Disruption Of Non-COVID-19 Health Care In Latin America During The Pandemic: Effects On Health, Lessons For Policy

被引:6
作者
Lara, Pedro Bernal [1 ]
Savedoff, William D. [2 ]
Garcia Agudelo, Maria Fernanda [3 ]
Bernal, Carolina [4 ]
Goyeneche, Laura [5 ]
Sorio, Rita [6 ]
Perez-Cuevas, Ricardo [7 ]
da Rocha, Marcia Gomes [8 ]
Shibata, Leonardo Goes [9 ]
San Roman Vucetich, Cristina [10 ]
Bauhoff, Sebastian [11 ]
机构
[1] Inter Amer Dev Bank, Washington, DC 20577 USA
[2] Social Insight, Arrowsic, ME USA
[3] Inter Amer Dev Bank, Bogota, Colombia
[4] Inter Amer Dev Bank, Bogota, Colombia
[5] Inter Amer Dev Bank, Washington, DC USA
[6] Inter Amer Dev Bank, Lima, Peru
[7] Inter Amer Dev Bank, Kingston, Jamaica
[8] Inter Amer Dev Bank, Brasilia, DF, Brazil
[9] Inter Amer Dev Bank, Sao Paulo, Brazil
[10] Inter Amer Dev Bank, Quito, Ecuador
[11] Inter Amer Dev Bank, Washington, DC USA
关键词
COVID-19;
D O I
10.1377/hlthaff.2023.00720
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
COVID-19 had severe direct and indirect effects on health and well-being in Latin America. To understand the extent to which disruptions among non-COVID-19-related health services affected population health, we used administrative data from the period 2015-21 to examine public hospital discharges and mortality for conditions amenable to health care in four Latin American countries: Brazil, Ecuador, Mexico, and Peru. Between March 2020 and December 2021, hospitalization rates for these conditions declined by 28 percent and mortality rates increased by 15 percent relative to prepandemic years. Noncommunicable diseases accounted for 89 percent of this rise in mortality. The poorest states in each country experienced relatively larger increases in mortality. Our results, which focus on the health effects of service disruption, suggest that maintaining health care services in this region during the pandemic could have avoided at least 96,000 deaths. Policies should focus on maintaining essential health care services during emergencies, particularly for patients with noncommunicable diseases, and on minimizing negative consequences by ensuring coordinated and continuous care; leveraging alternative modalities of care, such as telemedicine; broadening the role of nonphysician health care workers; and expanding options for medication delivery.
引用
收藏
页码:1657 / 1666
页数:10
相关论文
共 39 条
[11]   Changes in the incidence of invasive disease due to Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis during the COVID-19 pandemic in 26 countries and territories in the Invasive Respiratory Infection Surveillance Initiative: a prospective analysis of surveillance data [J].
Brueggemann, Angela B. ;
van Rensburg, Melissa J. Jansen ;
Shaw, David ;
McCarthy, Noel D. ;
Jolley, Keith A. ;
Maiden, Martin C. J. ;
van der Linden, Mark P. G. ;
Amin-Chowdhury, Zahin ;
Bennett, Desiree E. ;
Borrow, Ray ;
Brandileone, Maria-Cristina C. ;
Broughton, Karen ;
Campbell, Ruth ;
Cao, Bin ;
Casanova, Carlo ;
Choi, Eun Hwa ;
Chu, Yiu Wai ;
Clark, Stephen A. ;
Claus, Heike ;
Coelho, Juliana ;
Corcoran, Mary ;
Cottrell, Simon ;
Cunney, Robert J. ;
Dalby, Tine ;
Davies, Heather ;
de Gouveia, Linda ;
Deghmane, Ala-Eddine ;
Demczuk, Walter ;
Desmet, Stefanie ;
Drew, Richard J. ;
du Plessis, Mignon ;
Erlendsdottir, Helga ;
Fry, Norman K. ;
Fuursted, Kurt ;
Gray, Steve J. ;
Henriques-Normark, Birgitta ;
Hale, Thomas ;
Hilty, Markus ;
Hoffmann, Steen ;
Humphreys, Hilary ;
Ip, Margaret ;
Jacobsson, Susanne ;
Johnston, Jillian ;
Kozakova, Jana ;
Kristinsson, Karl G. ;
Krizova, Pavla ;
Kuch, Alicja ;
Ladhani, Shamez N. ;
Lam, Thien-Tri ;
Lebedova, Vera .
