Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore

Background: The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Objectives: To examine the associations of the COVID-19 pandemic with healthcare utilization, ou...

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Main Authors: AHN, Sangnam, KIM, Seonghoon, KOH, Kanghyock
Format: text
Language:English
Published: Institutional Knowledge at Singapore Management University 2022
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Online Access:https://ink.library.smu.edu.sg/soe_research/2599
https://ink.library.smu.edu.sg/context/soe_research/article/3598/viewcontent/s12913_021_07446_5_pvoa.pdf
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spelling sg-smu-ink.soe_research-35982022-03-11T06:42:24Z Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore AHN, Sangnam KIM, Seonghoon KOH, Kanghyock Background: The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Objectives: To examine the associations of the COVID-19 pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health among middle-aged and older individuals in Singapore. Method: Utilizing data collected from a monthly panel survey, a difference-in-differences approach was used to characterize monthly changes of healthcare use and spending and estimate the probability of being diagnosed with a chronic condition and self-reported health status before and during the COVID-19 outbreak in 2020. Subjects: Data were analyzed from 7569 nationally representative individuals from 2019 January and 2020 December. Measures: Healthcare utilization and healthcare spending by medical service categories as well as self-reported health status. Results: Between January and April 2020 (the first peak period of COVID-19 in Singapore), doctor visits decreased by 30%, and out-of-pocket medical spending decreased by 23%, mostly driven by reductions in inpatient and outpatient care. As a result, the probability of any diagnosis of chronic conditions decreased by 19% in April 2020. The decreased healthcare utilization and spending recovered after lifting the national lockdown in June, 2020 and remained similar to the pre-pandemic level through the rest of 2020. Conclusions: Middle-aged and older Singaporeans’ healthcare utilization and the diagnosis of chronic conditions substantially decreased during the first peak period of the COVID-19 outbreak. Further studies to track the longer-term health effect of the pandemic among non-COVID-19 patients are warranted. 2022-12-01T08:00:00Z text application/pdf https://ink.library.smu.edu.sg/soe_research/2599 info:doi/10.1186/s12913-021-07446-5 https://ink.library.smu.edu.sg/context/soe_research/article/3598/viewcontent/s12913_021_07446_5_pvoa.pdf http://creativecommons.org/licenses/by/4.0/ Research Collection School Of Economics eng Institutional Knowledge at Singapore Management University COVID-19 Pandemic Healthcare utilization Healthcare spending Self-reported health status Asian Studies Gerontology Health Economics Public Health
institution Singapore Management University
building SMU Libraries
continent Asia
country Singapore
Singapore
content_provider SMU Libraries
collection InK@SMU
language English
topic COVID-19
Pandemic
Healthcare utilization
Healthcare spending
Self-reported health status
Asian Studies
Gerontology
Health Economics
Public Health
spellingShingle COVID-19
Pandemic
Healthcare utilization
Healthcare spending
Self-reported health status
Asian Studies
Gerontology
Health Economics
Public Health
AHN, Sangnam
KIM, Seonghoon
KOH, Kanghyock
Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore
description Background: The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Objectives: To examine the associations of the COVID-19 pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health among middle-aged and older individuals in Singapore. Method: Utilizing data collected from a monthly panel survey, a difference-in-differences approach was used to characterize monthly changes of healthcare use and spending and estimate the probability of being diagnosed with a chronic condition and self-reported health status before and during the COVID-19 outbreak in 2020. Subjects: Data were analyzed from 7569 nationally representative individuals from 2019 January and 2020 December. Measures: Healthcare utilization and healthcare spending by medical service categories as well as self-reported health status. Results: Between January and April 2020 (the first peak period of COVID-19 in Singapore), doctor visits decreased by 30%, and out-of-pocket medical spending decreased by 23%, mostly driven by reductions in inpatient and outpatient care. As a result, the probability of any diagnosis of chronic conditions decreased by 19% in April 2020. The decreased healthcare utilization and spending recovered after lifting the national lockdown in June, 2020 and remained similar to the pre-pandemic level through the rest of 2020. Conclusions: Middle-aged and older Singaporeans’ healthcare utilization and the diagnosis of chronic conditions substantially decreased during the first peak period of the COVID-19 outbreak. Further studies to track the longer-term health effect of the pandemic among non-COVID-19 patients are warranted.
format text
author AHN, Sangnam
KIM, Seonghoon
KOH, Kanghyock
author_facet AHN, Sangnam
KIM, Seonghoon
KOH, Kanghyock
author_sort AHN, Sangnam
title Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore
title_short Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore
title_full Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore
title_fullStr Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore
title_full_unstemmed Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: A longitudinal analysis from Singapore
title_sort associations of the covid-19 pandemic with older individuals' healthcare utilization and self-reported health status: a longitudinal analysis from singapore
publisher Institutional Knowledge at Singapore Management University
publishDate 2022
url https://ink.library.smu.edu.sg/soe_research/2599
https://ink.library.smu.edu.sg/context/soe_research/article/3598/viewcontent/s12913_021_07446_5_pvoa.pdf
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