ArticleJournal of general internal medicine2022
Impact of COVID-19 on Primary Care Quality Measures in an Academic Integrated Health System.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of the impact of the COVID-19 pandemic on breast cancer screening and diagnosis.Breast (Edinburgh, Scotland) · 2023Pooled it
- Prevention, diagnosis and treatment of cervical cancer: A systematic review of the impact of COVID-19 on patient care.Preventive medicine · 2022Pooled it
- The Impact of COVID-19 on Cervical Cancer Screening in Primary Care.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Family physicians' perspectives on the impact of COVID-19 on preventative care in primary care: findings from a qualitative study.Family practice · 2024Article
- Community-Based Diabetes Awareness Strategy With Detection and Intervention: The Mobile Diabetes Education Center.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- Changes in reasons for visits to primary care after the start of the COVID-19 pandemic: An international comparative study by the International Consortium of Primary Care Big Data Researchers (INTRePID).PLOS global public health · 2024Article
- Health Outcomes for Older Patients with Chronic Diseases During the First Pandemic Year.Clinical interventions in aging · 2024Observational
- Influence of practice location on prescribing, diabetes care, and colorectal cancer screening among Czech general practitioners during the COVID-19 pandemic.Epidemiology and health · 2024Article
- The COVID-19 pandemic did not negatively impact frequency or continuity of outpatient care in Alberta, Canada.Scientific reports · 2023Article
- Article
- Experiences and Perceptions of Telehealth Visits in Diabetes Care During and After the COVID-19 Pandemic Among Adults With Type 2 Diabetes and Their Providers: Qualitative Study.JMIR diabetes · 2023Article
- Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner.The Canadian journal of cardiology · 2023Review
- Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic.JAMA health forum · 2023Article
- Virtual care and emergency department use.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Mpox and Sexually Transmitted Infection Testing in the Outpatient Primary Care Setting-Why LGBTQ Health Is Global Health.Journal of general internal medicine · 2023Article
- Frequency and Type of Outpatient Visits for Patients With Cardiovascular Ambulatory-Care Sensitive Conditions During the COVID-19 Pandemic and Subsequent Outcomes: A Retrospective Cohort Study.Journal of the American Heart Association · 2023Article
- The Impact of the COVID-19 Pandemic on Ethnic Minority Groups With Diabetes.Diabetes care · 2023Review
- Impact of Primary Care Attributes on Hospitalization During the COVID-19 Pandemic: A Nationwide Prospective Cohort Study in Japan.Annals of family medicineArticle
- Use of At-Home Medical Tests Among Older US Adults: A Nationally Representative Survey.Inquiry : a journal of medical care organization, provision and financingArticle
- COVID-19 Impacts on Primary Care Clinic Care Management Processes.Annals of family medicineArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to primary care was hindered by the coronavirus disease 2019 (COVID-19) pandemic.
objectiveEvaluate changes in health screening rates before and during the pandemic.
designRetrospective analysis of health maintenance and disease management screening rates among primary care patients before and during the pandemic.
participantsOver 150,000 patients of a large, academic health system. MAIN MEASURES: Six quality measures were analyzed: colon cancer, breast cancer, cervical cancer, diabetes Hgb A1C, diabetes eye, and diabetes nephropathy monitoring. Based on US Preventative Services Task Force screening guidelines, we determined which patients were due for at least one of the quality measures. We tracked completion rates during three time periods: pre-pandemic (January 1-March 3, 2020), stay-at-home (March 4-May 8, 2020), and phased reopening (May 9-July 8, 2020). Differences in quality measure completion rates were evaluated using mixed-effects logistic regression models. KEY
resultsCompared to pre-pandemic rates, completion of all health screenings declined during the stay-at-home period: mammograms (OR: 0.34; 95% CI: 0.31-0.37), cervical cancer (OR: 0.83; 95% CI: 0.76-0.91), colorectal cancer (OR: 0.25; 95% CI: 0.23-0.28), diabetes eye (OR: 0.34; 95% CI: 0.29-0.41), diabetes Hgb A1c (OR: 0.41; 95% CI: 0.37-0.46), and diabetes nephropathy (OR: 0.46, 95% CI: 0.41-0.53). During phased reopening, completion of all quality measures increased compared to the stay-at-home period, except for cervical cancer screening (OR: 0.83; 95% CI: 0.76-0.92). There was a persistent reduction in completion of all quality measures, except for diabetic nephropathy monitoring (OR: 0.99; 95% CI: 0.89-1.09), during phased reopening compared to pre-pandemic.
conclusionsHealthcare screening rates were reduced during the early part of the COVID-19 pandemic and did not fully recover to pre-pandemic rates by July 2020. Future research should aim to clarify the long-term impacts of delayed health screenings. New interventions should be considered for expanding remote preventative health services.
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