Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional survey
Abstract Background In the wake of China’s relaxed zero-COVID policy, there was a surge in coronavirus disease 2019 (COVID-19) infections. This study aimed to examine the infection status and health service utilization among Beijing residents during a widespread outbreak, and to explore the factors...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Health Research Policy and Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12961-024-01118-6 |
| _version_ | 1797272746429775872 |
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| author | Jiawei Zhang Zhihu Xu Xia Wei Yaqun Fu Zheng Zhu Quan Wang Qingbo Wang Qing Liu Jing Guo Yuantao Hao Li Yang |
| author_facet | Jiawei Zhang Zhihu Xu Xia Wei Yaqun Fu Zheng Zhu Quan Wang Qingbo Wang Qing Liu Jing Guo Yuantao Hao Li Yang |
| author_sort | Jiawei Zhang |
| collection | DOAJ |
| description | Abstract Background In the wake of China’s relaxed zero-COVID policy, there was a surge in coronavirus disease 2019 (COVID-19) infections. This study aimed to examine the infection status and health service utilization among Beijing residents during a widespread outbreak, and to explore the factors that affected utilization of health services due to COVID-19. Methods A cross-sectional survey was conducted among Beijing residents from 13 January to 13 February 2023, collecting information on socio-demographic characteristics, health behaviours, COVID-19 infection status, utilization of health services and depressive symptoms. Multivariate Tobit regression was used for data analysis. Results Among the 53 924 participants, 14.7% were older than 60 years, 63.7% were female and 84.8% were married. In total, 44 992 of the 53 924 individuals surveyed (83.4%) contracted COVID-19 during 2020–2023, and 25.2% (13 587) sought corresponding health services. The majority of individuals (85.6%) chose in-person healthcare, while 14.4% chose internet-based healthcare. Among those who chose in-person healthcare, 58.6% preferred primary healthcare institutions and 41.5% were very satisfied with the treatment. Factors affecting health service utilization include being female (β = −0.15, P < 0.001), older than 60 years (β = 0.23, P < 0.01), non-healthcare workers (β = −0.60, P < 0.001), rich self-rated income level (β = 0.59, P < 0.001), having underlying disease (β = 0.51, P < 0.001), living alone (β = −0.19, P < 0.05), depressive symptoms (β = 0.06, P < 0.001) and healthy lifestyle habits, as well as longer infection duration, higher infection numbers and severe symptoms. Conclusion As COVID-19 is becoming more frequent and less severe, providing safe and accessible healthcare remains critical. Vulnerable groups such as the elderly and those with underlying conditions need reliable health service. Prioritizing primary healthcare resources and online medical services have played a vital role in enhancing resource utilization efficiency. |
| first_indexed | 2024-03-07T14:33:47Z |
| format | Article |
| id | doaj.art-3a2c67ccc83742dcae5d054c76371deb |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-03-07T14:33:47Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-3a2c67ccc83742dcae5d054c76371deb2024-03-05T20:44:49ZengBMCHealth Research Policy and Systems1478-45052024-03-0122111110.1186/s12961-024-01118-6Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional surveyJiawei Zhang0Zhihu Xu1Xia Wei2Yaqun Fu3Zheng Zhu4Quan Wang5Qingbo Wang6Qing Liu7Jing Guo8Yuantao Hao9Li Yang10Department of Health Policy and Management, Peking University School of Public HealthDepartment of Occupational and Environmental Health Sciences, Peking University School of Public HealthDepartment of Health Policy and Management, Peking University School of Public HealthDepartment of Health Policy and Management, Peking University School of Public HealthDepartment of Health Policy and Management, Peking University School of Public HealthDepartment of Health Policy and Management, Peking University School of Public HealthDepartment of Health Policy and Management, Peking University School of Public HealthGeneral Practice Department, Second Outpatient Section, Peking University Third HospitalDepartment of Health Policy and Management, Peking University School of Public HealthCenter for Public Health and Epidemic Preparedness and Response, Peking UniversityDepartment of Health Policy and Management, Peking University School of Public HealthAbstract Background In the wake of China’s relaxed zero-COVID policy, there was a surge in coronavirus disease 2019 (COVID-19) infections. This study aimed to examine the infection status and health service utilization among Beijing residents during a widespread outbreak, and to explore the factors that affected utilization of health services due to COVID-19. Methods A cross-sectional survey was conducted among Beijing residents from 13 January to 13 February 2023, collecting information on socio-demographic characteristics, health behaviours, COVID-19 infection status, utilization of health services and depressive symptoms. Multivariate Tobit regression was used for data analysis. Results Among the 53 924 participants, 14.7% were older than 60 years, 63.7% were female and 84.8% were married. In total, 44 992 of the 53 924 individuals surveyed (83.4%) contracted COVID-19 during 2020–2023, and 25.2% (13 587) sought corresponding health services. The majority of individuals (85.6%) chose in-person healthcare, while 14.4% chose internet-based healthcare. Among those who chose in-person healthcare, 58.6% preferred primary healthcare institutions and 41.5% were very satisfied with the treatment. Factors affecting health service utilization include being female (β = −0.15, P < 0.001), older than 60 years (β = 0.23, P < 0.01), non-healthcare workers (β = −0.60, P < 0.001), rich self-rated income level (β = 0.59, P < 0.001), having underlying disease (β = 0.51, P < 0.001), living alone (β = −0.19, P < 0.05), depressive symptoms (β = 0.06, P < 0.001) and healthy lifestyle habits, as well as longer infection duration, higher infection numbers and severe symptoms. Conclusion As COVID-19 is becoming more frequent and less severe, providing safe and accessible healthcare remains critical. Vulnerable groups such as the elderly and those with underlying conditions need reliable health service. Prioritizing primary healthcare resources and online medical services have played a vital role in enhancing resource utilization efficiency.https://doi.org/10.1186/s12961-024-01118-6Health service utilizationCOVID-19Primary healthcare servicesInternet-based healthcare |
| spellingShingle | Jiawei Zhang Zhihu Xu Xia Wei Yaqun Fu Zheng Zhu Quan Wang Qingbo Wang Qing Liu Jing Guo Yuantao Hao Li Yang Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional survey Health Research Policy and Systems Health service utilization COVID-19 Primary healthcare services Internet-based healthcare |
| title | Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional survey |
| title_full | Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional survey |
| title_fullStr | Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional survey |
| title_full_unstemmed | Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional survey |
| title_short | Analysis of health service utilization and influencing factors due to COVID-19 in Beijing: a large cross-sectional survey |
| title_sort | analysis of health service utilization and influencing factors due to covid 19 in beijing a large cross sectional survey |
| topic | Health service utilization COVID-19 Primary healthcare services Internet-based healthcare |
| url | https://doi.org/10.1186/s12961-024-01118-6 |
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