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Factors Associated with the Patient’s Decision to Avoid Healthcare during the COVID-19 Pandemic

Author

Listed:
  • Patrícia Soares

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Andreia Leite

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Sara Esteves

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal)

  • Ana Gama

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Pedro Almeida Laires

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Marta Moniz

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Ana Rita Pedro

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Cristina Mendes Santos

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal)

  • Ana Rita Goes

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Carla Nunes

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

  • Sónia Dias

    (Comprehensive Health Research Center, Universidade NOVA de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisboa, Portugal
    NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal)

Abstract

The COVID-19 pandemic has resulted in changes in healthcare use. This study aimed to identify factors associated with a patient’s decision to avoid and/or delay healthcare during the COVID-19 pandemic. We used data from a community-based survey in Portugal from July 2020 to August 2021, “COVID-19 Barometer: Social Opinion”, which included data regarding health services use, risk perception and confidence in health services. We framed our analysis under Andersen’s Behavioural Model of Health Services Use and utilised Poisson regression to identify healthcare avoidance associated factors. Healthcare avoidance was high (44%). Higher prevalence of healthcare avoidance was found among women; participants who reported lower confidence in the healthcare system response to COVID-19 and non-COVID-19; lost income during the pandemic; experienced negative emotions due to physical distancing measures; answered the questionnaire before middle June 2021; and perceived having worse health, the measures implemented by the Government as inadequate, the information conveyed as unclear and confusing, a higher risk of getting COVID-19, a higher risk of complications and a higher risk of getting infected in a health institution. It is crucial to reassure the population that health services are safe. Health services should plan their recovery since delays in healthcare delivery can lead to increased or worsening morbidity, yielding economic and societal costs.

Suggested Citation

  • Patrícia Soares & Andreia Leite & Sara Esteves & Ana Gama & Pedro Almeida Laires & Marta Moniz & Ana Rita Pedro & Cristina Mendes Santos & Ana Rita Goes & Carla Nunes & Sónia Dias, 2021. "Factors Associated with the Patient’s Decision to Avoid Healthcare during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13239-:d:703303
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    References listed on IDEAS

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    1. Sarah Dryhurst & Claudia R. Schneider & John Kerr & Alexandra L. J. Freeman & Gabriel Recchia & Anne Marthe van der Bles & David Spiegelhalter & Sander van der Linden, 2020. "Risk perceptions of COVID-19 around the world," Journal of Risk Research, Taylor & Francis Journals, vol. 23(7-8), pages 994-1006, August.
    2. Marta Gil‐Lacruz & Ana I. Gil‐Lacruz, 2010. "Health Perception and Health Care Access: Sex Differences in Behaviors and Attitudes," American Journal of Economics and Sociology, Wiley Blackwell, vol. 69(2), pages 783-801, April.
    3. Christopher J. Cronin & William N. Evans, 2021. "Excess mortality from COVID and non-COVID causes in minority populations," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(39), pages 2101386118-, September.
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