Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic

Background: Chronic patients need regular follow-ups. During the COVID-19 pandemic, these regular visits can be affected. The delay of chronic patients and its contributing factors in their periodic visits during the COVID-19 pandemic are examined here.Methods: This cross-sectional study was conduct...

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Main Authors: Hassan Joulaei, Zohre Foroozanfar, Arash Ziaee, Dariush Hooshyar, Mohammadjavad Loolia, Fatemeh Azadian, Maryam Fatemi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-03-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:https://ijms.sums.ac.ir/article_48995_9cd496d4f47d1ab85fa7cc57407b220d.pdf
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author Hassan Joulaei
Zohre Foroozanfar
Arash Ziaee
Dariush Hooshyar
Mohammadjavad Loolia
Fatemeh Azadian
Maryam Fatemi
author_facet Hassan Joulaei
Zohre Foroozanfar
Arash Ziaee
Dariush Hooshyar
Mohammadjavad Loolia
Fatemeh Azadian
Maryam Fatemi
author_sort Hassan Joulaei
collection DOAJ
description Background: Chronic patients need regular follow-ups. During the COVID-19 pandemic, these regular visits can be affected. The delay of chronic patients and its contributing factors in their periodic visits during the COVID-19 pandemic are examined here.Methods: This cross-sectional study was conducted between February and June 2021, in Fars, Iran. Two hundred and eighty-six households with at least one chronic patient were recruited. Then, several trained questioners called the studied households and asked about the studied variables. The dependent variable was the number of delays in regular visits during the COVID-19 pandemic. The results were analyzed through Poisson regression by SPSS Statistics version 22 and GraphPad Prism software version 9. A significance level of 0.05 was considered for this study.Results: Out of 286 households 113 (73.4%) fathers, 138 (70.1%) mothers, and 17 (58.6%) children in the households reported delayed referral. In fathers, referring to the health center was significantly associated with a decrease in the number of delays (P=0.033). The higher age of the householder (P=0.005), the higher number of children (P=0.043), and having a family physician (P=0.007) in the mothers' group, also the number of children in households P=0.001 in the children group were significantly associated with increasing the number of delays.Conclusion: COVID-19 pandemic not only creates direct harmful effects but also adversely affects people in danger of chronic diseases. Delays in follow-ups are taken into account as a major challenge during the COVID-19 pandemic. This issue is not limited to rural or urban residency.
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spelling doaj.art-4c112e649b054228848acafa9a3e73362023-03-11T06:28:56ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882023-03-0148217618610.30476/ijms.2022.93944.252948995Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 PandemicHassan Joulaei0Zohre Foroozanfar1Arash Ziaee2Dariush Hooshyar3Mohammadjavad Loolia4Fatemeh Azadian5Maryam Fatemi6Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranHIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Neuroscience, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranStudent Research Committee, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranDeputy of Health Affairs, Shiraz University of Medical Sciences, Shiraz, IranNon-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, IranHIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranBackground: Chronic patients need regular follow-ups. During the COVID-19 pandemic, these regular visits can be affected. The delay of chronic patients and its contributing factors in their periodic visits during the COVID-19 pandemic are examined here.Methods: This cross-sectional study was conducted between February and June 2021, in Fars, Iran. Two hundred and eighty-six households with at least one chronic patient were recruited. Then, several trained questioners called the studied households and asked about the studied variables. The dependent variable was the number of delays in regular visits during the COVID-19 pandemic. The results were analyzed through Poisson regression by SPSS Statistics version 22 and GraphPad Prism software version 9. A significance level of 0.05 was considered for this study.Results: Out of 286 households 113 (73.4%) fathers, 138 (70.1%) mothers, and 17 (58.6%) children in the households reported delayed referral. In fathers, referring to the health center was significantly associated with a decrease in the number of delays (P=0.033). The higher age of the householder (P=0.005), the higher number of children (P=0.043), and having a family physician (P=0.007) in the mothers' group, also the number of children in households P=0.001 in the children group were significantly associated with increasing the number of delays.Conclusion: COVID-19 pandemic not only creates direct harmful effects but also adversely affects people in danger of chronic diseases. Delays in follow-ups are taken into account as a major challenge during the COVID-19 pandemic. This issue is not limited to rural or urban residency.https://ijms.sums.ac.ir/article_48995_9cd496d4f47d1ab85fa7cc57407b220d.pdfchronic diseaseoutpatientsfollow-upcovid-19iran
spellingShingle Hassan Joulaei
Zohre Foroozanfar
Arash Ziaee
Dariush Hooshyar
Mohammadjavad Loolia
Fatemeh Azadian
Maryam Fatemi
Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic
Iranian Journal of Medical Sciences
chronic disease
outpatients
follow-up
covid-19
iran
title Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic
title_full Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic
title_fullStr Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic
title_full_unstemmed Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic
title_short Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic
title_sort delay in regular visits of chronic disease patients and its associated factors during the covid 19 pandemic
topic chronic disease
outpatients
follow-up
covid-19
iran
url https://ijms.sums.ac.ir/article_48995_9cd496d4f47d1ab85fa7cc57407b220d.pdf
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