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The impact of the COVID-19 pandemic in the healthcare utilization in Korea: Analysis of a nationwide survey

Cited 0 time in Web of Science Cited 15 time in Scopus
Authors

Kang, EunKyo; Yun, Jieun; Hwang, Soo-Hee; Lee, Hyejin; Lee, Jin Yong

Issue Date
2022-08
Publisher
Elsevier BV
Citation
Journal of Infection and Public Health, Vol.15 No.8, pp.915-921
Abstract
© 2022 The AuthorsBackground: COVID-19 has brought changes in daily life and increased the medical burden. This study aims to evaluate the delays in healthcare services and related factors in the general population during the COVID-19 pandemic. Methods: We took a nationally representative sample and conducted a mobile phone-based survey. The study was conducted anonymously. Of the 3377 subjects who consented to participate, a total of 2097 finished the survey. The primary outcome was respondents experiences with delayed (1) health screenings, (2) non-urgent medical visits, (3) medical visits for chronic disease, and (4) emergency visits during the COVID-19 pandemic. Results: Of 2097 respondents, females, residents of the Seoul metropolitan area, those with private insurance, those without chronic diseases, smokers, and drinkers had higher risk of delays in health screening and non-urgent medical visits after adjustment. Among chronic disease patients, those who were over 60 years old (adjusted odds ratio 0.36, 95% CI 0.14–0.92) showed lower risk of delayed medical visit. Residents of the Seoul metropolitan area, those with private insurance, smokers, and drinkers were all associated with experiencing delayed health screening and non-urgent medical visits had higher risk of delays in chronic disease visits and emergent medical visits. Conclusions: Delayed access to healthcare services is associated with poor outcomes and may cause different complications. Efforts are needed to prevent delays in medical use due to infectious diseases such as COVID-19. Considering the possibility of the emergence of infectious diseases, various countermeasures are needed to prevent delays in medical visit.
ISSN
1876-0341
URI
https://hdl.handle.net/10371/186195
DOI
https://doi.org/10.1016/j.jiph.2022.07.003
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