Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer Survivors
Introduction: The COVID-19 pandemic has significantly disrupted the entire healthcare system, resulting in unmet needs for medical care (e.g., delayed or forgone care) among patients with cancer. Methods: Using 2020 National Health Interview Survey data, we examined the prevalence of unmet healthcar...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | AJPM Focus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065423000020 |
| _version_ | 1797820534888595456 |
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| author | Young-Rock Hong, PhD, MPH Zhigang Xie, PhD, MPA Juhan Lee, PhD Kea Turner, PhD, MPH, MA Ryan Suk, PhD, MS |
| author_facet | Young-Rock Hong, PhD, MPH Zhigang Xie, PhD, MPA Juhan Lee, PhD Kea Turner, PhD, MPH, MA Ryan Suk, PhD, MS |
| author_sort | Young-Rock Hong, PhD, MPH |
| collection | DOAJ |
| description | Introduction: The COVID-19 pandemic has significantly disrupted the entire healthcare system, resulting in unmet needs for medical care (e.g., delayed or forgone care) among patients with cancer. Methods: Using 2020 National Health Interview Survey data, we examined the prevalence of unmet healthcare needs and whether the self-reported experience of having delayed or forgone healthcare is associated with increased emergency services use and hospitalizations. A multivariable logistic regression model was used to assess the associations between unmet healthcare needs because of COVID-19 and emergency services use and hospitalization, controlling for potential confounding. All analysis was conducted in March and April 2022. Results: Among 2,386 study participants living with cancer (representing 25.6 million U.S. adults), 33.7% reported having unmet healthcare needs because of the COVID-19 pandemic. The prevalence of unmet healthcare needs was higher among younger cancer survivors and those with higher education. In the adjusted analysis, cancer survivors with unmet healthcare needs were 31% more likely to report any emergency services use (adjusted OR=1.31, 95% CI=1.05, 1.65) than those without. Having unmet healthcare needs was not significantly associated with hospitalization (p=0.465). Conclusions: Our findings highlight the unmet need for cancer care because of the pandemic and potential adverse health outcomes. |
| first_indexed | 2024-03-13T09:39:48Z |
| format | Article |
| id | doaj.art-aa2c657f15044c5496428c3da532fc68 |
| institution | Directory Open Access Journal |
| issn | 2773-0654 |
| language | English |
| last_indexed | 2024-03-13T09:39:48Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj.art-aa2c657f15044c5496428c3da532fc682023-05-25T04:25:40ZengElsevierAJPM Focus2773-06542023-06-0122100065Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer SurvivorsYoung-Rock Hong, PhD, MPH0Zhigang Xie, PhD, MPA1Juhan Lee, PhD2Kea Turner, PhD, MPH, MA3Ryan Suk, PhD, MS4Department of Health Services Research, Management & Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida; UFHealth Cancer Center, University of Florida, Gainesville, FloridaDepartment of Health Services Research, Management & Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FloridaDepartment of Psychiatry, Yale School of Medicine, New Haven, ConnecticutDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FloridaDepartment of Management, Policy & Community Health, University of Texas Health Science Center at Houston School of Public Health, Houston, Texas; Address correspondence to: Ryan Suk, PhD, MS, Department of Management, Policy & Community Health, School of Public Health, University of Texas Health Science Center at Houston, 1200 Pressler Street, RASE915, Houston TX.Introduction: The COVID-19 pandemic has significantly disrupted the entire healthcare system, resulting in unmet needs for medical care (e.g., delayed or forgone care) among patients with cancer. Methods: Using 2020 National Health Interview Survey data, we examined the prevalence of unmet healthcare needs and whether the self-reported experience of having delayed or forgone healthcare is associated with increased emergency services use and hospitalizations. A multivariable logistic regression model was used to assess the associations between unmet healthcare needs because of COVID-19 and emergency services use and hospitalization, controlling for potential confounding. All analysis was conducted in March and April 2022. Results: Among 2,386 study participants living with cancer (representing 25.6 million U.S. adults), 33.7% reported having unmet healthcare needs because of the COVID-19 pandemic. The prevalence of unmet healthcare needs was higher among younger cancer survivors and those with higher education. In the adjusted analysis, cancer survivors with unmet healthcare needs were 31% more likely to report any emergency services use (adjusted OR=1.31, 95% CI=1.05, 1.65) than those without. Having unmet healthcare needs was not significantly associated with hospitalization (p=0.465). Conclusions: Our findings highlight the unmet need for cancer care because of the pandemic and potential adverse health outcomes.http://www.sciencedirect.com/science/article/pii/S2773065423000020COVID-19emergency health servicescancer survivors |
| spellingShingle | Young-Rock Hong, PhD, MPH Zhigang Xie, PhD, MPA Juhan Lee, PhD Kea Turner, PhD, MPH, MA Ryan Suk, PhD, MS Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer Survivors AJPM Focus COVID-19 emergency health services cancer survivors |
| title | Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer Survivors |
| title_full | Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer Survivors |
| title_fullStr | Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer Survivors |
| title_full_unstemmed | Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer Survivors |
| title_short | Self-Reported Unmet Healthcare Needs Due to the COVID-19 Pandemic and Emergency Services Use and Hospitalization Among Cancer Survivors |
| title_sort | self reported unmet healthcare needs due to the covid 19 pandemic and emergency services use and hospitalization among cancer survivors |
| topic | COVID-19 emergency health services cancer survivors |
| url | http://www.sciencedirect.com/science/article/pii/S2773065423000020 |
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