Factors Associated with the Patient’s Decision to Avoid Healthcare during the COVID-19 Pandemic

The COVID-19 pandemic has resulted in changes in healthcare use. This study aimed to identify factors associated with a patient’s decision to avoid and/or delay healthcare during the COVID-19 pandemic. We used data from a community-based survey in Portugal from July 2020 to August 2021, “COVID-19 Barometer: Social Opinion”, which included data regarding health services use, risk perception and confidence in health services. We framed our analysis under Andersen’s Behavioural Model of Health Services Use and utilised Poisson regression to identify healthcare avoidance associated factors. Healthcare avoidance was high (44%). Higher prevalence of healthcare avoidance was found among women; participants who reported lower confidence in the healthcare system response to COVID-19 and non-COVID-19; lost income during the pandemic; experienced negative emotions due to physical distancing measures; answered the questionnaire before middle June 2021; and perceived having worse health, the measures implemented by the Government as inadequate, the information conveyed as unclear and confusing, a higher risk of getting COVID-19, a higher risk of complications and a higher risk of getting infected in a health institution. It is crucial to reassure the population that health services are safe. Health services should plan their recovery since delays in healthcare delivery can lead to increased or worsening morbidity, yielding economic and societal costs.

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Abstract A78: Factors associated with screening mammography in Asian Americans: Test of the Andersen's Behavioral Model of Health Services Use

10.1158/1538-7755.disp13-a78 ◽

2014 ◽

Author(s):

ThuyQuynh Ngoc Do ◽

M. Kristen Peek

Keyword(s):

Health Services ◽

Asian Americans ◽

Behavioral Model ◽

Screening Mammography ◽

Health Services Use ◽

Factors Associated ◽

Andersen’S Behavioral Model ◽

Services Use

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Factors associated with the health care cost in older Australian women with arthritis: an application of the Andersen's Behavioural Model of Health Services Use

Public Health ◽

10.1016/j.puhe.2015.11.018 ◽

2016 ◽

Vol 134 ◽

pp. 64-71 ◽

Cited By ~ 6

Author(s):

T.K.T. Lo ◽

L. Parkinson ◽

M. Cunich ◽

J. Byles

Keyword(s):

Health Care ◽

Health Services ◽

Health Care Cost ◽

Health Services Use ◽

Factors Associated ◽

Behavioural Model ◽

Services Use

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Health services use in the Department of Veterans Affairs among returning Iraq War and Afghan War Veterans with PTSD

PsycEXTRA Dataset ◽

10.1037/e577802011-002 ◽

2011 ◽

Author(s):

Brian Shiner

Keyword(s):

Health Services ◽

Iraq War ◽

Veterans Affairs ◽

Department Of Veterans Affairs ◽

Health Services Use ◽

War Veterans ◽

Services Use

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Faculty Opinions recommendation of Postoperative disposition and health services use in elderly patients undergoing colorectal cancer surgery: a population-based study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.9401966.10036070 ◽

2011 ◽

Author(s):

Noelle LoConte

Keyword(s):

Colorectal Cancer ◽

Health Services ◽

Elderly Patients ◽

Population Based ◽

Cancer Surgery ◽

Health Services Use ◽

Colorectal Cancer Surgery ◽

Population Based Study ◽

Services Use

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Association of Care Coordination Experience and Health Services Use with Main Provider Type for Children with Inflammatory Bowel Disease

The Journal of Pediatrics ◽

10.1016/j.jpeds.2021.03.013 ◽

2021 ◽

Author(s):

Neal A. deJong ◽

Marie Wofford ◽

Paula H. Song ◽

Michael D. Kappelman

Keyword(s):

Inflammatory Bowel Disease ◽

Health Services ◽

Care Coordination ◽

Bowel Disease ◽

Provider Type ◽

Health Services Use ◽

Inflammatory Bowel ◽

Services Use

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Health Services Use and Health Outcomes among Informal Economy Workers Compared with Formal Economy Workers: A Systematic Review and Meta-Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063189 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3189

Author(s):

Nisha Naicker ◽

Frank Pega ◽

David Rees ◽

Spo Kgalamono ◽

Tanusha Singh

Keyword(s):

Occupational Health ◽

Health Services ◽

Informal Economy ◽

Odds Ratio ◽

Health Services Use ◽

Quality Of Evidence ◽

Formal Economy ◽

Relative Differences ◽

Services Use

Background: There are approximately two billion workers in the informal economy globally. Compared to workers in the formal economy, these workers are often marginalised with minimal or no benefits from occupational health and safety regulations, labour laws, social protection and/or health care. Thus, informal economy workers may have higher occupational health risks compared to their formal counterparts. Our objective was to systematically review and meta-analyse evidence on relative differences (or inequalities) in health services use and health outcomes among informal economy workers, compared with formal economy workers. Methods: We searched PubMed and EMBASE in March 2020 for studies published in 1999–2020. The eligible population was informal economy workers. The comparator was formal economy workers. The eligible outcomes were general and occupational health services use, fatal and non-fatal occupational injuries, HIV, tuberculosis, musculoskeletal disorders, depression, noise-induced hearing loss and respiratory infections. Two authors independently screened records, extracted data, assessed risk of bias with RoB-SPEO, and assessed quality of evidence with GRADE. Inverse variance meta-analyses were conducted with random effects. Results: Twelve studies with 1,637,297 participants from seven countries in four WHO regions (Africa, Americas, Eastern Mediterranean and Western Pacific) were included. Compared with formal economy workers, informal economy workers were found to be less likely to use any health services (odds ratio 0.89, 95% confidence interval 0.85–0.94, four studies, 195,667 participants, I2 89%, low quality of evidence) and more likely to have depression (odds ratio 5.02, 95% confidence interval 2.72–9.27, three studies, 26,260 participants, I2 87%, low quality of evidence). We are very uncertain about the other outcomes (very-low quality of evidence). Conclusion: Informal economy workers may be less likely than formal economy workers to use any health services and more likely to have depression. The evidence is uncertain for relative differences in the other eligible outcomes. Further research is warranted to strengthen the current body of evidence and needed to improve population health and reduce health inequalities among workers.

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