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Changes in the Comprehensiveness of Rural Medical Care for Older Japanese Patients during the COVID-19 Pandemic

Author

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  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, Daito-cho Iida, Unnan 699-1221, Japan)

  • Akinori Ueno

    (Unnan Public Health Center, Unnan 699-1311, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, Enya-cho, Izumo 693-8501, Japan)

Abstract

Help-seeking behaviors (HSBs) refer to how people use lay and medical care to address their symptoms and diseases. The COVID-19 pandemic may have changed older, rural patients’ preferences and experiences regarding HSBs, thereby, affecting the comprehensiveness of medical support for communities. This study identified changes in the comprehensiveness of medical care for older, rural patients, who are often dependent on others for accessing medical services. This observational study was performed with patients who lived in Unnan City. Patients’ dependency and changes in comprehensiveness of medical services were assessed and calculated. The total usage of medical care decreased from 2018 to 2020 at all medical care levels. The proportion of patients who received comprehensive care was higher in 2020 than in 2018, at all care levels. At care dependent levels 3 to 5, the differences in the proportions were statistically significant. This study illustrates an association between the COVID-19 pandemic and the proportion of comprehensiveness of medical care among older rural patients with a decrease in medical care usage. Moreover, an improved proportion of comprehensiveness of medical care leads to appropriate HSBs. Going forward, HSBs and patient-centered care should be promoted by policy makers.

Suggested Citation

  • Ryuichi Ohta & Akinori Ueno & Chiaki Sano, 2021. "Changes in the Comprehensiveness of Rural Medical Care for Older Japanese Patients during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(20), pages 1-9, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10772-:d:655876
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    References listed on IDEAS

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    1. Ryuichi Ohta & Mikiya Sato & Jun Kitayuguchi & Tetsuhiro Maeno & Chiaki Sano, 2021. "Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(17), pages 1-8, August.
    2. Joanne Lawrence-Bourne & Hazel Dalton & David Perkins & Jane Farmer & Georgina Luscombe & Nelly Oelke & Nasser Bagheri, 2020. "What Is Rural Adversity, How Does It Affect Wellbeing and What Are the Implications for Action?," IJERPH, MDPI, vol. 17(19), pages 1-13, October.
    3. Peng Jiang & Jiří Jaromír Klemeš & Yee Van Fan & Xiuju Fu & Yong Mong Bee, 2021. "More Is Not Enough: A Deeper Understanding of the COVID-19 Impacts on Healthcare, Energy and Environment Is Crucial," IJERPH, MDPI, vol. 18(2), pages 1-22, January.
    4. Maricruz Rivera-Hernandez & Nasim B Ferdows & Amit Kumar & Deborah Carr, 2021. "The Impact of the COVID-19 Epidemic on Older Adults in Rural and Urban Areas in Mexico," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(7), pages 268-274.
    5. Bhatia, Ridhi, 2021. "Telehealth and COVID-19: Using technology to accelerate the curve on access and quality healthcare for citizens in India," Technology in Society, Elsevier, vol. 64(C).
    6. Ryuichi Ohta & Yoshinori Ryu & Jun Kitayuguchi & Chiaki Sano & Karen D. Könings, 2021. "Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    7. Ryuichi Ohta & Yoshinori Ryu & Daisuke Kataoka & Chiaki Sano, 2021. "Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    8. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "Effects of Implementation of Infection Control Measures against COVID-19 on the Condition of Japanese Rural Nursing Homes," IJERPH, MDPI, vol. 18(11), pages 1-9, May.
    9. Ryuichi Ohta & Mikiya Sato & Jun Kitayuguchi & Tetsuhiro Maeno & Chiaki Sano, 2021. "The Association between the Self-Management of Mild Symptoms and Quality of Life of Elderly Populations in Rural Communities: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
    10. John A Ford & Rachel Turley & Tom Porter & Tom Shakespeare & Geoff Wong & Andy P Jones & Nick Steel, 2018. "Access to primary care for socio-economically disadvantaged older people in rural areas: A qualitative study," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-14, March.
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    Cited by:

    1. Yumi Naito & Ryuichi Ohta & Chiaki Sano, 2021. "Solving Social Problems in Aging Rural Japanese Communities: The Development and Sustainability of the Osekkai Conference as a Social Prescribing during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    2. Kasumi Nishikawa & Ryuichi Ohta & Chiaki Sano, 2022. "Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    3. Ryuichi Ohta & Koichi Maiguma & Akiko Yata & Chiaki Sano, 2022. "A Solution for Loneliness in Rural Populations: The Effects of Osekkai Conferences during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    4. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2022. "Improvement in Quality of Life through Self-Management of Mild Symptoms during the COVID-19 Pandemic: A Prospective Cohort Study," IJERPH, MDPI, vol. 19(11), pages 1-9, May.

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