ArticleNature communications2024
Inequalities in healthcare use during the COVID-19 pandemic.
Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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Who cites it
23 citing papers in PubMed.
- Impact of COVID-19 pandemic on surgical cancer care disparities according to socioeconomic status.Public health in practice (Oxford, England) · 2026Article
- Article
- Financial incentives and information provision for post-pandemic primary care quality recovery: a longitudinal study in Catalonia.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- The intersection of health inequalities and COVID-19: Evidence from National Health Insurance Big Data in South Korea.American journal of community psychology · 2026Article
- Justice at the interface: advancing community and health system resilience through intersectionality theory.Health policy and planning · 2026Article
- Nationwide trends in inpatient shoulder girdle injuries in Germany: a population-based analysis from 2010 to 2023.Injury epidemiology · 2026Article
- Health system development and utilisation in Kuwait, 2011-2022: insights from national healthcare data.Frontiers in health services · 2026Article
- Disability-based disparities under universal health coverage among chronically ill adults during the COVID-19 pandemic in Indonesia: an interrupted time series analysis.Global health action · 2025Article
- Harnessing registry data to identify socio-demographic and socio-economic gaps in HIV care in the Netherlands.Nature communications · 2025Article
- Observational
- Exploring health system resilience during the COVID-19 pandemic in Sweden: an interrupted time series analysis of service utilisation and sociodemographic differences.BMC health services research · 2025Article
- Impact of the COVID-19 pandemic on referral practices for pediatric central nervous system tumors: A Danish National Comparative Cohort Study.Neuro-oncology practice · 2025Article
- Labour market trajectory clusters and utilisation of healthcare and benefits among the long-term unemployed: a Finnish population-based study.BMC public health · 2025Article
- Navigating Care Amid Crisis: The Impact of the COVID-19 Pandemic on Eosinophilic Esophagitis Management in Canada.Journal of clinical medicine · 2025Article
- A "Pandemic-Proof" Methodology for Outbreak Detection Adapted From COVID-19's Impact on Notifications of Infectious Diseases in the Netherlands: Surveillance Study.JMIR public health and surveillance · 2025Article
- Impact of COVID-19 on Dutch General Practitioner Prenatal Primary Care: Retrospective, Observational Cohort Study Using an Interrupted Time-Series Approach.JMIR pediatrics and parenting · 2025Article
- COVID-19's effect on healthcare disparities: delivery, reimbursement, and premature mortality in residentially segregated populations.Frontiers in public health · 2025Article
- Effects of long COVID on healthcare utilization.PloS one · 2025Observational
- Healthcare deprivation matters: a novel framework to unveil the influencing mechanisms of aging anxiety and healthcare utilization.Frontiers in public health · 2025Article
- Navigating the divide: inequalities in household experiences of healthcare disruption in Latin American and the Caribbean countries amidst COVID-19.International journal for equity in health · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
The COVID-19 pandemic led to reductions in non-COVID related healthcare use, but little is known whether this burden is shared equally. This study investigates whether reductions in administered care disproportionately affected certain sociodemographic strata, in particular marginalised groups. Using detailed medical claims data from the Dutch universal health care system and rich full population registry data, we predict expected healthcare use based on pre-pandemic trends (2017 - Feb 2020) and compare these expectations with observed healthcare use in 2020 and 2021. Our findings reveal a 10% decline in the number of weekly treated patients in 2020 and a 3% decline in 2021 relative to prior years. These declines are unequally distributed and are more pronounced for individuals below the poverty line, females, older people, and individuals with a migrant background, particularly during the initial wave of COVID-19 hospitalisations and for middle and low urgency procedures. While reductions in non-COVID related healthcare decreased following the initial shock of the pandemic, inequalities persist throughout 2020 and 2021. Our results demonstrate that the pandemic has not only had an unequal toll in terms of the direct health burden of the pandemic, but has also had a differential impact on the use of non-COVID healthcare.
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Registered trials
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.