The COVID-19 pandemic and non-COVID-19 healthcare utilization in Mexico

被引：3

作者：

Silverio-Murillo, A. ^{[1
]}

Hoehn-Velasco, L. ^{[2
]}

de la Miyar, J. Balmori ^{[3
]}

Mendez, J. S. Mendez ^{[1
]}

机构：

[1] Tecnol Monterrey, Sch Govt, Monterrey, Mexico

[2] Georgia State Univ, Andrew Young Sch Policy Studies, Atlanta, GA USA

[3] Univ Anahuac Mexico, Business & Econ Sch, Naucalpan, Mexico

来源：

PUBLIC HEALTH | 2024年 / 226卷

关键词：

COVID-19; Healthcare utilization; Mental health; Chronic degenerative diseases; Family planning; Prenatal and postpartum care; PRENATAL-CARE; CANCER CARE;

D O I：

10.1016/j.puhe.2023.10.039

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives: This study aimed to analyze the effects of the COVID-19 pandemic on non-COVID-19 healthcare utilization in Mexico, including oral health, mental health, communicable disease visits, health checkups, chronic degenerative disease visits, postpartum care, prenatal care, and family planning visits.Study design: This was a retrospective ecological analysis during the COVID-19 pandemic. During the pandemic, the Mexican government recommended non-essential consultations be suspended or rescheduled to accommodate the new demand for healthcare services from COVID-19 patients.Methods: This study uses administrative data from Mexico's Ministry of Health from January 2017 to December 2022. These data cover 14,299 consultation units and 775 hospitals from the 32 Mexican States, all of which are public institutions. A difference-in-differences strategy and an event study specification are used to study the impacts of the pandemic on non-COVID-19 healthcare utilization.Results: The findings reveal a decrease in the utilization of all healthcare services: oral health (69%), mental health (27%), communicable diseases (46%), chronic degenerative diseases (36%), health checkups (62%), family planning (45%), prenatal care (36%), and postpartum care (44%). Furthermore, the event study indicates that most services follow a U-shaped trend, although only mental health services clearly return to prepandemic levels. The remainder of services remain below prepandemic levels at the end of 2022.Conclusions: The 2020 pandemic had detrimental effects on non-COVID-19 healthcare utilization. The healthcare interruptions will likely impact short-and long-term morbidity and mortality. Programs intended to remediate these negative consequences may be of interest to public health policymakers.(c) 2023 The Authors. Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

页码：99 / 106

页数：8

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