Effect of the COVID-19 lockdown on disease recognition and utilisation of healthcare services in the older population in Germany: a cross-sectional study.

Age and Ageing
Bernhard MichalowskyKarel Kostev

Abstract

There is little evidence about the utilisation of healthcare services and disease recognition in the older population, which was urged to self-isolate during the COVID-19 lockdown. We aimed to describe the utilisation of physician consultations, specialist referrals, hospital admissions and the recognition of incident diseases in Germany for this age group during the COVID-19 lockdown. Cross-sectional observational study. 1,095 general practitioners (GPs) and 960 specialist practices in Germany. 2.45 million older patients aged 65 or older. The number of documented physician consultations, specialist referrals, hospital admissions and incident diagnoses during the imposed lockdown in 2020 was descriptively analysed and compared to 2019. Physician consultations decrease slightly in February (-2%), increase before the imposed lockdown in March (+9%) and decline in April (-18%) and May (-14%) 2020 compared to the same periods in 2019. Volumes of hospital admissions decrease earlier and more intensely than physician consultations (-39 versus -6%, respectively). Overall, 15, 16 and 18% fewer incident diagnoses were documented by GPs, neurologists and diabetologists, respectively, in 2020. Diabetes, dementia, depression, cancer and s...Continue Reading

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Citations

May 28, 2021·International Journal of Geriatric Psychiatry·Kathy Y LiuAlistair Burns
Jun 18, 2021·Frontiers in Medicine·Markus S JördensChristoph Roderburg
Aug 28, 2021·Journal of Personalized Medicine·Laura DellazizzoAlexandre Dumais

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