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

Frontiers in Health Services, Journal Year: 2023, Volume and Issue: 3

Published: June 23, 2023

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

Language: Английский

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Psychological Impact of COVID-19 in the Setting of Dentistry: A Review Article

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(23), P. 16216 - 16216

Published: Dec. 4, 2022

The worldwide pandemic has exposed healthcare professionals to a high risk of infection, exacerbating the situation uncertainty caused by COVID-19. objective this review was evaluate psychological impact COVID-19 on dental and their patients. A literature conducted using Medline-Pubmed, Web Science, Scopus databases, excluding systematic reviews, narratives, meta-analyses, case reports, book chapters, short communications, congress papers. modified version Newcastle-Ottawa Scale (NOS) used quality selected studies. search retrieved 3879 articles, 123 these were for (7 longitudinal 116 cross-sectional studies). Elevated anxiety levels observed in professionals, especially younger female professionals. Except orthodontic treatments, patients reported level fear that reduced demand dentist treatment emergency cases alone. results suggest had emotional consequences Further research is necessary persistence problem over time.

Language: Английский

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Breastfeeding disparities and recommended strategies to end them in New York

Preventive Medicine Reports, Journal Year: 2024, Volume and Issue: 47, P. 102881 - 102881

Published: Sept. 6, 2024

Language: Английский

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Delay in Cutaneous Squamous Cell Carcinoma Diagnosis Due to Interrupted Services Is Associated with Worse Prognoses and Modified Surgical Approaches

Cancers, Journal Year: 2024, Volume and Issue: 16(8), P. 1469 - 1469

Published: April 11, 2024

The delayed diagnosis of skin tumors is associated with a worsened prognosis. impact the interruption clinical and surgical health services during COVID-19 pandemic lockdowns has been documented among many pathologies. diagnoses on patients cutaneous squamous cell carcinomas (cSCCs) poorly defined. To compare patient lesion characteristics management excised cSCCs prior to shutdown (2018-2019) phase following pandemic's second wave (2021-2022). An observational, single-center, cross-sectional study 416 surgically over course two years was performed. Only histologically confirmed cSCC were enrolled. Data collection included demographics characteristics, time surgery, approach, histological data. More lesions (n = 312 vs. n 186). Lesions significantly larger (1.7 ± 1.2 2.1 1.5 cm; p 0.006) more invasive (52% 89%; < 0.001), in period 2021-2022. Surgical reconstructive techniques different (p 0.001). Metastatic involvement three subjects (one 2018-2019 2021-2022). There no significant differences surgery or characteristics. Multivariable regression analysis identified 4.7-times higher risk tumor invasion (OR 4.69, 95%CI 2.55-8.16, two-times chance dermo-epidermal grafts 2.06, 1.09-3.88, 0.025), 3.2-times positive margins 3.21, 1.44-7.17, 0.004). Diagnostic delays SCCs reduced access diagnostic are increased severe invasion, three-times margins, management, compared pre-pandemic period. Comparable cohort remained unchanged.

Language: Английский

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Social inequalities in medical appointment cancellations and reschedulings at the onset of the COVID-19 epidemic in France

European Journal of Public Health, Journal Year: 2024, Volume and Issue: 34(4), P. 652 - 659

Published: June 27, 2024

Abstract Inconsistent results are found regarding social inequalities related to healthcare appointment cancellations during the COVID-19 crisis. Whether rescheduling was associated with status is unknown. By studying both and rescheduling, we comprehensively describe which groups were affected by care disruption. First follow-up of a random population-based cohort used, including 95 118 people aged 18 or older at baseline who live in France. Poisson multinomial regressions used study factors experiencing medical cancellation health professionals first lockdown, within six months. Among all individuals (including those without scheduled appointment), 21.1% reported initiated professionals. Women, richest, chronic disease most these cancellations. Although 78.1% had their cancelled obtained new months, 6.6% failed reschedule 15.2% did not want reschedule. While oldest more likely reschedule, regardless status, poorest multiple diseases less do so. Difficulties revealed certain ultimately penalized restriction access wave pandemic. Given that people, group poorer condition compared other groups, affected, our raise questions about ability system reduce major

Language: Английский

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