Vis enkel innførsel

dc.contributor.authorIbsen, Tanja Louise
dc.contributor.authorStrand, Bjørn Heine
dc.contributor.authorBergh, Sverre
dc.contributor.authorLivingston, Gill
dc.contributor.authorLurås, Hilde
dc.contributor.authorMamelund, Svenn-Erik
dc.contributor.authorOude Voshaar, Richard
dc.contributor.authorRokstad, Anne Marie Mork
dc.contributor.authorThingstad, Pernille
dc.contributor.authorGerritsen, Debby L.
dc.contributor.authorSelbæk, Geir
dc.date.accessioned2024-06-19T11:03:47Z
dc.date.available2024-06-19T11:03:47Z
dc.date.created2024-03-12T16:32:06Z
dc.date.issued2024
dc.identifier.citationBMC Health Services Research. 2024, 24 .en_US
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/11250/3134705
dc.description.abstractBackground: Older adults and people with dementia were anticipated to be particularly unable to use health and care services during the lockdown period following the COVID-19 pandemic. To better prepare for future pandemics, we aimed to investigate whether the use of health and care services changed during the pandemic and whether those at older ages and/or dementia experienced a higher degree of change than that observed by their counterparts. Methods: Data from the Norwegian Trøndelag Health Study (HUNT4 70 + , 2017–2019) were linked to two national health registries that have individual-level data on the use of primary and specialist health and care services. A multilevel mixed-effects linear regression model was used to calculate changes in the use of services from 18 months before the lockdown, (12 March 2020) to 18 months after the lockdown. Results: The study sample included 10,607 participants, 54% were women and 11% had dementia. The mean age was 76 years (SD: 5.7, range: 68–102 years). A decrease in primary health and care service use, except for contact with general practitioners (GPs), was observed during the lockdown period for people with dementia (p < 0.001) and those aged ≥ 80 years without dementia (p = 0.006), compared to the 6-month period before the lockdown. The use of specialist health services decreased during the lockdown period for all groups (p ≤ 0.011), except for those aged < 80 years with dementia. Service use reached levels comparable to pre-pandemic data within one year after the lockdown. Conclusion: Older adults experienced an immediate reduction in the use of health and care services, other than GP contacts, during the first wave of the COVID-19 pandemic. Within primary care services, people with dementia demonstrated a more pronounced reduction than that observed in people without dementia; otherwise, the variations related to age and dementia status were small. Both groups returned to services levels similar to those during the pre-pandemic period within one year after the lockdown. The increase in GP contacts may indicate a need to reallocate resources to primary health services during future pandemics. Trial registration: The study is registered at ClinicalTrials.gov, with the identification number NCT 04792086.en_US
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleA longitudinal cohort study on the use of health and care services by older adults living at home with/without dementia before and during the COVID-19 pandemic: the HUNT studyen_US
dc.title.alternativeA longitudinal cohort study on the use of health and care services by older adults living at home with/without dementia before and during the COVID-19 pandemic: the HUNT studyen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.source.volume24en_US
dc.source.journalBMC Health Services Researchen_US
dc.identifier.doi10.1186/s12913-024-10846-y
dc.identifier.cristin2253877
dc.relation.projectAndre: 22687en_US
dc.source.articlenumber485en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

Navngivelse 4.0 Internasjonal
Med mindre annet er angitt, så er denne innførselen lisensiert som Navngivelse 4.0 Internasjonal