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Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak

Efforts to control the spread of the novel Coronavirus (COVID-19) pandemic include drastic measures such as isolation, social distancing, and lockdown. These restrictions are accompanied by serious adverse consequences such as forgoing of healthcare. The study aimed to assess the prevalence and corr...

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Detalles Bibliográficos
Autores principales: Werner, Perla, Tur-Sinai, Aviad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608289/
https://www.ncbi.nlm.nih.gov/pubmed/34807948
http://dx.doi.org/10.1371/journal.pone.0260399
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author Werner, Perla
Tur-Sinai, Aviad
author_facet Werner, Perla
Tur-Sinai, Aviad
author_sort Werner, Perla
collection PubMed
description Efforts to control the spread of the novel Coronavirus (COVID-19) pandemic include drastic measures such as isolation, social distancing, and lockdown. These restrictions are accompanied by serious adverse consequences such as forgoing of healthcare. The study aimed to assess the prevalence and correlates of forgone care for a variety of healthcare services during a two-month COVID-19 lockdown, using Andersen’s Behavioral Model of Healthcare Utilization. A cross-sectional study using computerized phone interviews was conducted with 302 Israeli Jewish participants aged 40 and above. Almost half of the participants (49%) reported a delay in seeking help for at least one needed healthcare service during the COVID-19 lockdown period. Among the predisposing factors, we found that participants aged 60+, being more religious, and reporting higher levels of COVID-19 fear were more likely to report forgone care than younger, less religious and less concerned participants. Among need factors, a statistically significant association was found with a reported diagnosis of diabetes, with participants with the disease having a considerably higher likelihood of forgone care. The findings stress the importance of developing interventions aimed at mitigating the phenomenon of forgoing care while creating nonconventional ways of consuming healthcare services. In the short term, healthcare services need to adapt to the social distancing and isolation measures required to stanch the epidemic. In the long term, policymakers should consider alternative ways of delivering healthcare services to the public regularly and during crisis without losing sight of their budgetary consequences. They must recognize the possibility of having to align medical staff to the changing demand for healthcare services under conditions of health uncertainty.
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spelling pubmed-86082892021-11-23 Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak Werner, Perla Tur-Sinai, Aviad PLoS One Research Article Efforts to control the spread of the novel Coronavirus (COVID-19) pandemic include drastic measures such as isolation, social distancing, and lockdown. These restrictions are accompanied by serious adverse consequences such as forgoing of healthcare. The study aimed to assess the prevalence and correlates of forgone care for a variety of healthcare services during a two-month COVID-19 lockdown, using Andersen’s Behavioral Model of Healthcare Utilization. A cross-sectional study using computerized phone interviews was conducted with 302 Israeli Jewish participants aged 40 and above. Almost half of the participants (49%) reported a delay in seeking help for at least one needed healthcare service during the COVID-19 lockdown period. Among the predisposing factors, we found that participants aged 60+, being more religious, and reporting higher levels of COVID-19 fear were more likely to report forgone care than younger, less religious and less concerned participants. Among need factors, a statistically significant association was found with a reported diagnosis of diabetes, with participants with the disease having a considerably higher likelihood of forgone care. The findings stress the importance of developing interventions aimed at mitigating the phenomenon of forgoing care while creating nonconventional ways of consuming healthcare services. In the short term, healthcare services need to adapt to the social distancing and isolation measures required to stanch the epidemic. In the long term, policymakers should consider alternative ways of delivering healthcare services to the public regularly and during crisis without losing sight of their budgetary consequences. They must recognize the possibility of having to align medical staff to the changing demand for healthcare services under conditions of health uncertainty. Public Library of Science 2021-11-22 /pmc/articles/PMC8608289/ /pubmed/34807948 http://dx.doi.org/10.1371/journal.pone.0260399 Text en © 2021 Werner, Tur-Sinai https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Werner, Perla
Tur-Sinai, Aviad
Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak
title Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak
title_full Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak
title_fullStr Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak
title_full_unstemmed Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak
title_short Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak
title_sort prevalence and correlates of forgone care among adult israeli jews: a survey conducted during the covid-19 outbreak
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608289/
https://www.ncbi.nlm.nih.gov/pubmed/34807948
http://dx.doi.org/10.1371/journal.pone.0260399
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