Changes in the Utilization of Health Care Services by Cancer Patients during the COVID-19 Pandemic
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The first year of the COVID-19 pandemic in Korea elicited changes in healthcare service utilization. This study aimed to report changes in healthcare service utilization among cancer patients during the first year of the COVID-19 pandemic in Korea. Materials and Methods: We analyzed records from National Health Insurance Service Database and identified cancer patients as those with specific beneficiary codes (“V193” or “V194”) assigned to cancer patients. We calculated percentage changes in the number of patients between 2019 and 2020 based on claims records for outpatient clinic visits, hospitalization, and emergency room visits by month, age group, residential areas, and hospital location. Results: The number of newly diagnosed cancer patients in 2020 decreased by 3.2%, compared to the previous year. The number of patients who visited an outpatient clinic, were hospitalized, and visited the emergency room decreased by 2.6%, 4.0%, and 3.5%, respectively, in 2020, compared to the year 2019. Conclusion: During the first year of the COVID-19 pandemic, the number of newly diagnosed cancer patients decreased by 3.2%, compared to the previous year, and their utilization of healthcare services declined significantly after the outbreak of COVID-19.
Abstract
Purpose: The first year of the COVID-19 pandemic in Korea elicited changes in healthcare service utilization. This study aimed to report changes in healthcare service utilization among cancer patients during the first year of the COVID-19 pandemic in Korea. Materials and Methods: We analyzed records from National Health Insurance Service Database and identified cancer patients as those with specific beneficiary codes (“V193” or “V194”) assigned to cancer patients. We calculated percentage changes in the number of patients between 2019 and 2020 based on claims records for outpatient clinic visits, hospitalization, and emergency room visits by month, age group, residential areas, and hospital location. Results: The number of newly diagnosed cancer patients in 2020 decreased by 3.2%, compared to the previous year. The number of patients who visited an outpatient clinic, were hospitalized, and visited the emergency room decreased by 2.6%, 4.0%, and 3.5%, respectively, in 2020, compared to the year 2019. Conclusion: During the first year of the COVID-19 pandemic, the number of newly diagnosed cancer patients decreased by 3.2%, compared to the previous year, and their utilization of healthcare services declined significantly after the outbreak of COVID-19.
참고문헌 (36)
- Zhu H, "The novel coronavirus outbreak in Wuhan, China", Glob Health Res Policy, 5, pp.6~ (2020)
- Park IN, "Stepwise strategy of social distancing in Korea", J Korean Med Sci, 35, pp.e264~ (2020)
- Dighe A, "Response to COVID-19 in South Korea and implications for lifting stringent interventions", BMC Med, 18, pp.321~ (2020)
- 김신우, "COVID-19 Outbreak in Daegu City, Korea and Response to COVID-19: How Have We Dealt and What Are the Lessons?", Journal of Korean Medical Science, 37(50), pp.1~12 (2022), 대한의학회[DOI]
- Masroor S, "Collateral damage of COVID-19 pandemic : delayed medical care", J Card Surg, 35, pp.1345~1347 (2020)
- Kulkarni P, "COVID-19 Pandemic and the impact on the cardiovascular disease patient care", Curr Cardiol Rev, 16, pp.173~177 (2020)
- Cannata A, "Impact of the COVID-19 pandemic on in-hospital mortality in cardiovascular disease : a meta-analysis", Eur J Prev Cardiol, 29, pp.1266~1274 (2022)
- Riera R, "Delays and disruptions in cancer health care due to COVID-19pandemic : systematic review", JCO Glob Oncol, 7, pp.311~323 (2021)
- Moynihan R, "Impact of COVID-19 pandemic on utilisation of healthcare services : a systematic review", BMJ Open, 11, pp.e045343~ (2021)
- Rodríguez-Leor O, "Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience", Rev Esp Cardiol(Engl Ed), 73, pp.994~1002 (2020)
