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The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population

BACKGROUND: The distribution of health care resources during a pandemic is challenging. The aim of the study was to describe the use of health care in a representative sample of the Swiss population during the SARS-CoV-2 pandemic in 2020, and to compare it to data from a survey conducted in 2018. ME...

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Autores principales: Giezendanner, Stéphanie, Fischer, Roland, Diaz Hernandez, Laura, Zeller, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091147/
https://www.ncbi.nlm.nih.gov/pubmed/33941109
http://dx.doi.org/10.1186/s12889-021-10854-1
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author Giezendanner, Stéphanie
Fischer, Roland
Diaz Hernandez, Laura
Zeller, Andreas
author_facet Giezendanner, Stéphanie
Fischer, Roland
Diaz Hernandez, Laura
Zeller, Andreas
author_sort Giezendanner, Stéphanie
collection PubMed
description BACKGROUND: The distribution of health care resources during a pandemic is challenging. The aim of the study was to describe the use of health care in a representative sample of the Swiss population during the SARS-CoV-2 pandemic in 2020, and to compare it to data from a survey conducted in 2018. METHODS: We conducted an observational, population-based, nationwide, repeated cross-sectional survey of the adult Swiss general population in 2018 and in March and April 2020 during the first wave of the SARS-CoV-2 pandemic. Recruitment and data acquisition was conducted by the Link Institute in Lucerne in representative samples of Swiss citizens in 2020 and in 2018. Variables of interest were estimates of health problems, health seeking behaviour, medication and health care use in the population. RESULTS: In total, we included data of 1980 individuals (in 2018 N = 958 and in 2020 N = 1022). Across both rounds of data collection the median age was 46 years (range = 18–79 years) and 50% were women. Per 1000 adults, half had at least one symptom and a quarter sought medical advice across both surveys. The most frequently consulted health providers in 2020 were general practitioners (GP) (180/1000), specialist physicians (41/1000), pharmacies (38/1000), the internet (26/1000) and accident and emergency units (25/1000). Compared to 2018, we noted a significant increase in the use of health providers during the pandemic, which was independent of demographic variables for the following health care providers: use of internet (OR = 9.8), pharmacy (OR = 2.64), accident and emergency units (OR = 2.54), and a significant decrease in the number of people who consulted specialist physicians (OR = 0.46). Overall, 76/1000 contacted their GP in relation to COVID-19. CONCLUSIONS: Compared to 2018, GPs remained the most important source of medical advice for the population during the first wave of the COVID-19 pandemic in Switzerland. While the self-appraisal of health problems and of the need for medical advice remained constant, individuals seemed to change their provider choice during the pandemic, with an increased utilisation of accident and emergency units and pharmacies, which represent easily accessible and low-threshold medical services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10854-1.
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spelling pubmed-80911472021-05-03 The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population Giezendanner, Stéphanie Fischer, Roland Diaz Hernandez, Laura Zeller, Andreas BMC Public Health Research Article BACKGROUND: The distribution of health care resources during a pandemic is challenging. The aim of the study was to describe the use of health care in a representative sample of the Swiss population during the SARS-CoV-2 pandemic in 2020, and to compare it to data from a survey conducted in 2018. METHODS: We conducted an observational, population-based, nationwide, repeated cross-sectional survey of the adult Swiss general population in 2018 and in March and April 2020 during the first wave of the SARS-CoV-2 pandemic. Recruitment and data acquisition was conducted by the Link Institute in Lucerne in representative samples of Swiss citizens in 2020 and in 2018. Variables of interest were estimates of health problems, health seeking behaviour, medication and health care use in the population. RESULTS: In total, we included data of 1980 individuals (in 2018 N = 958 and in 2020 N = 1022). Across both rounds of data collection the median age was 46 years (range = 18–79 years) and 50% were women. Per 1000 adults, half had at least one symptom and a quarter sought medical advice across both surveys. The most frequently consulted health providers in 2020 were general practitioners (GP) (180/1000), specialist physicians (41/1000), pharmacies (38/1000), the internet (26/1000) and accident and emergency units (25/1000). Compared to 2018, we noted a significant increase in the use of health providers during the pandemic, which was independent of demographic variables for the following health care providers: use of internet (OR = 9.8), pharmacy (OR = 2.64), accident and emergency units (OR = 2.54), and a significant decrease in the number of people who consulted specialist physicians (OR = 0.46). Overall, 76/1000 contacted their GP in relation to COVID-19. CONCLUSIONS: Compared to 2018, GPs remained the most important source of medical advice for the population during the first wave of the COVID-19 pandemic in Switzerland. While the self-appraisal of health problems and of the need for medical advice remained constant, individuals seemed to change their provider choice during the pandemic, with an increased utilisation of accident and emergency units and pharmacies, which represent easily accessible and low-threshold medical services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10854-1. BioMed Central 2021-05-03 /pmc/articles/PMC8091147/ /pubmed/33941109 http://dx.doi.org/10.1186/s12889-021-10854-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Giezendanner, Stéphanie
Fischer, Roland
Diaz Hernandez, Laura
Zeller, Andreas
The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population
title The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population
title_full The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population
title_fullStr The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population
title_full_unstemmed The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population
title_short The use of health care during the SARS-CoV-2 pandemic: repeated cross-sectional survey of the adult Swiss general population
title_sort use of health care during the sars-cov-2 pandemic: repeated cross-sectional survey of the adult swiss general population
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091147/
https://www.ncbi.nlm.nih.gov/pubmed/33941109
http://dx.doi.org/10.1186/s12889-021-10854-1
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