Assessing the Indirect Effects of COVID-19 on Healthcare Delivery, Utilization, and Health Outcomes: A Scoping Review

LATEST ARTICLES
SEARCH INDEX
SUGGEST ARTICLE
THE OSI COLLECTIONS
AUDIOGRAM SERIES
ABOUT THE OSI
2020 SUMMARY

OSI STATISTICS

Open access articles:
768
Annotations added:
3
Countries represented:
102
No. of contributors:
12
Bookmarks made:
21

Assessing the Indirect Effects of COVID-19 on Healthcare Delivery, Utilization, and Health Outcomes: A Scoping Review


JournalEuropean Journal of Public Health
Article typeJournal research article – Literature review
Publication date – Mar – 2021
Authors – Charlotte M Roy, E Brennan Bollman, Laura M Carson, Alexander J Northrop, Elizabeth F Jackson, Rachel T Moresky
Keywordscovid-19, data equity, global public health, health systems, research design
Open access – Yes
SpecialityHealth policy
World region Global

Language – English
Submitted to the One Surgery Index on April 1, 2021 at 11:31 pm
Abstract:

Background
The COVID-19 pandemic and global efforts to contain its spread, such as stay-at-home orders and transportation shutdowns, have created new barriers to accessing healthcare, resulting in changes in service delivery and utilization globally. The purpose of this study is to provide an overview of the literature published thus far on the indirect health effects of COVID-19 and to explore the data sources and methodologies being used to assess indirect health effects.

Methods
A scoping review of peer-reviewed literature using three search engines was performed.

Results
One hundred and seventy studies were included in the final analysis. Nearly half (46.5%) of included studies focused on cardiovascular health outcomes. The main methodologies used were observational analytic and surveys. Data was drawn from individual health facilities, multicentre networks, regional registries, and national health information systems. Most studies were conducted in high-income countries with only 35.4% of studies representing low- and middle-income countries.

Conclusion
Healthcare utilization for non-COVID-19 conditions has decreased almost universally, across both high- and lower-income countries. The pandemic’s impact on non-COVID-19 health outcomes, particularly for chronic diseases, may take years to fully manifest and should be a topic of ongoing study. Future research should be tied to system improvement and the promotion of health equity, with researchers identifying potentially actionable findings for national, regional, and local health leadership. Public health professionals must also seek to address the disparity in published data from LMICs as compared to high-income countries.

OSI Number – 20994

Public annotations on this article:
No public annotations yet