- Xiao H, "The impact of the COVID-19 pandemic on health services utilization in China : time-series analyses for 2016-2020", Lancet Reg Health West Pac, 9, pp.100122~ (2021)
- Guven DC, "COVID-19 pandemic : changes in cancer admissions", BMJ Support Palliat Care (2020)[DOI]
- Richards M, "The impact of the COVID-19 pandemic on cancer care", Nat Cancer, 1, pp.565~567 (2020)
- COVIDSurg Collaborative, "Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries : an international, prospective, cohort study", Lancet Oncol, 22, pp.1507~1517 (2021)
- Jazieh AR, "Impact of the COVID-19 pandemic on cancer care : a global collaborative study", JCO Glob Oncol, 6, pp.1428~1438 (2020)
- Kumar D, "Treatment delays in oncology patients during COVID-19 pandemic : a perspective", J Glob Health, 10, pp.010367~ (2020)
- "The decrease in newly diagnosed cancer patients due to the decline in cancer screening"[URL]
- 박혜리, "The impact of COVID-19 on screening for colorectal, gastric, breast, and cervical cancer in Korea", Epidemiology and Health, 44, pp.1~9 (2022), 한국역학회[DOI]
- Bakouny Z, "Cancer screening tests and cancer diagnoses during the COVID-19 pandemic", JAMA Oncol, 7, pp.458~460 (2021)
- Baxter MA, "The impact of COVID-19 on systemic anticancer treatment delivery in Scotland", Br J Cancer, 124, pp.1353~1356 (2021)
- Bleicher RJ, "Timing and delays in breast cancer evaluation and treatment", Ann Surg Oncol, 25, pp.2829~2838 (2018)
- Kuzuu K, "Gastrointestinal cancer stage at diagnosis before and during the COVID-19 pandemic in Japan", JAMA Netw Open, 4, pp.e2126334~ (2021)
- Blay JY, "Delayed care for patients with newly diagnosed cancer due to COVID-19 and estimated impact on cancer mortality in France", ESMO Open, 6, pp.100134~ (2021)
- Whittaker TM, "Delay to elective colorectal cancer surgery and implications for survival : a systematic review and meta-analysis", Colorectal Dis, 23, pp.1699~1711 (2021)
- 강미주, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2020", Cancer Research and Treatment, 55(2), pp.385~399 (2023), 대한암학회[DOI]
- "The cancer incidence rate declined during the first year of the COVID-19 pandemic, 2020, and the cancer statistics by the geographical region for five years (2014-2018)"[URL]
- Kang J, "South Korea’s responses to stop the COVID-19 pandemic", Am J Infect Control, 48, pp.1080~1086 (2020)
- Lee H, "A lesson from temporary closing of a single university-affiliated hospital owing to in-hospital transmission of coronavirus disease 2019", J Korean Med Sci, 35, pp.e145~ (2020)
- Park Youn Young, "Short-Term Impact of Temporary Shutdown of a University-Affiliated Hospital on Patients With Colorectal Cancer During the Coronavirus Disease 2019 Pandemic", Journal of Korean Medical Science, 37(21), pp.1~6 (2022), 대한의학회[DOI]
- Korea Centers for Disease Control and Prevention, "Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea, 2015", Osong Public Health and Research Perspectives, 6(4), pp.269~278 (2015), 질병관리청
- Choi Dong Hyun, "Impact of the COVID-19 Outbreak on Trends in Emergency Department Utilization in Children: a Multicenter Retrospective Observational Study in Seoul Metropolitan Area, Korea", Journal of Korean Medical Science, 36(5), pp.1~11 (2021), 대한의학회[DOI]
- He S, "Factors influencing delayed treatment in patients with breast cancer during COVID-19pandemic", Front Public Health, 10, pp.808873~ (2022)
- Stöss C, "Impact of the COVID-19 pandemic on surgical oncology in Europe : results of a European survey", Dig Surg, 38, pp.259~265 (2021)
- Yoo Shin Hye, "The impact of COVID-19 on cancer care in a tertiary hospital in Korea: possible collateral damage to emergency care", Epidemiology and Health, 44, pp.1~11 (2022), 한국역학회[DOI]
- 조상현, "Cancer Patients’ Utilization of Tertiary Hospitals in Seoul Before and After the Benefit Expansion Policy", 예방의학회지, 52(1), pp.41~50 (2019), 대한예방의학회[DOI]
- Kim Y, "The role of local governments in South Korea’s COVID-19 response", Public Adm Dev, 43, pp.120~128 (2023)
