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Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe
Sarah Aldridge,
Andrea E Schmidt 
,
Martin Thißen ,
Enrique Bernal-Delgado ,
Francisco Estupiñán-Romero ,
Javier González-Galindo ,
Lorenz Dolanski-Aghamanoukjan ,
Stefan Mathis-Edenhofer ,
Tamara Buble,
Klea Križ,
Jakov Vuković,
Luigi Palmieri ,
Brigid Unim ,
Iris Meulman ,
Rhiannon Owen ,
Ronan Lyons
,
Martin Thißen ,
Enrique Bernal-Delgado ,
Francisco Estupiñán-Romero ,
Javier González-Galindo ,
Lorenz Dolanski-Aghamanoukjan ,
Stefan Mathis-Edenhofer ,
Tamara Buble,
Klea Križ,
Jakov Vuković,
Luigi Palmieri ,
Brigid Unim ,
Iris Meulman ,
Rhiannon Owen ,
Ronan Lyons
European Journal of Public Health, Volume: 34, Issue: Supplement_1, Pages: i67 - i73
Swansea University Authors:
Sarah Aldridge, Rhiannon Owen , Ronan Lyons
-
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DOI (Published version): 10.1093/eurpub/ckad180
Abstract
Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healt...
| Published in: | European Journal of Public Health |
|---|---|
| ISSN: | 1101-1262 1464-360X |
| Published: |
Oxford University Press (OUP)
2024
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa65539 |
| first_indexed |
2024-01-30T11:59:41Z |
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2024-11-25T14:16:18Z |
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cronfa65539 |
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<?xml version="1.0"?><rfc1807><datestamp>2024-10-02T12:07:09.9796532</datestamp><bib-version>v2</bib-version><id>65539</id><entry>2024-01-30</entry><title>Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe</title><swanseaauthors><author><sid>a42ee8ba1ff8174d5bb62d2d95364b90</sid><firstname>Sarah</firstname><surname>Aldridge</surname><name>Sarah Aldridge</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>0d30aa00eef6528f763a1e1589f703ec</sid><ORCID>0000-0001-5977-376X</ORCID><firstname>Rhiannon</firstname><surname>Owen</surname><name>Rhiannon Owen</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>83efcf2a9dfcf8b55586999d3d152ac6</sid><ORCID>0000-0001-5225-000X</ORCID><firstname>Ronan</firstname><surname>Lyons</surname><name>Ronan Lyons</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-01-30</date><deptcode>MEDS</deptcode><abstract>Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healthcare services. Most extant studies focus on regional, disease specific or early pandemic HCU creating difficulties in comparing across multiple countries. We provide a comparatively broad definition of HCU across multiple countries, with potential to expand across regions and timeframes.Methods: Using a cross-country federated research infrastructure (FRI), we examined HCU for acute cardiovascular events, elective surgeries and serious trauma. Aggregated data was used in forecast modelling to identify changes from predicted European age standardised counts via fitted regressions (2017-2019), compared against post-pandemic data.Results: We found that elective surgeries were most affected, universally falling below predicted levels in 2020. For cardiovascular HCU, we found lower than expected cases in every region for heart attacks and displayed large sex differences. Serious trauma was the least impacted by the COVID-19 pandemic.Conclusion: The strength of this study comes from the use of the European Population Health Information Research Infrastructure’s (PHIRI) FRI, allowing for rapid analysis of regional differences to assess indirect impacts of events such as pandemics. There are marked differences in the capacity of services to return to normal in terms of elective surgery; additionally we found considerable differences between men and women which requires further research on potential sex or gender patterns of HCU during crises.</abstract><type>Journal Article</type><journal>European Journal of Public Health</journal><volume>34</volume><journalNumber>Supplement_1</journalNumber><paginationStart>i67</paginationStart><paginationEnd>i73</paginationEnd><publisher>Oxford University Press (OUP)</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1101-1262</issnPrint><issnElectronic>1464-360X</issnElectronic><keywords>COVID-19, Health care utilisation, European comparisons, Population health</keywords><publishedDay>1</publishedDay><publishedMonth>7</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-07-01</publishedDate><doi>10.1093/eurpub/ckad180</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>External research funder(s) paid the OA fee (includes OA grants disbursed by the Library)</apcterm><funders>This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317 – Population Health Information Research Infrastructure.