Differences in Outpatient Health Care Utilization 12 Months after Covid-19 Infection by Race/Ethnicity and Community Social Vulnerability
Bibliographic Data
| ID | 15477299 |
|---|---|
| Authors | Sarah E Roth (0000-0002-6110-3738, Providence Center, corresponding author), Diana J Govier (0000-0002-3643-3540, Providence Center), Katherine Marsi (Providence Center), Hannah Cohen-Cline (0000-0003-4607-8762, Providence Center) |
| Year | 2022 |
| Volume | 19 |
| Issue | 6 |
| Pages | 3481-3481 |
| Publication date | 2022-03-15 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19063481 |
| PMID | 35329165 |
| OpenAlex | W4221039019 |
| Language | EN |
| Citations received | 1 |
| References cited | 38 |
Ensuring access to high-quality outpatient care is an important strategy to improve COVID-19 outcomes, reduce social inequities, and prevent potentially expensive complications of disease. This study assesses the equity of health care response to COVID-19 by examining outpatient care utilization by factors at the individual and community levels in the 12 months prior to and following COVID-19 diagnosis. Employing a retrospective, observational cohort design, we analyzed electronic health record data from a sample of 11,326 adults diagnosed with COVID-19 between March and July 2020. We used two-part models to estimate changes in use of primary and specialty care by race/ethnicity and community social vulnerability in the year before and after COVID-19 diagnosis. Our findings showed that while overall probability and counts of primary and specialty care visits increased following a positive COVID-19 diagnosis, disparities in care utilization by race/ethnicity and living in a socially vulnerable community persisted in the year that followed. These findings reiterate the need for strategic approaches to improve access to and utilization of care among those diagnosed with COVID-19, especially for individuals who are traditionally undeserved by the health system. Our findings also highlight the importance of systematic approaches for addressing social inequity in health care
Ambulatory care · Cohort · Coronavirus disease 2019 (COVID-19 · Disease · Ethnic group · Family medicine · Health care · Health equity · Infectious disease (medical specialty · Pandemic · Political science · Public health · Retrospective cohort study · Social determinants of health · Specialty · Vulnerability (computing · COVID-19 and healthcare impacts · COVID-19 and Mental Health · Health disparities and outcomes · Medicine · Nursing · Gerontology
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| Citations per year | 0.33 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |