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Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe

Sarah Aldridge, Rhiannon Owen Orcid Logo, Ronan Lyons Orcid Logo, Andrea E. Schmidt Orcid Logo, Martin Thißen Orcid Logo, Enrique Bernal-Delgado Orcid Logo, Francisco Estupiñán-Romero Orcid Logo, Javier González-Galindo Orcid Logo, Lorenz Dolanski-Aghamanoukjan Orcid Logo, Stefan Mathis-Edenhofer Orcid Logo, Tamara Buble, Klea Križ, Jakov Vuković, Luigi Palmieri Orcid Logo, Brigid Unim Orcid Logo, Iris Meulman Orcid Logo

European Journal of Public Health (EJPH)

Swansea University Authors: Sarah Aldridge, Rhiannon Owen Orcid Logo, Ronan Lyons Orcid Logo

Abstract

Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healt...

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Published in: European Journal of Public Health (EJPH)
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URI: https://cronfa.swan.ac.uk/Record/cronfa65539
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A retrospective analysis of 6 regions in Europe</title><swanseaauthors><author><sid>a42ee8ba1ff8174d5bb62d2d95364b90</sid><firstname>Sarah</firstname><surname>Aldridge</surname><name>Sarah Aldridge</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>0d30aa00eef6528f763a1e1589f703ec</sid><ORCID>0000-0001-5977-376X</ORCID><firstname>Rhiannon</firstname><surname>Owen</surname><name>Rhiannon Owen</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>83efcf2a9dfcf8b55586999d3d152ac6</sid><ORCID>0000-0001-5225-000X</ORCID><firstname>Ronan</firstname><surname>Lyons</surname><name>Ronan Lyons</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-01-30</date><deptcode>MEDS</deptcode><abstract>Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healthcare services. Most extant studies focus on regional, disease specific or early pandemic HCU creating difficulties in comparing across multiple countries. We provide a comparatively broad definition of HCU across multiple countries, with potential to expand across regions and timeframes.Methods: Using a cross-country federated research infrastructure (FRI), we examined HCU for acute cardiovascular events, elective surgeries and serious trauma. Aggregated data was used in forecast modelling to identify changes from predicted European age standardised counts via fitted regressions (2017-2019), compared against post-pandemic data.Results: We found that elective surgeries were most affected, universally falling below predicted levels in 2020. For cardiovascular HCU, we found lower than expected cases in every region for heart attacks and displayed large sex differences. Serious trauma was the least impacted by the COVID-19 pandemic.Conclusion: The strength of this study comes from the use of the European Population Health Information Research Infrastructure’s (PHIRI) FRI, allowing for rapid analysis of regional differences to assess indirect impacts of events such as pandemics. There are marked differences in the capacity of services to return to normal in terms of elective surgery; additionally we found considerable differences between men and women which requires further research on potential sex or gender patterns of HCU during crises.</abstract><type>Journal Article</type><journal>European Journal of Public Health (EJPH)</journal><volume/><journalNumber/><paginationStart/><paginationEnd/><publisher/><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords>COVID-19, Health care utilisation, European comparisons, Population health</keywords><publishedDay>0</publishedDay><publishedMonth>0</publishedMonth><publishedYear>0</publishedYear><publishedDate>0001-01-01</publishedDate><doi/><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>External research funder(s) paid the OA fee (includes OA grants disbursed by the Library)</apcterm><funders>This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317 – Population Health Information Research Infrastructure.</funders><projectreference>European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317</projectreference><lastEdited>2024-06-27T14:45:34.2099670</lastEdited><Created>2024-01-30T10:46:01.8276201</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Sarah</firstname><surname>Aldridge</surname><order>1</order></author><author><firstname>Rhiannon</firstname><surname>Owen</surname><orcid>0000-0001-5977-376X</orcid><order>2</order></author><author><firstname>Ronan</firstname><surname>Lyons</surname><orcid>0000-0001-5225-000X</orcid><order>3</order></author><author><firstname>Andrea E.</firstname><surname>Schmidt</surname><orcid>0000-0002-1408-321X</orcid><order>4</order></author><author><firstname>Martin</firstname><surname>Thißen</surname><orcid>0000-0002-5710-5650</orcid><order>5</order></author><author><firstname>Enrique</firstname><surname>Bernal-Delgado</surname><orcid>0000-0002-0961-3298</orcid><order>6</order></author><author><firstname>Francisco</firstname><surname>Estupiñán-Romero</surname><orcid>0000-0002-6285-8120</orcid><order>7</order></author><author><firstname>Javier</firstname><surname>González-Galindo</surname><orcid>0000-0002-8783-5478</orcid><order>8</order></author><author><firstname>Lorenz</firstname><surname>Dolanski-Aghamanoukjan</surname><orcid>0000-0002-7873-6152</orcid><order>9</order></author><author><firstname>Stefan</firstname><surname>Mathis-Edenhofer</surname><orcid>0000-0003-3092-9251</orcid><order>10</order></author><author><firstname>Tamara</firstname><surname>Buble</surname><order>11</order></author><author><firstname>Klea</firstname><surname>Križ</surname><order>12</order></author><author><firstname>Jakov</firstname><surname>Vuković</surname><order>13</order></author><author><firstname>Luigi Palmieri</firstname><surname/><orcid>0000-0002-4298-2642</orcid><order>14</order></author><author><firstname>Brigid</firstname><surname>Unim</surname><orcid>0000-0002-6522-9098</orcid><order>15</order></author><author><firstname>Iris</firstname><surname>Meulman</surname><orcid>0000-0002-9916-1810</orcid><order>16</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling v2 65539 2024-01-30 Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe a42ee8ba1ff8174d5bb62d2d95364b90 Sarah Aldridge Sarah Aldridge true false 0d30aa00eef6528f763a1e1589f703ec 0000-0001-5977-376X Rhiannon Owen Rhiannon Owen true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 2024-01-30 MEDS Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healthcare services. Most extant studies focus on regional, disease specific or early pandemic HCU creating difficulties in comparing across multiple countries. We provide a comparatively broad definition of HCU across multiple countries, with potential to expand across regions and timeframes.Methods: Using a cross-country federated research infrastructure (FRI), we examined HCU for acute cardiovascular events, elective surgeries and serious trauma. Aggregated data was used in forecast modelling to identify changes from predicted European age standardised counts via fitted regressions (2017-2019), compared against post-pandemic data.Results: We found that elective surgeries were most affected, universally falling below predicted levels in 2020. For cardiovascular HCU, we found lower than expected cases in every region for heart attacks and displayed large sex differences. Serious trauma was the least impacted by the COVID-19 pandemic.Conclusion: The strength of this study comes from the use of the European Population Health Information Research Infrastructure’s (PHIRI) FRI, allowing for rapid analysis of regional differences to assess indirect impacts of events such as pandemics. There are marked differences in the capacity of services to return to normal in terms of elective surgery; additionally we found considerable differences between men and women which requires further research on potential sex or gender patterns of HCU during crises. Journal Article European Journal of Public Health (EJPH) COVID-19, Health care utilisation, European comparisons, Population health 0 0 0 0001-01-01 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317 – Population Health Information Research Infrastructure. European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317 2024-06-27T14:45:34.2099670 2024-01-30T10:46:01.8276201 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Sarah Aldridge 1 Rhiannon Owen 0000-0001-5977-376X 2 Ronan Lyons 0000-0001-5225-000X 3 Andrea E. Schmidt 0000-0002-1408-321X 4 Martin Thißen 0000-0002-5710-5650 5 Enrique Bernal-Delgado 0000-0002-0961-3298 6 Francisco Estupiñán-Romero 0000-0002-6285-8120 7 Javier González-Galindo 0000-0002-8783-5478 8 Lorenz Dolanski-Aghamanoukjan 0000-0002-7873-6152 9 Stefan Mathis-Edenhofer 0000-0003-3092-9251 10 Tamara Buble 11 Klea Križ 12 Jakov Vuković 13 Luigi Palmieri 0000-0002-4298-2642 14 Brigid Unim 0000-0002-6522-9098 15 Iris Meulman 0000-0002-9916-1810 16
title Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe
spellingShingle Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe
Sarah Aldridge
Rhiannon Owen
Ronan Lyons
title_short Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe
title_full Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe
title_fullStr Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe
title_full_unstemmed Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe
title_sort Has the COVID-19 pandemic changed existing patterns of non-COVID-19 health care utilisation? A retrospective analysis of 6 regions in Europe
author_id_str_mv a42ee8ba1ff8174d5bb62d2d95364b90
0d30aa00eef6528f763a1e1589f703ec
83efcf2a9dfcf8b55586999d3d152ac6
author_id_fullname_str_mv a42ee8ba1ff8174d5bb62d2d95364b90_***_Sarah Aldridge
0d30aa00eef6528f763a1e1589f703ec_***_Rhiannon Owen
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
author Sarah Aldridge
Rhiannon Owen
Ronan Lyons
author2 Sarah Aldridge
Rhiannon Owen
Ronan Lyons
Andrea E. Schmidt
Martin Thißen
Enrique Bernal-Delgado
Francisco Estupiñán-Romero
Javier González-Galindo
Lorenz Dolanski-Aghamanoukjan
Stefan Mathis-Edenhofer
Tamara Buble
Klea Križ
Jakov Vuković
Luigi Palmieri
Brigid Unim
Iris Meulman
format Journal article
container_title European Journal of Public Health (EJPH)
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 0
active_str 0
description Background: Resilience of national health systems in Europe remains a major concern in times of multiple crises and as more evidence is emerging relating to the indirect effects of the COVID-19 pandemic on health care utilisation (HCU), resulting from de-prioritisation of regular, non-pandemic healthcare services. Most extant studies focus on regional, disease specific or early pandemic HCU creating difficulties in comparing across multiple countries. We provide a comparatively broad definition of HCU across multiple countries, with potential to expand across regions and timeframes.Methods: Using a cross-country federated research infrastructure (FRI), we examined HCU for acute cardiovascular events, elective surgeries and serious trauma. Aggregated data was used in forecast modelling to identify changes from predicted European age standardised counts via fitted regressions (2017-2019), compared against post-pandemic data.Results: We found that elective surgeries were most affected, universally falling below predicted levels in 2020. For cardiovascular HCU, we found lower than expected cases in every region for heart attacks and displayed large sex differences. Serious trauma was the least impacted by the COVID-19 pandemic.Conclusion: The strength of this study comes from the use of the European Population Health Information Research Infrastructure’s (PHIRI) FRI, allowing for rapid analysis of regional differences to assess indirect impacts of events such as pandemics. There are marked differences in the capacity of services to return to normal in terms of elective surgery; additionally we found considerable differences between men and women which requires further research on potential sex or gender patterns of HCU during crises.
published_date 0001-01-01T14:45:34Z
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score 11.016235

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