Postponed healthcare in The Netherlands during the COVID-19 pandemic and its impact on self-reported health

BACKGROUND: Healthcare services have been seriously disrupted during the COVID-19 pandemic. The aim of this study was to examine the extent to which Dutch citizens have experienced postponed healthcare and how this affected their self-reported health. In addition, individual characteristics that were associated with experiencing postponed healthcare and with self-reported negative health effects were investigated. METHODS: An online survey about postponed healthcare and its consequences was developed, and sent out to participants of the Dutch LISS (Longitudinal Internet Studies for the Social... Mehr ...

Verfasser: Visscher, Kirsten
Kouwenberg, Lisanne H.J.A.
Oosterhoff, Marije
Rotteveel, Adriënne H.
de Wit, G. Ardine
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Reihe/Periodikum: Visscher , K , Kouwenberg , L H J A , Oosterhoff , M , Rotteveel , A H & de Wit , G A 2023 , ' Postponed healthcare in The Netherlands during the COVID-19 pandemic and its impact on self-reported health ' , Frontiers in Health Services , vol. 3 , 1181532 , pp. 1-10 . https://doi.org/10.3389/frhs.2023.1181532
Schlagwörter: COVID-19 / dental care / health effects / hospital care / paramedical care / postponement of healthcare / primary care / survey
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26845427
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://research.vu.nl/en/publications/f0b023db-3cb9-40f6-bc06-7f61c911f290

BACKGROUND: Healthcare services have been seriously disrupted during the COVID-19 pandemic. The aim of this study was to examine the extent to which Dutch citizens have experienced postponed healthcare and how this affected their self-reported health. In addition, individual characteristics that were associated with experiencing postponed healthcare and with self-reported negative health effects were investigated. METHODS: An online survey about postponed healthcare and its consequences was developed, and sent out to participants of the Dutch LISS (Longitudinal Internet Studies for the Social Sciences) panel ( n = 2.043). Data were collected in August 2022. Multivariable logistic regression analyses were carried out to explore characteristics associated with postponed care and self-reported negative health outcomes. RESULTS: Of the total population surveyed, 31% of the panel experienced postponed healthcare, either initiated by the healthcare provider (14%), on their own initiative (12%) or as a combination of both (5%). Postponed healthcare was associated with being female (OR = 1.61; 95% CI = 1.32; 1.96), presence of chronic diseases (OR = 1.55, 95% CI = 1.24; 1.95), high income (OR = 0.62, 95% CI = 0.48; 0.80) and worse self-reported health (poor vs. excellent OR = 2.88, 95% CI = 1.17; 7.11). Overall, 40% experienced temporary or permanent self-reported negative health effects due to postponed care. Negative health effects as a result of postponed care were associated with presence of chronic conditions and low income levels ( p < 0.05). More respondents with worse self-reported health and foregone healthcare reported permanent health effects as compared to those with temporary health effects ( p < 0.05). DISCUSSION: People with an impaired health status are most likely to experiencing postponed healthcare and negative health consequences as a result. Furthermore, those with negative health consequences decided to forego health by themselves more often. As part of long-term plans to maintain the ...