Evidence map›Paper›PMID 36497964›Full record

ArticleInternational journal of environmental research and public health2022

Health Services Utilization in China during the COVID-19 Pandemic: Results from a Large-Scale Online Survey.

Xia Wei, Haowen Yuan, Yan Sun, Jiawei Zhang, Qingbo Wang, Yaqun Fu, Quan Wang, Li Sun, Li Yang

Abstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

9 authors.

Xia WeiSchool of Public Health, Peking University, Beijing 100191, China.
Haowen YuanSchool of Public Health, Peking University, Beijing 100191, China.
Yan SunSchool of Public Health, Peking University, Beijing 100191, China.ORCID 0000-0002-5711-9825
Jiawei ZhangSchool of Public Health, Peking University, Beijing 100191, China.
Qingbo WangSchool of Public Health, Peking University, Beijing 100191, China.
Yaqun FuSchool of Public Health, Peking University, Beijing 100191, China.ORCID 0000-0002-2606-477X
Quan WangSchool of Public Health, Peking University, Beijing 100191, China.ORCID 0000-0003-3501-9513
Li SunDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.ORCID 0000-0001-5569-7296
Li YangSchool of Public Health, Peking University, Beijing 100191, China.ORCID 0000-0003-0640-2003

Funding

Beijing Natural Science Foundation M22033Capital Health Research and Development of Special Fund 2021-1G-4091National Natural Science Foundation of China 72174010
6 · The paper itself

Abstract

Timely access to essential health services is a concern as COVID-19 continues. This study aimed to investigate health services utilization during the first wave of the pandemic in China. A cross-sectional online survey was conducted using a self-administrated questionnaire in March 2020. Descriptive statistics and logistic regression were used for data analysis. A total of 4744 respondents were included, with 52.00% reporting affected services utilization. Clinical testing (68.14%) and drug purchase (49.61%) were the most affected types. Higher education level, being married, chronic disease, frequently visiting a provincial medical institution, spending more time on pandemic-related information, perception of high-risk of infection, perception of large health impact of the pandemic, and anxiety/depression were significant predictors for reporting affected services utilization. For the 431 chronic disease respondents, 62.18% reported interruption, especially for drug purchase (58.58%). Affected health services utilization was reported during the first wave of the pandemic in China, especially for those with higher education level, chronic diseases, and COVID-19 related concerns. Enhancing primary healthcare, use of telehealth, extended prescription, and public communication were countermeasures undertaken by China during the rapid rise period. As COVID-19 progresses, the changing disease characteristics, adapted health system, along with enhanced public awareness/knowledge should be considered for the evolution of health services utilization, and further investigation is needed.

Indexed as

COVID-19PandemicsChinaCross-Sectional StudiesFacilities and Services UtilizationHumansSARS-CoV-2accesschronic diseaseCOVID-19health seeking behaviorhealth services

Identifiers

PMID36497964
PMCPMC9739892

What OpenQuestion holds

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Registered trials

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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.