Evidence map›Paper›PMID 33580268›Full record

ReviewBundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz2021

["I better stay at home…"-health system decisions to support the use of routine healthcare during the COVID-19 pandemic].

Eva Maria Bitzer, Lena Ansmann, Madlen Hörold, Lisa Lyssenko, Christian Apfelbacher

Open access · hybridAbstract readReview
In one paragraph

Review in Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. [Organizational health literacy in German hospitals and nursing homes: state and perspectives].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  2. Article
  3. Article
  4. [Non-utilisation of medical services during the COVID-19 pandemic among persons with chronic diseases].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Eva Maria BitzerInstitut für Alltagskultur und Bewegung und Gesundheit, Fachrichtung: Public Health & Health Education, Pädagogische Hochschule Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland. evamaria.bitzer@ph-freiburg.de.
Lena AnsmannFakultät VI Medizin und Gesundheitswissenschaften, Organisationsbezogene Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Oldenburg, Deutschland.
Madlen HöroldMedizinische Fakultät, Institut für Sozialmedizin und Gesundheitssystemforschung, Otto-von-Guericke-Universität Magdeburg, Magdeburg, Deutschland.
Lisa LyssenkoInstitut für Alltagskultur und Bewegung und Gesundheit, Fachrichtung: Public Health & Health Education, Pädagogische Hochschule Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland.
Christian ApfelbacherMedizinische Fakultät, Institut für Sozialmedizin und Gesundheitssystemforschung, Otto-von-Guericke-Universität Magdeburg, Magdeburg, Deutschland.
Otto-von-Guericke University Magdeburg · DEUniversity of Education Freiburg · DECarl von Ossietzky Universität Oldenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, sharp disruptions of healthcare utilization for noncommunicable diseases were observed to some extent because of people's fear of infection. We undertook a review of German healthcare institutions asking: To what extent were people supported in their decisions (not) to seek medical care for health problems other than COVID-19?

methodsContent analysis of the websites of the members of the Association of Scientific Medical Societies (AWMF; n = 179), the association of statutory (dental) health insurance physicians (K(Z)Vs; n = 38), selected health insurances (n = 21), selected healthcare institutions (n = 25), and supraregional health information providers (n = 5) for information and offers that address people with noncommunicable diseases.

resultsThe examined websites provide information about COVID-19, but only rarely about how to behave in the case of another (suspected) disease regarding healthcare utilization. Two health information provider portals, one health insurance company, but none of the KVs offer explicit decision support. KVs refer more often, but not consistently, to the general possibility of video consulting. DISCUSSION: Information concerning the topic is scarce for most of the patients. In the face of the ongoing pandemic, it is important to expand existing, trustworthy, high-quality information and advisory capacities to increase their profile in order to enable health-literate decisions even during a pandemic.

Indexed as

COVID-19PandemicsDelivery of Health CareGermanyHumansSARS-CoV-2Decision supportHealthcare systemHealth informationHealth literacyHealth-literate healthcare

Identifiers

PMID33580268
PMCPMC7880208
OpenAlexW3128471158

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.