ArticleInternational journal of environmental research and public health2021
COVID-19 and Unmet Healthcare Needs of Older People: Did Inequity Arise in Europe?
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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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.
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.
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Who cites it
21 citing papers in PubMed, 49 citations in OpenAlex.
- Factors Associated with Unmet Healthcare Needs in Serbia Before and During the COVID-19 Pandemic: Analysis Based on EU-SILC Data.Healthcare (Basel, Switzerland) · 2026Article
- Internet-based healthcare services use patterns and barriers among middle-aged and older adults in China: a cross-sectional study.BMC public health · 2025Article
- Post COVID-19 waitlist reduction in a memory disorder clinic.Frontiers in health services · 2025Article
- Perceptions of healthcare access among Lithuanians aged 65 and over during the COVID-19 pandemic.Frontiers in public health · 2025Article
- Utilization of Health Care Services and Accessibility Challenges among Adults Aged 50+ before and after Austerity Measures across 27 European Countries: Secular Trends in the SHARE Study from 2004/05 to 2019/20.Healthcare (Basel, Switzerland) · 2024Article
- Procedure Prioritization During a Nationwide Ban on Non-Urgent Healthcare: A Quasi-Experimental Retrospective Study of Hospital Data in Switzerland.Health services insights · 2024Article
- Navigating Uncertainty: Experiences of Older Adults in Wuhan during the 76-Day COVID-19 Lockdown.Healthcare (Basel, Switzerland) · 2023Article
- Unmet Health Care Needs of the Older Population in European Countries Based on Indicators Available in the Eurostat Database.Healthcare (Basel, Switzerland) · 2023Article
- Healthcare service disruption in 14 Latin American and Caribbean countries during the COVID-19 pandemic: Analysis of household phone surveys, 2020-2021.Journal of global health · 2023Article
- Article
- Frailty and the impacts of the COVID-19 pandemic on community-living middle-aged and older adults: an analysis of data from the Canadian Longitudinal Study on Aging (CLSA).Age and ageing · 2022Article
- Perceived deterioration in health status among older adults in Europe and Israel following the first wave of the COVID-19 pandemic.European journal of ageing · 2022Article
- Caring for Older People during and beyond the COVID-19 Pandemic: Experiences of Residential Health Care Workers.International journal of environmental research and public health · 2022Article
- Older Adults' Access to Care during the COVID-19 Pandemic: Results from the LOckdown and LifeSTyles (LOST) in Lombardia Project.International journal of environmental research and public health · 2022Article
- Meeting the Need for a Discussion of Unmet Medical Need.Healthcare (Basel, Switzerland) · 2022Article
- Older Europeans' experience of unmet health care during the COVID-19 pandemic (first wave).BMC health services research · 2022Article
- Poverty in old age in times of COVID-19-Empirical results from Austria.Frontiers in public health · 2022Article
- Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study.Frontiers in public health · 2022Article
- The Use of Medical and Non-Medical Services by Older Inpatients from Emergency vs. Chronic Departments, during the SARS-CoV-2 Pandemic in Poland.Healthcare (Basel, Switzerland) · 2021Article
- The Mediating Role of Social Support on Unmet Healthcare Needs in Vietnamese Older People During the COVID-19.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe disruption in healthcare provision due to the COVID-19 pandemic forced many non-urgent medical treatments and appointments to be postponed or denied, which is expected to have huge impact on non-acute health conditions, especially in vulnerable populations such as older people. Attention should be paid to equity issues related to unmet needs during the pandemic.
methodsWe calculated concentration indices to identify income-related inequalities and horizontal inequity in unmet needs due to postponed and denied healthcare in people over 50 during COVID-19, using data from the Survey on Health, Ageing and Retirement in Europe (SHARE).
resultsVery few countries show significant income-related inequalities in postponed, rescheduled or denied treatments and medical appointments, usually favouring the rich. Only Estonia, Italy and Romania show a significant horizontal inequity (HI) in postponed healthcare, which apparently favours the poor. Significant pro-rich inequity in denied healthcare is found in Italy, Poland and Greece.
conclusionsAlthough important income-related horizontal inequity in unmet needs of European older adults during the early waves of the COVID-19 pandemic is not evident for most countries, some of them have to carefully monitor barriers to healthcare access. Delays in diagnosis and treatments may ultimately translate into adverse health outcomes, reduced quality of life and, even, widen socio-economic health inequalities among older people.
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What OpenQuestion holds
Registered trials
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.