ArticleEuropean geriatric medicine2021
Older adults report cancellation or avoidance of medical care during the COVID-19 pandemic: results from the Longitudinal Aging Study Amsterdam.
Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed.
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- The effect of age-specific stay-at-home recommendation on healthcare utilization: Evidence from Finland's COVID-19 policy.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Community stakeholders' perspectives on supporting the well-being of older adults: a focus group study on lessons learned during the COVID-19 pandemic.BMC public health · 2026Article
- Healthcare renunciation among Italian older adults during the COVID-19 pandemic: insights from the PASSI d'Argento surveillance system.European journal of public health · 2025Article
- The hidden crisis: classifying unmet healthcare needs in European older adults during COVID-19.European journal of ageing · 2025Article
- The Longitudinal Aging Study Amsterdam: design and cohort update 2025.European journal of epidemiology · 2025Article
- Perceptions of healthcare access among Lithuanians aged 65 and over during the COVID-19 pandemic.Frontiers in public health · 2025Article
- Assessing Telemedicine Demand and Viability in Indonesian Geriatric Clinics: A Comprehensive HOT FIT and Sociotechnical AnalysisCurrent aging science · 2025Article
- Community antibiotic consumption in the European Union/European economic area: late-pandemic rebound and seasonality analysis.Archives of public health = Archives belges de sante publique · 2024Article
- Impact of post-COVID-19 changes in outpatient chronic patients' healthcare-seeking behaviors on medical utilization and health outcomes.Health economics review · 2024Article
- Social inequalities in medical appointment cancellations and reschedulings at the onset of the COVID-19 epidemic in France.European journal of public health · 2024Article
- Factors associated with delay or avoidance of medical care during the COVID-19 pandemic in Armenia: results from a nationwide survey.BMC health services research · 2024Article
- Why to test for dementia: perspectives of patients, significant others and general practitioners.Age and ageing · 2024Article
- The impact of the COVID-19 pandemic on clinical staging, pathological staging and surgical management of breast cancer patients.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024Article
- The Impact of Unmet Healthcare Needs on the Perceived Health Status of Older Europeans During COVID-19.International journal of public health · 2024Article
- A Comparative Study of the Impact of the Covid-19 Pandemic on Mental Health, Healthcare Access, and Pain Levels of Patients with Chronic Pain from Spring 2020 to Spring 2021.Risk management and healthcare policy · 2024Article
- Health care barriers and perceived mental health among adults in Canada during the COVID-19 pandemic: a population-based cross-sectional study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Shifts in ophthalmic care utilization during the COVID-19 pandemic in the US.Communications medicine · 2023Article
- The role of primary care during the pandemic: shared experiences from providers in five European countries.BMC health services research · 2023Article
- Parent-Reported Child and Parent Quality of Life during COVID-19 Testing at an Australian Paediatric Hospital Outpatient Clinic: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
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Abstract
purposeDelay of routine medical care during the COVID-19 pandemic may have serious consequences for the health and functioning of older adults. The aim of this study was to investigate whether older adults reported cancellation or avoidance of medical care during the first months of the COVID-19 pandemic, and to explore associations with health and socio-demographic characteristics.
methodsCross-sectional data of 880 older adults aged ≥ 62 years (mean age 73.4 years, 50.3% female) were used from the COVID-19 questionnaire of the Longitudinal Aging Study Amsterdam, a cohort study among community-dwelling older adults in the Netherlands. Cancellation and avoidance of care were assessed by self-report, and covered questions on cancellation of primary care (general practitioner), cancellation of hospital outpatient care, and postponed help-seeking. Respondent characteristics included age, sex, educational level, loneliness, depression, anxiety, frailty, multimorbidity and information on quarantine.
results35% of the sample reported cancellations due to the COVID-19 situation, either initiated by the respondent (12%) or by healthcare professionals (29%). Postponed help-seeking was reported by 8% of the sample. Multimorbidity was associated with healthcare-initiated cancellations (primary care OR = 1.92, 95% CI = 1.09-3.50; hospital OR = 1.86, 95% CI = 1.28-2.74) and respondent-initiated hospital outpatient cancellations (OR = 2.02, 95% CI = 1.04-4.12). Depressive symptoms were associated with postponed help-seeking (OR = 1.15, 95% CI = 1.06-1.24).
conclusionAbout one third of the study sample reported cancellation or avoidance of medical care during the first months of the pandemic, and this was more common among those with multiple chronic conditions. How this impacts outcomes in the long term should be investigated in future research.
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