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The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARS

Author

Listed:
  • Chang, H.-J.
  • Huang, N.
  • Lee, C.-H.
  • Hsu, Y.-J.
  • Hsieh, C.-J.
  • Chou, Y.-J.

Abstract

Using interrupted time-series analysis and National Health Insurance data between January 2000 and August 2003, this study assessed the impacts of the severe acute respiratory syndrome (SARS) epidemic on medical service utilization in Taiwan. At the peak of the SARS epidemic, significant reductions in ambulatory care (23.9%), inpatient care (35.2%), and dental care (16.7%) were observed. People's fears of SARS appear to have had strong impacts on access to care. Adverse health outcomes resulting from accessibility barriers posed by the fear of SARS should not be overlooked.

Suggested Citation

  • Chang, H.-J. & Huang, N. & Lee, C.-H. & Hsu, Y.-J. & Hsieh, C.-J. & Chou, Y.-J., 2004. "The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARS," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 562-564.
    • Handle: RePEc:aph:ajpbhl:2004:94:4:562-564_1
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    RePEc Biblio mentions

    As found on the RePEc Biblio, the curated bibliography for Economics:
    1. > Economics of Welfare > Health Economics > Economics of Pandemics > Specific pandemics > SARS

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    Cited by:

    1. Kathy McKay & Sarah Wayland & David Ferguson & Jane Petty & Eilis Kennedy, 2021. "“At Least until the Second Wave Comes…”: A Twitter Analysis of the NHS and COVID-19 between March and June 2020," IJERPH, MDPI, vol. 18(8), pages 1-14, April.
    2. Kuan-Ying Hsieh & Wei-Tsung Kao & Dian-Jeng Li & Wan-Chun Lu & Kuan-Yi Tsai & Wei-Jen Chen & Li-Shiu Chou & Joh-Jong Huang & Su-Ting Hsu & Frank Huang-Chih Chou, 2021. "Mental health in biological disasters: From SARS to COVID-19," International Journal of Social Psychiatry, , vol. 67(5), pages 576-586, August.
    3. Marion Davin & Mouez Fodha & Thomas Seegmuller, 2023. "Environment, public debt, and epidemics," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 25(6), pages 1270-1303, December.
    4. Georgina Pujolar & Aida Oliver-Anglès & Ingrid Vargas & María-Luisa Vázquez, 2022. "Changes in Access to Health Services during the COVID-19 Pandemic: A Scoping Review," IJERPH, MDPI, vol. 19(3), pages 1-31, February.
    5. Lu, Tsung-Hsueh & Chou, Yiing-Jenq & Liou, Chien-Shian, 2007. "Impact of SARS on healthcare utilization by disease categories: Implications for delivery of healthcare services," Health Policy, Elsevier, vol. 83(2-3), pages 375-381, October.
    6. Marion Davin & Mouez Fodha & Thomas Seegmuller, 2021. "Environment, public debt and epidemics," AMSE Working Papers 2128, Aix-Marseille School of Economics, France.
    7. Erika Obikane & Daisuke Nishi & Akihiko Ozaki & Tomohiro Shinozaki & Norito Kawakami & Takahiro Tabuchi, 2023. "Association between Poverty and Refraining from Seeking Medical Care during the COVID-19 Pandemic in Japan: A Prospective Cohort Study," IJERPH, MDPI, vol. 20(3), pages 1-14, February.
    8. Wesley Buckwalter & Andrew Peterson, 2020. "Public attitudes toward allocating scarce resources in the COVID-19 pandemic," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-20, November.
    9. Fausto Famà & Roberto Lo Giudice & Gaetano Di Vita & João Paulo Mendes Tribst & Giorgio Lo Giudice & Alessandro Sindoni, 2021. "COVID-19 and the Impact on the Cranio-Oro-Facial Trauma Care in Italy: An Epidemiological Retrospective Cohort Study," IJERPH, MDPI, vol. 18(13), pages 1-9, July.
