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Changes in Health Care Access during the COVID-19 Pandemic: Estimates of National Japanese Data, June 2020–October 2021

Author

Listed:
  • Yuta Tanoue

    (Department of Health Policy and Management, School of Medicine, Keio University, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan
    Institute for Business and Finance, Waseda University, 1-6-1 Nishi-Waseda, Shinjuku-ku, Tokyo 169-8050, Japan)

  • Cyrus Ghaznavi

    (Department of Health Policy and Management, School of Medicine, Keio University, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan
    Medical Education Program, Washington University School of Medicine, 660 S Euclid Ave, Saint Louis, MO 63110, USA)

  • Takayuki Kawashima

    (Department of Health Policy and Management, School of Medicine, Keio University, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan
    Department of Mathematical and Computing Science, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8550, Japan)

  • Akifumi Eguchi

    (Department of Health Policy and Management, School of Medicine, Keio University, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan
    Center for Preventive Medical Sciences, Department of Sustainable Health Science, Chiba University, 1-33 Yayoi-cho, Inage-ku, Chiba 263-8522, Japan)

  • Daisuke Yoneoka

    (Department of Health Policy and Management, School of Medicine, Keio University, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan
    The Tokyo Foundation for Policy Research, 3-2-1 Roppongi, Tokyo 106-6234, Japan
    Infectious Disease Surveillance Center, National Institute of Infectious Diseases, 1-23-1 Toyama, Tokyo 162-8640, Japan
    Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8654, Japan)

  • Shuhei Nomura

    (Department of Health Policy and Management, School of Medicine, Keio University, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan
    The Tokyo Foundation for Policy Research, 3-2-1 Roppongi, Tokyo 106-6234, Japan
    Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8654, Japan)

Abstract

The COVID-19 pandemic has disrupted health care access around the world, both for inpatients and outpatients. We applied a quasi-Poisson regression to national, monthly data on the number of outpatients, number of inpatients, length of average hospital stay, and the number of new hospitalizations from March 2015 to October 2021 to assess how these outcomes changed between June 2020 to October 2021. The number of outpatient visits were lower-than-predicted during the early phases of the pandemic but normalized by the fall of 2021. The number of inpatients and new hospitalizations were lower-than-predicted throughout the pandemic, and deficits in reporting continued to be observed in late 2021. The length of hospital stays was within the predicted range for all beds, but when stratified by bed type, was higher than predicted for psychiatric beds, lower-than-predicted for tuberculosis beds, and showed variable changes in long-term care insurance beds. Health care access in Japan was impacted by the COVID-19 pandemic.

Suggested Citation

  • Yuta Tanoue & Cyrus Ghaznavi & Takayuki Kawashima & Akifumi Eguchi & Daisuke Yoneoka & Shuhei Nomura, 2022. "Changes in Health Care Access during the COVID-19 Pandemic: Estimates of National Japanese Data, June 2020–October 2021," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8810-:d:867048
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    References listed on IDEAS

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