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http://conacyt.repositorioinstitucional.mx/jspui/handle/1000/8721| Barriers in accessing healthcare during the COVID-19 pandemic: analysis of the Virus Watch community cohort study | |
| Sarah Beale Thomas Byrne Dee Menezes Chloë Siegele-Brown Alexei Yavlinsky Vincent Nguyen Isobel Braithwaite Rachel Burns Sam Tweed Youssof Oskrochi Jana Kovar Wing Lam Erica Fong Andrew Hayward Robert Aldridge | |
| Acceso Abierto | |
| Atribución-NoComercial-SinDerivadas | |
| https://doi.org/10.1101/2024.02.15.24302762 | |
| https://www.medrxiv.org/content/10.1101/2024.02.15.24302762v1 | |
| Background Differential barriers to accessing healthcare contribute to inequitable health outcomes. This study aims to describe the characteristics of individuals who experienced barriers, and what those barriers were, during the COVID-19 pandemic. Methods We analysed data from Virus Watch: an online survey-based community study of households in England and Wales. The primary outcome was reported difficulty accessing healthcare in the previous year. Results Minority ethnic participants reported difficulty accessing healthcare more than White British participants (41.6% vs 37%), while for migrants this was at broadly similar levels to non-migrants. Those living in the most deprived areas reported difficulty more than those living in the least deprived quintile (45.5% vs. 35.5%). The most frequently reported barrier was cancellation/disruption of services due to the COVID-19 pandemic (72.0%) followed by problems with digital or telephone access (21.8%). Ethnic minority participants, migrants, and those from deprived areas more commonly described “insufficient flexibility of appointments” and “not enough time to explain complex needs” as barriers. Conclusions Minority ethnic individuals and those living in deprived areas were more likely to experience barriers to healthcare during the COVID-19 pandemic, and it is essential they are addressed as services seek to manage backlogs of care. Competing Interest Statement AH serves on the UK New and Emerging Respiratory Virus Threats Advisory Group. All other authors declare no competing interests. Funding Statement Virus Watch was supported by the Medical Research Council [Grant Ref: MC_PC 19070 and MR/V028375/1]. The study also received $15000 of advertising credit from Facebook to support a pilot social media recruitment campaign on 18 August 2020. The antibody testing was also supported by funding from the Department of Health and Social Care from February 2021 to March 2022. This study was also supported by the Wellcome Trust through a Wellcome Clinical Research Career Development Fellowship to R.W.A. [206602]. | |
| bioRxiv | |
| 17-02-2024 | |
| Preimpreso | |
| Inglés | |
| Público en general | |
| VIRUS RESPIRATORIOS | |
| Aparece en las colecciones: | Materiales de Consulta y Comunicados Técnicos |
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| Barriers in accessing healthcare during the COVID-19 pandemic.pdf | 466.75 kB | Adobe PDF | Visualizar/Abrir |