ArticleInternational journal of environmental research and public health2021
Factors Associated with the Patient's Decision to Avoid Healthcare during the COVID-19 Pandemic.
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 31 papers.
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Who cites it
31 citing papers in PubMed.
- Impact of the COVID-19 Pandemic on Lung Cancer Screening and Diagnosis: A Systematic Review.Cancers · 2026Review
- Out-of-pocket health expenditures and financial protection in Türkiye: pre-pandemic (2019) and COVID-19 era (2022) microdata.BMC health services research · 2026Article
- Prescription patterns of inhaler medications from 2017 to 2023: A retrospective study using Ontario administrative healthcare data.PloS one · 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
- Mental health and catastrophic health expenditures in conflict-affected regions of Colombia before and during COVID-19: an inequalities perspective.International journal for equity in health · 2025Article
- Changes in Risk Tolerance for Ovarian Cancer Prevention Strategies during the COVID-19 Pandemic: Results of a Discrete Choice Experiment.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Article
- Impact of post-COVID-19 changes in outpatient chronic patients' healthcare-seeking behaviors on medical utilization and health outcomes.Health economics review · 2024Article
- Consequences of delaying non-urgent surgeries during COVID-19: a population-based retrospective cohort study in Alberta, Canada.BMJ open · 2024Article
- Public Perceptions of the Australian Health System During COVID-19: Findings From a 2021 Survey Compared to Four Previous Surveys.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- The impact of hospital saturation on non-COVID-19 hospital mortality during the pandemic in France: a national population-based cohort study.BMC public health · 2024Article
- Patterns and determinants of healthcare utilization and medication use before and during the COVID-19 crisis in Afghanistan, Bangladesh, and India.BMC health services research · 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
- Related Factors of Syphilis Positive Rate in Blood Donors During the COVID-19 Epidemic.International journal of general medicine · 2024Article
- Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study.International journal of circumpolar health · 2023Article
- The impact of the covid-19 outbreak on unmet health care needs in istanbul.Preventive medicine reports · 2023Article
- Measuring efficiency of public hospitals under the impact of Covid-19: the case of Türkiye.Cost effectiveness and resource allocation : C/E · 2023Article
- What are the factors affecting older adults' experience of unmet healthcare needs amid the COVID-19 pandemic in Korea?BMC geriatrics · 2023Article
- An association between individual's risk perceptions and delayed or foregone healthcare services during the COVID-19 pandemic in Korea.BMC health services research · 2023Article
- Self-reported delays in care-seeking in West Africa during the first wave of the COVID-19 pandemic.BMC health services research · 2023Article
- Mental Health and Well-Being of Migrant Populations in Portugal Two Years after the COVID-19 Pandemic.Behavioral sciences (Basel, Switzerland) · 2023Article
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Authors and funding
11 authors.
Funding
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Abstract
The COVID-19 pandemic has resulted in changes in healthcare use. This study aimed to identify factors associated with a patient's decision to avoid and/or delay healthcare during the COVID-19 pandemic. We used data from a community-based survey in Portugal from July 2020 to August 2021, "COVID-19 Barometer: Social Opinion", which included data regarding health services use, risk perception and confidence in health services. We framed our analysis under Andersen's Behavioural Model of Health Services Use and utilised Poisson regression to identify healthcare avoidance associated factors. Healthcare avoidance was high (44%). Higher prevalence of healthcare avoidance was found among women; participants who reported lower confidence in the healthcare system response to COVID-19 and non-COVID-19; lost income during the pandemic; experienced negative emotions due to physical distancing measures; answered the questionnaire before middle June 2021; and perceived having worse health, the measures implemented by the Government as inadequate, the information conveyed as unclear and confusing, a higher risk of getting COVID-19, a higher risk of complications and a higher risk of getting infected in a health institution. It is crucial to reassure the population that health services are safe. Health services should plan their recovery since delays in healthcare delivery can lead to increased or worsening morbidity, yielding economic and societal costs.
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