Corrigendum to: Impact of the COVID-19 pandemic on access and use of health services by middle-aged and older Australians.

IF 1.4 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Australian Health Review Pub Date : 2023-02-01 DOI:10.1071/AH22183_CO
Lorraine Ivancic, Diana M Bond, Natasha Nassar
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Abstract

Objectives To examine: the impact of the coronavirus disease 2019 (COVID-19) pandemic on access to health services by middle-aged and older Australians; and the use of telehealth services during the COVID-19 pandemic and its ongoing usefulness. Methods A cross-sectional survey was conducted among participants who completed the COVID-19 supplement in the 45 and Up Study 2020 Survey. Multivariable logistic regression analysis was used to examine the association between socio-demographic characteristics and health conditions with missed/delayed access to health services, changes in health outcomes resulting from missed/delayed access, and use of telehealth services. Results Data for 45 071 participants were analysed (56% female, 72% aged ≥65 years). Almost half (42.2%) reported they had missed/delayed access to health care due to COVID-19; mainly for dental services (26.1%), visits to a general practitioner (GP) (16.3%) and specialists (12.6%). Missed/delayed visits to GPs and specialists were more likely among females, participants from non-English-speaking backgrounds, with disability/illness, living in outer regional/remote areas or with chronic health conditions. People with a disability or high/very high psychological distress were twice as likely to report worse health as a result of missed/delayed care. Half (48.0%) the study participants used telehealth during the COVID-19 pandemic and 81.9% indicated telehealth would be useful post-pandemic. Conclusions The COVID-19 pandemic impacted access to healthcare services, particularly for people with a disability, and chronic or mental health issues who also reported worse health. This may account for their higher use of telehealth services as an alternate way of accessing health care. Ongoing evaluation of telehealth services for vulnerable groups post-pandemic is required.

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COVID-19大流行对中老年澳大利亚人获得和使用卫生服务的影响的更正。
目的研究2019冠状病毒病(COVID-19)大流行对澳大利亚中老年人群获得卫生服务的影响;以及在2019冠状病毒病大流行期间远程医疗服务的使用及其持续有用性。方法对在45岁及以上研究2020调查中完成COVID-19补充的参与者进行横断面调查。使用多变量logistic回归分析来检查社会人口特征和健康状况与错过/延迟获得医疗服务、错过/延迟获得医疗服务导致的健康结果变化以及远程医疗服务的使用之间的关系。结果分析了45071名参与者的数据(56%为女性,72%年龄≥65岁)。近一半(42.2%)的人报告说,由于COVID-19,他们错过或推迟了获得医疗保健的机会;主要是牙科服务(26.1%)、全科医生(16.3%)和专科医生(12.6%)。女性、非英语背景的参与者、残疾/疾病、居住在外围地区/偏远地区或患有慢性疾病的参与者更有可能错过/延迟去看全科医生和专家。残疾人或心理压力高/非常高的人报告因错过/延迟护理而导致健康状况恶化的可能性是其他人的两倍。一半(48.0%)的研究参与者在COVID-19大流行期间使用了远程医疗,81.9%的人表示远程医疗在大流行后很有用。2019冠状病毒病大流行影响了获得医疗保健服务的机会,尤其是残疾人,以及报告健康状况恶化的慢性或精神健康问题患者。这可能是他们更多地使用远程保健服务作为获得保健的另一种方式的原因。需要对大流行后弱势群体的远程保健服务进行持续评估。
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来源期刊
Australian Health Review
Australian Health Review 医学-卫生保健
CiteScore
2.90
自引率
5.60%
发文量
134
审稿时长
6-12 weeks
期刊介绍: Australian Health Review is an international, peer-reviewed journal that publishes contributions on all aspects of health policy, management and governance; healthcare delivery systems; workforce; health financing; and other matters of interest to those working in health care. In addition to analyses and commentary, the journal publishes original research from practitioners – managers and clinicians – and reports of breakthrough projects that demonstrate better ways of delivering care. Australian Health Review explores major national and international health issues and questions, enabling health professionals to keep their fingers on the pulse of the nation’s health decisions and to know what the most influential commentators and decision makers are thinking. Australian Health Review is a valuable resource for managers, policy makers and clinical staff in health organisations, including government departments, hospitals, community centres and aged-care facilities, as well as anyone with an interest in the health industry. Australian Health Review is published by CSIRO Publishing on behalf of the Australian Healthcare and Hospitals Association.
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