</funders><projectreference>European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317</projectreference><lastEdited>2024-10-02T12:07:09.9796532</lastEdited><Created>2024-01-30T10:46:01.8276201</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Sarah</firstname><surname>Aldridge</surname><order>1</order></author><author><firstname>Andrea E</firstname><surname>Schmidt</surname><orcid>0000-0002-1408-321x</orcid><order>2</order></author><author><firstname>Martin</firstname><surname>Thißen</surname><orcid>0000-0002-5710-5650</orcid><order>3</order></author><author><firstname>Enrique</firstname><surname>Bernal-Delgado</surname><orcid>0000-0002-0961-3298</orcid><order>4</order></author><author><firstname>Francisco</firstname><surname>Estupiñán-Romero</surname><orcid>0000-0002-6285-8120</orcid><order>5</order></author><author><firstname>Javier</firstname><surname>González-Galindo</surname><orcid>0000-0002-8783-5478</orcid><order>6</order></author><author><firstname>Lorenz</firstname><surname>Dolanski-Aghamanoukjan</surname><orcid>0000-0002-7873-6152</orcid><order>7</order></author><author><firstname>Stefan</firstname><surname>Mathis-Edenhofer</surname><orcid>0000-0003-3092-9251</orcid><order>8</order></author><author><firstname>Tamara</firstname><surname>Buble</surname><order>9</order></author><author><firstname>Klea</firstname><surname>Križ</surname><order>10</order></author><author><firstname>Jakov</firstname><surname>Vuković</surname><order>11</order></author><author><firstname>Luigi</firstname><surname>Palmieri</surname><orcid>0000-0002-4298-2642</orcid><order>12</order></author><author><firstname>Brigid</firstname><surname>Unim</surname><orcid>0000-0002-6522-9098</orcid><order>13</order></author><author><firstname>Iris</firstname><surname>Meulman</surname><orcid>0000-0002-9916-1810</orcid><order>14</order></author><author><firstname>Rhiannon</firstname><surname>Owen</surname><orcid>0000-0001-5977-376X</orcid><order>15</order></author><author><firstname>Ronan</firstname><surname>Lyons</surname><orcid>0000-0001-5225-000X</orcid><order>16</order></author></authors><documents><document><filename>65539__31515__2d720e20c1704be2a74b36e7ee98fc4b.pdf</filename><originalFilename>65539.VoR.pdf</originalFilename><uploaded>2024-10-02T12:03:22.8811341</uploaded><type>Output</type><contentLength>1279536</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>Copyright: The Author(s) 2024. 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2024-10-02T12:07:09.9796532 v2 65539 2024-01-30 Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe a42ee8ba1ff8174d5bb62d2d95364b90 Sarah Aldridge Sarah Aldridge true false 0d30aa00eef6528f763a1e1589f703ec 0000-0001-5977-376X Rhiannon Owen Rhiannon Owen true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 2024-01-30 MEDS Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healthcare services. Most extant studies focus on regional, disease specific or early pandemic HCU creating difficulties in comparing across multiple countries. We provide a comparatively broad definition of HCU across multiple countries, with potential to expand across regions and timeframes.Methods: Using a cross-country federated research infrastructure (FRI), we examined HCU for acute cardiovascular events, elective surgeries and serious trauma. Aggregated data was used in forecast modelling to identify changes from predicted European age standardised counts via fitted regressions (2017-2019), compared against post-pandemic data.Results: We found that elective surgeries were most affected, universally falling below predicted levels in 2020. For cardiovascular HCU, we found lower than expected cases in every region for heart attacks and displayed large sex differences. Serious trauma was the least impacted by the COVID-19 pandemic.Conclusion: The strength of this study comes from the use of the European Population Health Information Research Infrastructure’s (PHIRI) FRI, allowing for rapid analysis of regional differences to assess indirect impacts of events such as pandemics. There are marked differences in the capacity of services to return to normal in terms of elective surgery; additionally we found considerable differences between men and women which requires further research on potential sex or gender patterns of HCU during crises. Journal Article European Journal of Public Health 34 Supplement_1 i67 i73 Oxford University Press (OUP) 1101-1262 1464-360X COVID-19, Health care utilisation, European comparisons, Population health 1 7 2024 2024-07-01 10.1093/eurpub/ckad180 