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Influence of the COVID-19 pandemic on regular clinic visits and medication prescriptions among people with diabetes: Retrospective cohort analysis of health care claims
- Source :
- Medicine. 101:e29458
- Publication Year :
- 2022
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2022.
-
Abstract
- The aim of this study was to investigate the effect of the COVID-19 pandemic on regular clinic visits among people with diabetes and to elucidate the factors related to visit patterns among these patients during the pandemic. This was a longitudinal study using anonymized insurance claims data from the Joint Health Insurance Society in Tokyo from October 2017 to September 2020. First, we identified patients with diabetes who were fully enrolled in the health plan from fiscal year 2017 until September 2020 and who were regularly receiving glucose-lowering medications (every 1-3 months) from October 2017 to September 2018. We divided follow-up into the pre-pandemic period (October 2018 to March 2020) and the pandemic period (April 2020 to September 2020). A multilevel logistic regression model was used to determine the risks of delayed clinic visits/medication prescriptions (i.e., >3 months after a previous visit/prescription) during the pandemic period. We identified 1118 study participants. The number of delayed clinic visits/medication prescriptions during the pre-pandemic and pandemic periods was 188/3354 (5.6%) and 125/1118 (11.2%), respectively. There was a significant increase in delayed clinic visits during the pandemic (adjusted odds ratio 3.68 (95% confidence interval 2.24 to 6.04, P < .001), even after controlling for confounding factors. We also found a significant interaction between sex and delayed visits; women had significantly fewer clinic visits during the COVID-19 pandemic than men. We clarified the relationship of the COVID-19 pandemic with delays in regular clinic visits and medication prescriptions among people with diabetes. The response to the COVID-19 pandemic differed between men and women. ispartof: MEDICINE vol:101 issue:29 ispartof: location:United States status: published
- Subjects :
- Male
UNITED-STATES
FREQUENCY
Drug Prescriptions
Medicine, General & Internal
General & Internal Medicine
Ambulatory Care
Diabetes Mellitus
Humans
Longitudinal Studies
Pandemics
Retrospective Studies
RISK
GENDER-DIFFERENCES
Science & Technology
MORTALITY
COVID-19
General Medicine
TRENDS
REDUCTION
disease management
diabetes mellitus
NONCOMMUNICABLE DISEASES
Female
Life Sciences & Biomedicine
Delivery of Health Care
Subjects
Details
- ISSN :
- 15365964
- Volume :
- 101
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....0c58a3eec339357cb4e5da282860fd96