LANCET DIGITAL HEALTH, 2021, 3 (06) :E360-E370
[12]   In- and out-of-hospital mortality for myocardial infarction during the first wave of the COVID-19 pandemic in Emilia-Romagna, Italy: A population-based observational study [J].
Campo, Gianluca ;
Fortuna, Daniela ;
Berti, Elena ;
de Palma, Rossana ;
di Pasquale, Giuseppe ;
Galvani, Marcello ;
Navazio, Alessandro ;
Piovaccari, Giancarlo ;
Rubboli, Andrea ;
Guardigli, Gabriele ;
Galie, Nazzareno ;
Boriani, Giuseppe ;
Tondi, Stefano ;
Ardissino, Diego ;
Piepoli, Massimo ;
Banchelli, Federico ;
Santarelli, Andrea ;
Casella, Gianni .
LANCET REGIONAL HEALTH-EUROPE, 2021, 3
[13]   Hospitalizations and Mortality From Non-SARS-CoV-2 Causes Among Medicare Beneficiaries at US Hospitals During the SARS-CoV-2 Pandemic [J].
Dang, Alexander ;
Thakker, Ravi ;
Li, Shuang ;
Hommel, Erin ;
Mehta, Hemalkumar B. ;
Goodwin, James S. .
JAMA NETWORK OPEN, 2022, 5 (03)
[14]   Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data [J].
Doubova, Svetlana, V ;
Leslie, Hannah H. ;
Kruk, Margaret E. ;
Perez-Cuevas, Ricardo ;
Arsenault, Catherine .
BMJ GLOBAL HEALTH, 2021, 6 (09)
[15]  
EsSalud, 2020, Directiva de Gerencia General No 12-GCPS-ESSALUD-2020 V 0.1: "Telemedicina en pacientes con enfermedad cronica o continuador en EsSalud"
[16]   Preparedness cycle to address transitions in diabetes care during the COVID-19 pandemic and future outbreaks [J].
Gujral, Unjali P. ;
Johnson, Leslie ;
Nielsen, Jannie ;
Vellanki, Priyathama ;
Haw, J. Sonya ;
Davis, Georgia M. ;
Weber, Mary Beth ;
Pasquel, Francisco J. .
BMJ OPEN DIABETES RESEARCH & CARE, 2020, 8 (01)
[17]   Diabetes and COVID-19: Risks, Management, and Learnings From Other National Disasters [J].
Hartmann-Boyce, Jamie ;
Morris, Elizabeth ;
Goyder, Clare ;
Kinton, Jade ;
Perring, James ;
Nunan, David ;
Mahtani, Kamal ;
Buse, John B. ;
Del Prato, Stefano ;
Ji, Linong ;
Roussel, Ronan ;
Khunti, Kamlesh .
DIABETES CARE, 2020, 43 (08) :1695-1703
[18]   Covid-19 in Brazil in 2020: impact on deaths from cancer and cardiovascular diseases [J].
Jardim, Beatriz Cordeiro ;
Migowski, Arn ;
Correa, Flavia de Miranda ;
Azevedo e Silva, Gulnar .
REVISTA DE SAUDE PUBLICA, 2022, 56
[19]   Strengthening Health Systems To Face Pandemics: Subnational Policy Responses To COVID-19 In Latin America [J].
Knaul, Felicia Marie ;
Touchton, Michael M. ;
Arreola-Ornelas, Hector ;
Calderon-Anyosa, Renzo ;
Otero-Bahamon, Silvia ;
Hummel, Calla ;
Perez-Cruz, Pedro ;
Porteny, Thalia ;
Patino, Fausto ;
Atun, Rifat ;
Garcia, Patricia J. ;
Insua, Jorge ;
Mendez, Oscar ;
Undurraga, Eduardo ;
Boulding, Carew ;
Nelson-Nunez, Jami ;
Guachalla, V. Ximena Velasco ;
Sanchez-Talanquer, Mariano .
HEALTH AFFAIRS, 2022, 41 (03) :454-462
[20]   Essential public healthcare services utilization and excess non-COVID-19 mortality in Greece [J].
Kondilis, E. ;
Tarantilis, F. ;
Benos, A. .
PUBLIC HEALTH, 2021, 198 :85-88