Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals’ risk assessment and decision making
Delaying routine health care has been prevalent during the COIVD-19 pandemic. Macro-level data from this period reveals that U.S. patients under-utilized routine health care services such as primary care visits, preventative tests, screenings, routine optometry care, dental appointments, and visits...
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| Published in | Social science & medicine (1982) Vol. 307; p. 115164 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.08.2022
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| Subjects | |
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| Abstract | Delaying routine health care has been prevalent during the COIVD-19 pandemic. Macro-level data from this period reveals that U.S. patients under-utilized routine health care services such as primary care visits, preventative tests, screenings, routine optometry care, dental appointments, and visits for chronic disease management. Yet, there is a gap in research on how and why patients understand risks associated with seeking or delaying routing health care during an infectious disease pandemic. Our research addresses this gap based on semi-structured interviews with 40 participants living in regions across the United States. By building upon Unger-Saldaña and Infante-Castañeda's model of delayed health care, we extend this model by articulating how health care delays happen during an infectious disease pandemic. Specifically, we show how perceptions of uncertainty and subjective risk assessments shape people's decisions to delay routine health care while they operate at two levels, internal and external to one's social bubble, interacting with each other.
•During COVID-19, people delayed their routine health care due to various risks.•Interplays between internal and external factors lead to risk assessment.•One's perception and assessment of uncertainty and risk lead to health care delay.•The availability of alternative health care may moderate one's risk assessment.•We propose a new model of decision-making to delay health care. |
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| AbstractList | Delaying routine health care has been prevalent during the COIVD-19 pandemic. Macro-level data from this period reveals that U.S. patients under-utilized routine health care services such as primary care visits, preventative tests, screenings, routine optometry care, dental appointments, and visits for chronic disease management. Yet, there is a gap in research on how and why patients understand risks associated with seeking or delaying routing health care during an infectious disease pandemic. Our research addresses this gap based on semi-structured interviews with 40 participants living in regions across the United States. By building upon Unger-Saldaña and Infante-Castañeda's model of delayed health care, we extend this model by articulating how health care delays happen during an infectious disease pandemic. Specifically, we show how perceptions of uncertainty and subjective risk assessments shape people's decisions to delay routine health care while they operate at two levels, internal and external to one's social bubble, interacting with each other. Delaying routine health care has been prevalent during the COIVD-19 pandemic. Macro-level data from this period reveals that U.S. patients under-utilized routine health care services such as primary care visits, preventative tests, screenings, routine optometry care, dental appointments, and visits for chronic disease management. Yet, there is a gap in research on how and why patients understand risks associated with seeking or delaying routing health care during an infectious disease pandemic. Our research addresses this gap based on semi-structured interviews with 40 participants living in regions across the United States. By building upon Unger-Saldaña and Infante-Castañeda's model of delayed health care, we extend this model by articulating how health care delays happen during an infectious disease pandemic. Specifically, we show how perceptions of uncertainty and subjective risk assessments shape people's decisions to delay routine health care while they operate at two levels, internal and external to one's social bubble, interacting with each other. •During COVID-19, people delayed their routine health care due to various risks.•Interplays between internal and external factors lead to risk assessment.•One's perception and assessment of uncertainty and risk lead to health care delay.•The availability of alternative health care may moderate one's risk assessment.•We propose a new model of decision-making to delay health care. |
| ArticleNumber | 115164 |
| Author | Lee, Myeong Shukla, Prakriti Whitman, Samantha A. Pine, Kathleen H. |
| Author_xml | – sequence: 1 givenname: Prakriti surname: Shukla fullname: Shukla, Prakriti email: pshukla4@asu.edu organization: Arizona State University, USA – sequence: 2 givenname: Myeong orcidid: 0000-0001-7195-3966 surname: Lee fullname: Lee, Myeong email: mlee89@gmu.edu organization: George Mason University, USA – sequence: 3 givenname: Samantha A. orcidid: 0000-0002-0301-1982 surname: Whitman fullname: Whitman, Samantha A. email: swhitma2@asu.edu organization: Arizona State University, USA – sequence: 4 givenname: Kathleen H. surname: Pine fullname: Pine, Kathleen H. email: khpine@asu.edu organization: Arizona State University, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35816834$$D View this record in MEDLINE/PubMed |
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| Keywords | COVID-19 Delayed health care Decision making Risk assessment |
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| License | Copyright © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
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| SubjectTerms | COVID-19 COVID-19 - epidemiology Decision Making Delayed health care Delivery of Health Care Humans Models, Theoretical Pandemics - prevention & control Risk Assessment United States - epidemiology |
| Title | Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals’ risk assessment and decision making |
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