Evidence map›Paper›PMID 35162772›Full record

ArticleInternational journal of environmental research and public health2022

Changes in Access to Health Services during the COVID-19 Pandemic: A Scoping Review.

Georgina Pujolar, Aida Oliver-Anglès, Ingrid Vargas, María-Luisa Vázquez

Abstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

155 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Patient Engagement Using Telemedicine in Primary Care during COVID-19 Pandemic: A Trial Study.International journal of environmental research and public health · 2022
    Trial
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  12. Barriers to Long COVID Care in the U.S.: An Application of Levesque et al.'s Access Framework.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  13. Observational
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95 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Georgina PujolarHealth Policy Research Unit (SEPPS), Consorci de Salut i Social de Catalunya, 08022 Barcelona, Spain.ORCID 0000-0003-2088-6024
Aida Oliver-AnglèsHealth Policy Research Unit (SEPPS), Consorci de Salut i Social de Catalunya, 08022 Barcelona, Spain.ORCID 0000-0003-3195-028X
Ingrid VargasHealth Policy Research Unit (SEPPS), Consorci de Salut i Social de Catalunya, 08022 Barcelona, Spain.ORCID 0000-0002-1778-2411
María-Luisa VázquezHealth Policy Research Unit (SEPPS), Consorci de Salut i Social de Catalunya, 08022 Barcelona, Spain.ORCID 0000-0002-6091-8193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic and the measures adopted are having a profound impact on a major goal of public healthcare systems: universal access to health services. The objective is to synthesize the available knowledge on access to health care for non-COVID-19 conditions and to identify knowledge gaps. A scoping review was conducted searching different databases (Medline, Google Scholar, etc.) for original articles published between December 2019 and September 2021. A total of 53 articles were selected and analyzed using the Aday and Andersen framework as a guide. Of these, 37 analyzed changes in levels of use of health services, 15 focused on the influencing factors and barriers to access, and 1 studied both aspects. Most focused on specific diseases and the early stages of the pandemic, based on a review of records. Analyses of the impact on primary care services' use, unmet needs or inequalities in access were scarce. A generalized reduction in the use of health services was described. The most frequent access barrier described for non-COVID-19 conditions related to the services was a lack of resources, while barriers related to the population were predisposing (fear of contagion, stigma, or anticipating barriers) and enabling characteristics (worse socioeconomic status and an increase in technological barriers). In conclusion, our results show a general reduction in services' use in the early stages of the pandemic, as well as new barriers to access and the exacerbation of existing ones. In view of these results, more studies are required on the subsequent stages of the pandemic, to shed more light on the factors that have influenced access and the pandemic's impact on equity of access.

Indexed as

COVID-19Health ServicesHealth Services AccessibilityHumansPandemicsSARS-CoV-2COVID-19delivery of health carehealth care inequalitieshealth services’ accessibility

Identifiers

PMID35162772
PMCPMC8834942

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.