ArticleRevue d'epidemiologie et de sante publique2021
[The impact of the COVID-19 pandemic on first-line primary care in southeastern France: Feedback on the implementation of a real-time monitoring system based on regional health insurance data].
Article in Revue d'epidemiologie et de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- Persistence of major socio-economic inequalities in childhood measles-mumps-rubella vaccination coverage and timeliness under vaccination mandates, France, 2015 to 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025Article
- Prolonged increase in psychotropic drug use among young women following the COVID-19 pandemic: a French nationwide retrospective study.BMC medicine · 2024Observational
- (De)Prescribing of proton pump inhibitors: what has changed in recent years? an observational regional study from the French health insurance database.BMC primary care · 2022Observational
- [Induced abortion and COVID-19 : What changed with the pandemic in 2020].Revue d'epidemiologie et de sante publique · 2022Article
- Perception of Tunisian Public Health Practitioners on the Role of Primary Health Care during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Impact of the 1st Wave of the COVID-19 Pandemic and Lockdown on In Utero Transfer Activity in the Paris Area, France.Journal of clinical medicine · 2022Article
- Impact of the COVID-19 pandemic and associated lockdown measures on the management, health, and behavior of the cystic fibrosis population in France during 2020 (MUCONFIN).Frontiers in public health · 2022Article
- Nationwide Initiation of Cardiovascular Risk Treatments During the COVID-19 Pandemic in France: Women on a Slippery Slope?Frontiers in cardiovascular medicine · 2022Article
- Perception of Health, Mistrust, Anxiety, and Indecision in a Group of Italians Vaccinated against COVID-19.Vaccines · 2021Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStarting in spring 2020, the COVID-19 pandemic markedly impacted the French healthcare system. Lockdown and risks of exposure to the coronavirus induced patients to modify their ways of use. The objective of this article was to share feedback on the implementation of a real-time monitoring system concerning (a) the activity of private practitioners in southeastern France, and (b) the evolution of reimbursements for drugs prescribed to persons with diabetes, for treatment of mental health disorders, and for performance of some vaccines.
methodsData regarding 2019 and 2020 were extracted from regional health insurance databases. They were used to elaborate several indicators relative to the general health insurance scheme, which were calculated and updated each week, starting with week 2.
resultsWe observed a drop in private physician activity during the lockdown (-23% for general practitioners; -46% for specialist doctors), followed by a return to a semblance of normalcy. Concomitantly, a boom in teleconsultations occurred: at the height of the crisis they represented 30% of medical acts. The initial stage of the lockdown was characterized by peak provisioning for drugs, whereas vaccination strongly declined (-39% regarding measles, mumps and rubella vaccine among children aged less than 5 years; -54% regarding human papillomavirus vaccine among girls aged 10 to 14 years).
conclusionThe COVID-19 pandemic could lead to health effects other than those directly attributable to the coronavirus itself. Renouncing care may result in healthcare delays highly deleterious for people and society. Public authorities are preoccupied with these questions; they have set up action plans aimed at encouraging patients to seek treatment without delay. That said, the COVID-19 pandemic crisis has also created opportunities, such as the expansion of telemedicine. Although partial, these indicators can provide useful information enabling public decision makers to be reactive and to implement specific actions to meet the health needs of the population.
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