the care for vulnerable populations that consistently reported lack of access to needed care over time, such as persons with disabilities or certain chronic conditions, due to their increased chance of experiencing adverse or long-term health consequences from delayed care. Timely receipt of needed care may reduce later utilization of hospital resources and emergency services ( Baggio et al., 2021 ), as the rates of potentially avoidable hospitalizations and emergency department visits are usually higher among underserved individuals with access barriers ( Tang et al., 2010 ; Moy, Chang, & Barrett, 2013 ). Implementation of measures to minimize pandemic-induced and long-standing access barriers among disparate subpopulations should be considered in alternative care delivery models.…”
Section: Discussionmentioning
confidence: 99%