ArticleAcademic pediatrics
Trends in Pediatric Primary Care Visits During the Coronavirus Disease of 2019 Pandemic.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Access and use of general and mental health services before and during the COVID-19 pandemic: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- Increased Pediatric Head and Neck Abscesses Following the COVID-19 Pandemic.The Laryngoscope · 2026Article
- Gaps in Routine Childhood Immunization Among Low-Income Children at 24 Months (2019-2024).AJPM focus · 2026Article
- Association of 9-Valent HPV Vaccination with Risk of Juvenile Idiopathic Arthritis: A Sex-Stratified Real-World Study.Vaccines · 2026Article
- Personal variation in the palatability and side effects of liquid clindamycin among children.Pediatric research · 2026Article
- Primary Care Telemedicine vs In-Person Antibiotic Prescribing for Pediatric Respiratory Tract Infections.JAMA network open · 2026Article
- A retrospective study of pediatric rheumatology referrals reveals large discrepancies in referring providers' musculoskeletal exams.Pediatric rheumatology online journal · 2026Article
- Impact of COVID-19 Pandemic on Pediatrics Primary Healthcare Visits in a University Based Family and Community Medicine Center in Saudi Arabia.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2026Article
- Pandemic and post-pandemic shifts in onset and severity of pediatric nephrotic syndrome: a comparative cohort analysis.Frontiers in immunology · 2026Article
- Parent Preferences for Acute Respiratory Tract Infection Care.JAMA network open · 2025Article
- Association between Unmet Social Need and Ambulatory Quality of Care for US Children.Academic pediatrics · 2025Article
- Geospatial Disparities in Youth Sexually Transmitted Infections During COVID-19.American journal of preventive medicine · 2024Article
- Impact of the COVID-19 Pandemic on Childhood Lead Testing and Blood Lead Levels.Academic pediatrics · 2024Article
- Impact of the COVID-19 era on preventative primary care for children 0-5 years old: a scoping review protocol.Systematic reviews · 2024Article
- Impact of COVID-19 on the Pediatric Primary Care Model in Catalonia: Analysis of Changes in the Number and Type of Face-to-Face and Remote Visits.JMIR pediatrics and parenting · 2024Article
- Antibiotic Receipt for Pediatric Telemedicine Visits With Primary Care vs Direct-to-Consumer Vendors.JAMA network open · 2024Article
- Parent Perceptions of Telemedicine for Acute Pediatric Respiratory Tract Infections: Sequential Mixed Methods Study.JMIR pediatrics and parenting · 2024Article
- Care Delivery in Community Health Centers Before, During, and After the COVID-19 Pandemic (2019-2022).Journal of the American Board of Family Medicine : JABFM · 2024Article
- Incidence of Pediatric Urinary Tract Infections Before and During the COVID-19 Pandemic.JAMA network open · 2024Observational
- Impact of the COVID-19 Pandemic on Pediatric Preventive Health Care Among North Carolina Children Enrolled in Medicaid.Journal of the Pediatric Infectious Diseases Society · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveMonths after the declaration of the coronavirus disease of 2019 (COVID-19) national emergency, visits among children remained suppressed for unclear reasons, which we sought to understand by examining child visit rates.
methodsUsing de-identified claims data for children <18 years old from OptumLabs® Data Warehouse, a large commercial claims database, we compared monthly primary care visit and vaccination rates from January-October 2020 to January-October 2018 and 2019. Visit rates were analyzed by visit reason and by the month after (eg, month +1) the COVID-19 public health emergency declaration using a series of child-level Poisson regression models.
resultsThere were 3.4, 3.4, and 3.1 million children in 2018, 2019, and 2020 cohorts, respectively. Compared to the same months in prior years, primary care visits in 2020 were 60% lower in month +1 (incidence rate ratio [IRR] 0.40, 99% confidence interval [CI] 0.40-0.40) and 17% lower in month +7 (IRR 0.83, 99% CI 0.83-0.83). Preventive visit rates were 53% lower in month +1 (IRR 0.47, 99% CI 0.47-0.47), but 8% higher than prior years in month +7 (IRR 1.08, 99% CI 1.08-1.08). Monthly rates of vaccine administration followed a similar pattern. Problem-focused visits remained 31% lower in month +7 (IRR 0.69, 99% CI 0.68-0.69), with notably fewer infection-related visits (acute respiratory tract infections IRR 0.37, 99% CI 0.36-0.37; gastroenteritis IRR 0.20, 99% CI 0.20-0.20).
conclusionSeven months after the COVID-19 emergency declaration, receipt of pediatric care remained suppressed due to fewer problem-focused visits, with notably fewer infection-related visits. By October 2020, rates of preventive visits and vaccination exceeded rates in prior years.
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