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Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

We aimed to determine how COVID-19 affected the number and type of pediatric primary care visits in April 2020, compared to April 2019, and which characteristics were associated with obtaining care in 2020. We performed a retrospective chart review of patients receiving care in April 2019 and April...

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Autores principales: Brown, Callie L., Montez, Kimberly, Amati, Jane Blakely, Simeonsson, Kristina, Townsend, John D., Orr, Colin J., Palakshappa, Deepak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199093/
https://www.ncbi.nlm.nih.gov/pubmed/34071783
http://dx.doi.org/10.3390/ijerph18115734
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author Brown, Callie L.
Montez, Kimberly
Amati, Jane Blakely
Simeonsson, Kristina
Townsend, John D.
Orr, Colin J.
Palakshappa, Deepak
author_facet Brown, Callie L.
Montez, Kimberly
Amati, Jane Blakely
Simeonsson, Kristina
Townsend, John D.
Orr, Colin J.
Palakshappa, Deepak
author_sort Brown, Callie L.
collection PubMed
description We aimed to determine how COVID-19 affected the number and type of pediatric primary care visits in April 2020, compared to April 2019, and which characteristics were associated with obtaining care in 2020. We performed a retrospective chart review of patients receiving care in April 2019 and April 2020 from four large, academic institutions across two states. The subjects were included if they were aged 0–18 years and were seen in a pediatric clinic in April 2019 or April 2020. We extracted the number of visits, visit type, and visit diagnosis; and the patient characteristics, including age, race/ethnicity, and insurance status. Logistic regression analysis identified characteristics associated with obtaining care in April 2020. We included 120,230 visits. Participants were 50% white and half had Medicaid. In 2020 there were significantly fewer visits for both well and acute visits with 42,670 visits in 2020 compared to 77,560 in 2019; 6616 were telehealth visits in 2020. Visits for chronic conditions were significantly decreased in 2020. Attending a visit in 2020 was more likely if the participant was black or Hispanic, younger, attending an acute visit, or had private insurance. During the COVID-19 pandemic, pediatric primary care decreased substantially for both well visits and follow-up of chronic conditions.
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spelling pubmed-81990932021-06-14 Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas Brown, Callie L. Montez, Kimberly Amati, Jane Blakely Simeonsson, Kristina Townsend, John D. Orr, Colin J. Palakshappa, Deepak Int J Environ Res Public Health Brief Report We aimed to determine how COVID-19 affected the number and type of pediatric primary care visits in April 2020, compared to April 2019, and which characteristics were associated with obtaining care in 2020. We performed a retrospective chart review of patients receiving care in April 2019 and April 2020 from four large, academic institutions across two states. The subjects were included if they were aged 0–18 years and were seen in a pediatric clinic in April 2019 or April 2020. We extracted the number of visits, visit type, and visit diagnosis; and the patient characteristics, including age, race/ethnicity, and insurance status. Logistic regression analysis identified characteristics associated with obtaining care in April 2020. We included 120,230 visits. Participants were 50% white and half had Medicaid. In 2020 there were significantly fewer visits for both well and acute visits with 42,670 visits in 2020 compared to 77,560 in 2019; 6616 were telehealth visits in 2020. Visits for chronic conditions were significantly decreased in 2020. Attending a visit in 2020 was more likely if the participant was black or Hispanic, younger, attending an acute visit, or had private insurance. During the COVID-19 pandemic, pediatric primary care decreased substantially for both well visits and follow-up of chronic conditions. MDPI 2021-05-27 /pmc/articles/PMC8199093/ /pubmed/34071783 http://dx.doi.org/10.3390/ijerph18115734 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Brown, Callie L.
Montez, Kimberly
Amati, Jane Blakely
Simeonsson, Kristina
Townsend, John D.
Orr, Colin J.
Palakshappa, Deepak
Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas
title Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas
title_full Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas
title_fullStr Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas
title_full_unstemmed Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas
title_short Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas
title_sort impact of covid-19 on pediatric primary care visits at four academic institutions in the carolinas
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199093/
https://www.ncbi.nlm.nih.gov/pubmed/34071783
http://dx.doi.org/10.3390/ijerph18115734
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