ArticleArchives of public health = Archives belges de sante publique2021
Factors influencing access and utilization of health services among older people during the COVID - 19 pandemic: a scoping review.
Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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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
32 citing papers in PubMed, 63 citations in OpenAlex.
- Dynamics of healthcare inequalities in type 2 diabetes mellitus across the COVID-19 pandemic: a real-world population-based study.BMC health services research · 2026Observational
- Impact of Covid-19 on the incidence and severity of odontogenic infections in Fiji islands: a multicenter hospital-based retrospective study.BMC oral health · 2025Article
- Trends in outpatient healthcare visits among adults aged 50 years and older in 27 European countries: analysis of population-based survey data, 2004-2022.The Lancet regional health. Europe · 2025Article
- Digital, Personalized Clinical Trials Among Older Adults, Lessons Learned From the COVID-19 Pandemic, and Directions for the Future: Aggregated Feasibility Data From Three Trials Among Older Adults.Journal of medical Internet research · 2025Article
- Factors Affecting the Utilization of Preventive Health Services by Middle-Aged Population: A Scoping Review.Iranian journal of public health · 2025Review
- Adaptation and Psychometric Assessment of the Turkish Version of the Perceived Access to Health Care Questionnaire: Validity and Reliability Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Balanced patient assignment to healthcare centres through dispatching rules.Health systems (Basingstoke, England) · 2025Article
- Barriers and enablers to primary health care center access for older people in Lebanon: A qualitative inquiry.PloS one · 2025Article
- Perceptions of healthcare access among Lithuanians aged 65 and over during the COVID-19 pandemic.Frontiers in public health · 2025Article
- A scoping review of barriers to accessing aged care services for older adults from culturally and linguistically diverse communities in Australia.BMC geriatrics · 2024Article
- Can an online battery match in-person cognitive testing in providing information about age-related cortical morphology?Brain imaging and behavior · 2024Article
- Factors impacting hospitalisation and related health service costs in cancer survivors in Australia: Results from a population data linkage study in Queensland (COS-Q).Cancer medicine · 2024Article
- Technical efficiency and its determinants in health service delivery of public health centers in East Wollega Zone, Oromia Regional State, Ethiopia: Two-stage data envelope analysis.BMC health services research · 2024Article
- Oral Health Service Use in Older Peruvians Before and During the COVID-19 Pandemic.International dental journal · 2024Article
- Older Adults' Continuance Intentions for Online Physical Exercise Classes.Behavioral sciences (Basel, Switzerland) · 2024Article
- Development of an evidence-informed governance and stewardship framework for elderly healthcare in Iran: A qualitative study.Heliyon · 2024Article
- "I was afraid to go to the hospital": A qualitative analysis and ethical implications of the impacts of COVID-19 on the health and medical care of older adults in Ethiopia.SAGE open medicine · 2024Article
- Factors influencing utilization of healthcare services for internal migrant older adults in Xuzhou, China: based on Anderson's model.Frontiers in public health · 2024Article
- Health and well-being of the Portuguese citizens: impacts of the COVID-19.Journal of patient-reported outcomes · 2023Article
- Clostridium tetani Infection in a Geriatric Patient: Do Not Let Your Guard Off!Annals of geriatric medicine and research · 2023Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to healthcare and service utilization are both considered essential factors for improving the general health and wellbeing of older people, especially at the time of COVID-19 pandemic. The aim of the study is to explore factors affecting healthcare access and health service utilization for older people during the pandemic.
methodsPubMed, Web of Science, Scopus and Embase were systematically searched for relevant articles. Access, utilization, health, elderly and COVID-19 were used as keywords in the search strategy. A total of 4308 articles were identified through the initial database search; 50 articles were included in the review as passing the eligibility criteria. The searches were conducted up to August 2021. Data extraction was performed, and evidence was descriptively illustrated. Thematic analysis was used to explore factors influencing the elderly's access and utilization of healthcare services, using Max QDA
resultsAmong articles included in the review (n = 50), a majority of the studies were from the United States (36%), followed by India (8%). According to the main healthcare services, a large number of articles (18%) were related to mental health services, followed by digital health services (16%). Factors were identified at an individual, provider and systems level. Seven main themes emerged from the thematic analysis, as determinants of elderly's access and utilization of healthcare services during COVID-19 pandemic. These included: access to non-COVID related services, access to COVID-related services, literacy and education, accommodation challenges, perceived attitudes of aging, and policies and structures, and social determinants.
conclusionMental health and digital health services were identified as major issues influencing or contributing to or influencing older people's health during the COVID-19 pandemic. We also argue on the importance of a rounded view, as attention to a range of factors is vital for policy decisions towards sustainable care and equitable interventions for improving the health of older people.
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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.