    10. Vanda Veréb & Helena Nobre & Minoo Farhangmehr, 2022. "Cosmopolitan tourists: the most resilient travellers in the face of COVID-19," Service Business, Springer;Pan-Pacific Business Association, vol. 16(3), pages 503-527, September.
    11. Philippe Mulenga-Cilundika & Joel Ekofo & Chrispin Kabanga & Bart Criel & Wim Van Damme & Faustin Chenge, 2022. "Indirect Effects of Ebola Virus Disease Epidemics on Health Systems in the Democratic Republic of the Congo, Guinea, Sierra Leone and Liberia: A Scoping Review Supplemented with Expert Interviews," IJERPH, MDPI, vol. 19(20), pages 1-16, October.
    12. Minjung Lee & Myoungsoon You, 2021. "Avoidance of Healthcare Utilization in South Korea during the Coronavirus Disease 2019 (COVID-19) Pandemic," IJERPH, MDPI, vol. 18(8), pages 1-14, April.
    13. Thérèse McDonnell & Emma Nicholson & Ciara Conlon & Michael Barrett & Fergal Cummins & Conor Hensey & Eilish McAuliffe, 2020. "Assessing the Impact of COVID-19 Public Health Stages on Paediatric Emergency Attendance," IJERPH, MDPI, vol. 17(18), pages 1-24, September.
    14. Andreas Richter & Thomas C. Wilson, 2020. "Covid-19: implications for insurer risk management and the insurability of pandemic risk," The Geneva Risk and Insurance Review, Palgrave Macmillan;International Association for the Study of Insurance Economics (The Geneva Association), vol. 45(2), pages 171-199, September.
    15. Frédérique Six & Steven de Vadder & Monika Glavina & Koen Verhoest & Koen Pepermans, 2023. "What drives compliance with COVID‐19 measures over time? Explaining changing impacts with Goal Framing Theory," Regulation & Governance, John Wiley & Sons, vol. 17(1), pages 3-21, January.
    16. Mabugu, Ramos E. & Maisonnave, Helene & Henseler, Martin & Chitiga-Mabugu, Margaret & Makochekanwa, Albert, 2023. "Implications of COVID-19 and mitigation measures on gender and the Zimbabwean economy," Economic Modelling, Elsevier, vol. 121(C).
    17. Cintia Chamorro-Petronacci & Carmen Martin Carreras-Presas & Adriana Sanz-Marchena & María A Rodríguez-Fernández & José María Suárez-Quintanilla & Berta Rivas-Mundiña & Juan Suárez-Quintanilla & Mario, 2020. "Assessment of the Economic and Health-Care Impact of COVID-19 (SARS-CoV-2) on Public and Private Dental Surgeries in Spain: A Pilot Study," IJERPH, MDPI, vol. 17(14), pages 1-9, July.
    18. Yu shin Park & Soo Young Kim & Eun-Cheol Park & Sung-In Jang, 2022. "Screening for Diabetes Complications during the COVID-19 Outbreak in South Korea," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
    19. Yue-Chune Lee & Ming-Chin Yang & Yu-Tung Huang & Chien-Hsiang Liu & Sun-Bing Chen, 2006. "Impacts of Cost Containment Strategies on Pharmaceutical Expenditures of the National Health Insurance in Taiwan, 1996–2003," PharmacoEconomics, Springer, vol. 24(9), pages 891-902, September.
    20. Manuel Hermosilla & Jian Ni & Haizhong Wang & Jin Zhang, 2023. "Leveraging the E-commerce footprint for the surveillance of healthcare utilization," Health Care Management Science, Springer, vol. 26(4), pages 604-625, December.
    21. Shukla, Prakriti & Lee, Myeong & Whitman, Samantha A. & Pine, Kathleen H., 2022. "Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals’ risk assessment and decision making," Social Science & Medicine, Elsevier, vol. 307(C).

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