ArticleHealth policy (Amsterdam, Netherlands)2021
Beyond COVID-19: a cross-sectional study in Italy exploring the covid collateral impacts on healthcare services.
Article in Health policy (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 41 citations in OpenAlex.
- Assessment of knowledge, attitudes and behaviors related to self-medication practices among the adult population during the COVID-19 pandemic in Italy.Scientific reports · 2025Article
- Italian healthcare professionals' role in advancing reforms within the Italian National Healthcare System, as outlined in the National Recovery and Resilience Plan.Frontiers in public health · 2025Article
- Human neuroinvasive Toscana virus infections in Italy from 2016 to 2023: Increased incidence in 2022 and 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025Article
- Access to healthcare services for people with non-communicable diseases during the COVID-19 pandemic in Ibadan, Nigeria: a qualitative study.BMC health services research · 2023Article
- Inability to get needed health care during the COVID-19 pandemic among a nationally representative, diverse population of U.S. adults with and without chronic conditions.BMC public health · 2023Article
- An association between individual's risk perceptions and delayed or foregone healthcare services during the COVID-19 pandemic in Korea.BMC health services research · 2023Article
- Changes in glycemic control and body weight over the course of the COVID 19 pandemic in an outpatient setting.Journal of diabetes and metabolic disorders · 2023Article
- Commentary: Coronavirus Disease 2019 Worry and Related Factors: Turkish Adaptation and Psychometric Properties of the Coronavirus Disease 2019 Worry Scale.Alpha psychiatry · 2023Article
- Implications of the COVID-19 pandemic in monitoring health and cardiovascular diseases: survey study.Revista da Escola de Enfermagem da U S P · 2023Article
- The perceived effects of COVID-19 while living with a chronic illness.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023Article
- Comparison of Clinical Features, Complete Blood Count Parameters, and Outcomes between Two Distinct Waves of COVID-19: A Monocentric Report from Italy.Healthcare (Basel, Switzerland) · 2022Article
- Assessment of Perceived Health Status and Access to Health Service during the COVID-19 Pandemic: Cross-Sectional Survey in Italy.Vaccines · 2022Article
- Exploring the Relationship between COVID-19 Vaccine Refusal and Belief in Fake News and Conspiracy Theories: A Nationwide Cross-Sectional Study in Italy.International journal of environmental research and public health · 2022Article
- The perception of professionals and users of the quality of care and respect for human rights in four outpatient care facilities of an Italian hospital during the Covid-19 pandemic.Journal of public health research · 2022Article
- Knowledge and beliefs about vaccination in pregnant women before and during the COVID-19 pandemic.Frontiers in public health · 2022Article
- An assessment of treatment, transport, and refusal incidence in a National EMS's routine work during COVID-19.The American journal of emergency medicine · 2021Article
- The Impact of COVID-19 on Hospital Admissions in Croatia.Frontiers in public health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
With COVID-19, populations are facing unmet health needs due to fear of contagion, lockdown measures and overload of Healthcare services (HCS). The COCOS study aimed to investigate reduced healthcare access among Italian citizens, additionally looking for specific subgroups that will primarily need health services in the next future. A cross-sectional online survey was performed during the Italian lockdown between April and May 2020. Descriptive, univariable and multivariable (logistic regression models) analyses were performed: results are expressed as Odd Ratios and Adjusted Odd Ratios (ORs and AdjORs). Totally, 1,515 questionnaires were collected. Median age was 42 years (IQR 23), 65.6% were females. Around 21.8% declared to suffer from chronic diseases. About 32.4% faced a delay of a scheduled Medical Service (MS) by provider decision, 13.2% refused to access scheduled MS for the fear of contagion, and 6.5% avoided HCS even if having an acute onset issue. Alarmingly, 1.5% avoided Emergency Department when in need and 5.0% took medications without consulting any physician: patients suffering from chronic conditions resulted to be more prone to self-medication (AdjOR [95% CI]: 2.16 [1.16-4.02]). This study demonstrated that indirect effects of COVID-19 are significant. Large groups of population suffered delays and interruptions of medical services, and the most vulnerable were the most affected. Immediate efforts are needed to reduce the backlog that HCSs incurred in.
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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.