ArticleBMC health services research2021
Aging through the time of COVID-19: a survey of self-reported healthcare access.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Association Between State Opioid Prescribing Policies and the COVID-19 Pandemic and Hospital and Emergency Department Discharge Opioid Prescription in Injured Patients.Trauma surgery & acute care open · 2026Article
- Healthcare access satisfaction before and during the COVID-19 pandemic among Peruvian children with down syndrome.BMC pediatrics · 2025Article
- Observational
- Healthcare Outcomes of Patients and Antecedents via Teleophthalmology in Eastern Taiwan during COVID-19.Healthcare (Basel, Switzerland) · 2024Article
- Demographic, social, and clinical aspects associated with access to COVID-19 health care in Pará province, Brazilian Amazon.Scientific reports · 2024Observational
- Enhancing Telehealth Competency: Development and Evaluation of Education Modules for Older Adults.OTJR : occupation, participation and health · 2023Article
- Delayed Medical Care of Underserved Middle-Aged and Older African Americans with Chronic Disease during COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- Factors Associated with Telehealth Utilization among Older African Americans in South Los Angeles during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Loneliness, social isolation, and social support in older adults with active cancer during the COVID-19 pandemic.Journal of geriatric oncology · 2022Article
- Health care access of thyroid disease patients in Serbia during the COVID-19 pandemic.Journal of endocrinological investigation · 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
- "I Should Not Have to Teach My Providers": Identifying Challenges Associated with LGBTQ Aging.Journal of gerontological social workArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic conditions are common and require ongoing continuous management and preventive measures. The COVID-19 pandemic may have affected the management of chronic conditions by delaying care. We sought to understand the impact of personal characteristics (i.e., age) and healthcare factors (i.e., access to a provider) on healthcare access in a sample of Americans 50 years of age or older during COVID-19.
methodParticipants completed an online survey at the start of the COVID-19 pandemic - the Aging in the Time of COVID Survey. Questions focused on health status, health care access, COVID-19 fear, and social connectedness. Participants were recruited through social media advertisements, list serves, and snowball sampling. Data collection started in early April 2020 and concluded in late May 2020. Logistic regression models examined the results of two key access points: healthcare provider/doctor (n = 481) and medication (n = 765), with 56 and 93% of participants reporting access to a provider and medications, respectively.
resultsIndividuals with an established primary care provider were much more likely to obtain access to a healthcare provider, OR = 3.81 (95% CI: 1.69, 8.77), and to receive medication, OR = 4.48 (95% CI: 1.61, 11.48), during the time of COVID-19. In addition, access to medication was (a) higher for those who were older, OR = 1.05 (95% CI: 1.01, 1.09), had a higher income (greater than 100 k compared to less than 50 k, OR = 3.04 (95% CI: 1.11, 8.98), and (b) lower for those having caregiving responsibilities, OR = 0.41 (95% CI: 0.21, 0.78), or greater social isolation, OR = 0.93 (95% CI: 0.87, 0.98).
conclusionsAlthough most participants had access to medication, just over half had access to a healthcare provider when needed. Notably, health-seeking behaviors for individuals who do not have an established primary care providers as well as those who provide unpaid care, are socially isolated, and younger may require more proactive approaches to care monitoring, management, and maintenance.
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