Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd19.220110|10.1056/NEJMsb2021088|10.15585/mmwr.mm6943a3|10.1001/jamanetworkopen.2020.34882|10.1089/pop.2020.0186|10.1016/j.pmedr.2021.101319|10.1136/jech-2021-216715|10.1136/medethics-2020-106815|10.2105/AJPH.2013.301512|10.1016/j.archger.2017.05.007|10.1016/j.amepre.2016.09.024|10.1093/pubmed/fdaa069|10.1101/2020.10.30.20223420|10.1007/s11606-020-06527-1|10.1001/jamahealthforum.2021.4299|10.15585/mmwr.mm6913e2|10.1586/14737167.6.3.261|10.1089/hs.2021.0017|10.1007/s11606-021-06990-4|10.1089/jwh.2009.1701|10.1016/j.pec.2021.02.025|10.1377/hlthaff.17.6.170|10.1377/hlthaff.2011.0027|10.3389/fpsyg.2020.563426|10.1001/jamanetworkopen.2021.44470
Personal Author:
Tsuzaki, Kara ; Taira, Deborah
Tsuzaki, Kara ; Taira, Deborah Less -
Description:
Introduction

Forgone health care, defined as not using health care despite perceiving a need for it, is associated with poor health outcomes, especially among people with chronic conditions. The objective of our study was to examine how the pandemic affected forgone health care during 3 stages of the pandemic.

Methods

We used the Medicare Current Beneficiary Survey COVID-19 Rapid Response Questionnaire administered in summer 2020, fall 2020, and winter 2021 to examine sociodemographic characteristics, chronic diseases, COVID-19 vaccination status, and telehealth availability in relation to beneficiary reports of forgone health care.

Results

Of the 3 periods studied, the overall rate of forgone health care was highest in summer 2020 (20.8%), followed by fall 2020 (7.8%) and winter 2021 (6.5%). COVID-19 vaccination status, age, sex, race and ethnicity, US region, availability of primary care telehealth appointments, and chronic conditions (heart disease, arthritis, depression, osteoporosis or a broken hip, and diabetes or high blood glucose) were significantly related to forgone care.

Conclusion

High rates of forgone care among Medicare participants varied over time and were significantly related to beneficiary characteristics. Our findings highlight the need for health care reform and changes in policy to address the issue of access to care for people with chronic conditions during a pandemic or other public health emergency.


Subject:
[+]
Aged Blood Glucose Chronic Disease COVID-19 COVID-19 Vaccines Health Services Accessibility Humans Medicare Pandemics
Source:
Prev Chronic Dis. 2022; 19
Pubmed ID:
36227851
Pubmed Central ID:
PMC9616132
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:702fe89dd3517b9da46f2884516a92aa815511ee4e01e70a8c217f619c541fe3
Download URL:
https://stacks.cdc.gov/view/cdc/122403/cdc_122403_DS1.pdf
File Type:

Supporting Files

• 	PCD-19-E64.nxml	xml
  	PCD-19-E64s01.gif	gif
  	PCD-19-E64s01.jpg	jpeg

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