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317 – Population Health Information Research Infrastructure. European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317 2024-10-02T12:07:09.9796532 2024-01-30T10:46:01.8276201 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Sarah Aldridge 1 Andrea E Schmidt 0000-0002-1408-321x 2 Martin Thißen 0000-0002-5710-5650 3 Enrique Bernal-Delgado 0000-0002-0961-3298 4 Francisco Estupiñán-Romero 0000-0002-6285-8120 5 Javier González-Galindo 0000-0002-8783-5478 6 Lorenz Dolanski-Aghamanoukjan 0000-0002-7873-6152 7 Stefan Mathis-Edenhofer 0000-0003-3092-9251 8 Tamara Buble 9 Klea Križ 10 Jakov Vuković 11 Luigi Palmieri 0000-0002-4298-2642 12 Brigid Unim 0000-0002-6522-9098 13 Iris Meulman 0000-0002-9916-1810 14 Rhiannon Owen 0000-0001-5977-376X 15 Ronan Lyons 0000-0001-5225-000X 16 65539__31515__2d720e20c1704be2a74b36e7ee98fc4b.pdf 65539.VoR.pdf 2024-10-02T12:03:22.8811341 Output 1279536 application/pdf Version of Record true Copyright: The Author(s) 2024. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. true eng https://creativecommons.org/licenses/by/4.0/), |
| title |
Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe |
| spellingShingle |
Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe Sarah Aldridge Rhiannon Owen Ronan Lyons |
| title_short |
Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe |
| title_full |
Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe |
| title_fullStr |
Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe |
| title_full_unstemmed |
Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe |
| title_sort |
Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilization? A retrospective analysis of six regions in Europe |
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a42ee8ba1ff8174d5bb62d2d95364b90 0d30aa00eef6528f763a1e1589f703ec 83efcf2a9dfcf8b55586999d3d152ac6 |
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a42ee8ba1ff8174d5bb62d2d95364b90_***_Sarah Aldridge 0d30aa00eef6528f763a1e1589f703ec_***_Rhiannon Owen 83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons |
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Sarah Aldridge Rhiannon Owen Ronan Lyons |
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Sarah Aldridge Andrea E Schmidt Martin Thißen Enrique Bernal-Delgado Francisco Estupiñán-Romero Javier González-Galindo Lorenz Dolanski-Aghamanoukjan Stefan Mathis-Edenhofer Tamara Buble Klea Križ Jakov Vuković Luigi Palmieri Brigid Unim Iris Meulman Rhiannon Owen Ronan Lyons |
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European Journal of Public Health |
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34 |
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10.1093/eurpub/ckad180 |
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Oxford University Press (OUP) |
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Faculty of Medicine, Health and Life Sciences |
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Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healthcare services. Most extant studies focus on regional, disease specific or early pandemic HCU creating difficulties in comparing across multiple countries. We provide a comparatively broad definition of HCU across multiple countries, with potential to expand across regions and timeframes.Methods: Using a cross-country federated research infrastructure (FRI), we examined HCU for acute cardiovascular events, elective surgeries and serious trauma. Aggregated data was used in forecast modelling to identify changes from predicted European age standardised counts via fitted regressions (2017-2019), compared against post-pandemic data.Results: We found that elective surgeries were most affected, universally falling below predicted levels in 2020. For cardiovascular HCU, we found lower than expected cases in every region for heart attacks and displayed large sex differences. Serious trauma was the least impacted by the COVID-19 pandemic.Conclusion: The strength of this study comes from the use of the European Population Health Information Research Infrastructure’s (PHIRI) FRI, allowing for rapid analysis of regional differences to assess indirect impacts of events such as pandemics. There are marked differences in the capacity of services to return to normal in terms of elective surgery; additionally we found considerable differences between men and women which requires further research on potential sex or gender patterns of HCU during crises. |
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2024-07-01T14:30:47Z |
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