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000156006 037__ $$aDZNE-2021-01138
000156006 041__ $$aEnglish
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000156006 1001_ $$0P:(DE-2719)2810763$$aMichalowsky, Bernhard$$b0$$udzne
000156006 245__ $$aEffect of the COVID-19 lockdown on disease recognition and utilisation of healthcare services in the older population in Germany: a cross-sectional study.
000156006 260__ $$aOxford$$bOxford Univ. Press$$c2021
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000156006 520__ $$aThere is little evidence about the utilisation of healthcare services and disease recognition in the older population, which was urged to self-isolate during the COVID-19 lockdown.We aimed to describe the utilisation of physician consultations, specialist referrals, hospital admissions and the recognition of incident diseases in Germany for this age group during the COVID-19 lockdown.Cross-sectional observational study.1,095 general practitioners (GPs) and 960 specialist practices in Germany.2.45 million older patients aged 65 or older.The number of documented physician consultations, specialist referrals, hospital admissions and incident diagnoses during the imposed lockdown in 2020 was descriptively analysed and compared to 2019.Physician consultations decrease slightly in February (-2%), increase before the imposed lockdown in March (+9%) and decline in April (-18%) and May (-14%) 2020 compared to the same periods in 2019. Volumes of hospital admissions decrease earlier and more intensely than physician consultations (-39 versus -6%, respectively). Overall, 15, 16 and 18% fewer incident diagnoses were documented by GPs, neurologists and diabetologists, respectively, in 2020. Diabetes, dementia, depression, cancer and stroke were diagnosed less frequently during the lockdown (-17 to -26%), meaning that the decrease in the recognition of diseases was greater than the decrease in physician consultations.The data suggest that organisational changes were adopted quickly by practice management but also raise concerns about the maintenance of routine care. Prospective studies should evaluate the long-term effects of lockdowns on patient-related outcomes.
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000156006 650_7 $$2Other$$aCOVID-19
000156006 650_7 $$2Other$$ahealthcare utilisation
000156006 650_7 $$2Other$$alockdown
000156006 650_7 $$2Other$$aolder people
000156006 650_7 $$2Other$$arecognition
000156006 650_2 $$2MeSH$$aAged
000156006 650_2 $$2MeSH$$aCOVID-19: diagnosis
000156006 650_2 $$2MeSH$$aCOVID-19: epidemiology
000156006 650_2 $$2MeSH$$aCOVID-19: prevention & control
000156006 650_2 $$2MeSH$$aCOVID-19: therapy
000156006 650_2 $$2MeSH$$aCommunicable Disease Control: organization & administration
000156006 650_2 $$2MeSH$$aCross-Sectional Studies
000156006 650_2 $$2MeSH$$aDelayed Diagnosis: adverse effects
000156006 650_2 $$2MeSH$$aDelayed Diagnosis: statistics & numerical data
000156006 650_2 $$2MeSH$$aDelivery of Health Care: methods
000156006 650_2 $$2MeSH$$aDelivery of Health Care: organization & administration
000156006 650_2 $$2MeSH$$aFemale
000156006 650_2 $$2MeSH$$aGermany: epidemiology
000156006 650_2 $$2MeSH$$aHumans
000156006 650_2 $$2MeSH$$aMale
000156006 650_2 $$2MeSH$$aNoncommunicable Diseases: epidemiology
000156006 650_2 $$2MeSH$$aNoncommunicable Diseases: therapy
000156006 650_2 $$2MeSH$$aOrganizational Innovation
000156006 650_2 $$2MeSH$$aPatient Acceptance of Health Care: statistics & numerical data
000156006 650_2 $$2MeSH$$aQuarantine: methods
000156006 650_2 $$2MeSH$$aSARS-CoV-2
000156006 7001_ $$0P:(DE-2719)2000040$$aHoffmann, Wolfgang$$b1$$udzne
000156006 7001_ $$aBohlken, Jens$$b2
000156006 7001_ $$aKostev, Karel$$b3
000156006 773__ $$0PERI:(DE-600)2065766-3$$a10.1093/ageing/afaa260$$gVol. 50, no. 2, p. 317 - 325$$n2$$p317 - 325$$tAge & ageing$$v50$$x1468-2834$$y2021
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