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Table 1 The number of patients and contacts (appointments and remote consultations)1

From: The adverse effect of the COVID-19 pandemic on health service usage among patients with type 2 diabetes in North Karelia, Finland

 

Year

Pre-lockdown2

Lockdown3

Post-lockdown4

Cohort (n = 11,458)

2019

2020

Change (in %)

2019

2020

Change (in %)

2019

2020

Change (in %)

2019

2020

Change (in %)

Primary care T2D-related contacts (nurse/doctor)

 N of contacts

26,226

23,817

- 9.2*

5736

5660

- 1.3

6055

5106

-15.7*

14,435

13,051

- 9.6*

 N of contacts per person, mean [min-max]

2.29 [0–42]

2.08 [0–33]

- 9.2*

0.50 [0–17]

0.49 [0–17]

- 1.3

0.53 [0–17]

0.45 [0–13]

- 15.7*

1.26 [0–26]

1.14 [0–26]

- 9.6*

 N of appointments per person, mean [min-max]

1.02 [0–41]

0.51 [0–13]

- 49.5*

0.22 [0–16]

0.20 [0–5]

- 9.2*

0.24 [0–10]

0.05 [0–5]

- 77.6*

0.56 [0–25]

0.26 [0–11]

- 53.2*

 N of remote contact per person, mean [min-max]

1.27 [0–26]

1.57 [0–30]

+ 23.0*

0.28 [0–13]

0.30 [0–13]

+ 4.8

0.29 [0–13]

0.39 [0–13]

+ 35.7*

0.70 [0–18]

0.88 [0–25]

+ 25.1*

 Proportion of patients with any contact, % (±SE)

65.8 (±0.4)

59.9 (±0.4)

- 8.9*

28.9 (±0.5)

27.7 (±0.4)

- 4.2*

30.2 [±0.4]

24.3 (±0.4)

- 19.3*

50.8 [±0.5]

44.2 (±0.7)

- 13.0*

 Proportion of patients with appointments, % (±SE)

52.8 (±0.5)

33.4 (±0.4)

- 36.8*

18.4 (±0.5)

17.0 (±0.4)

- 7.6*

20.1 [±0.4]

5.1 (±0.2)

- 74.9*

37.9 [±0.5]

20.1 (±0.4)

- 46.8*

 Proportion of patients with remote contact, % (±SE)

48.4 (±0.5)

52.5 (±0.4)

+ 8.3*

18.1 (±0.4)

18.6 (±0.4)

+ 2.7

18.4 [±0.4]

22.0 (±0.4)

+ 19.8*

34.2 [±0.4]

37.4 (±0.5)

+ 9.4*

 Proportion of remote contacts among all contacts, % (±SE)

55.6 (±0.3)

75.3 (±0.3)

+ 35.4*

56.3 (±0.7)

59.8 (±0.7)

+ 6.2*

54.7 (±0.6)

88.0 (±0.5)

+ 60.9*

55.7 (±0.4)

77.1 (±0.4)

+ 38.4*

Primary care T2D-related contacts with nurse

 N of contacts per person, mean [min-max]

1.68 [0–42]

1.57 [0–27]

- 6.5*

0.37 [0–17]

0.37 [0–13]

- 0.5

0.38 [0–15]

0.35 [0–13]

- 9.9*

0.92 [0–26]

0.85 [0–20]

- 7.6*

 Proportion of patients with any contact, % (±SE)

59.0 (±0.5)

53.8 (±0.5)

- 8.7*

24.3 (±0.4)

23.9 (±0.4)

- 1.7

25.3 (±0.4)

20.9 (±0.4)

- 17.5*

43.9 (±0.5)

38.5 (±0.5)

- 12.3*

 Proportion of remote contacts among all contacts, % (±SE)

51.0 (±0.4)

72.5 (±0.3)

+ 42.2*

52.7 (±0.8)

54.6 (±0.8)

+ 3.6

48.4 (±0.8)

87.6 (±0.5)

+ 81.0*

51.4 (±0.5)

74.2 (±0.4)

+ 44.4*

Primary care T2D-related contacts with doctor

 N of contacts per person, mean [min-max]

0.61 [0–13]

0.51 [0–10]

- 16.5*

0.13 [0–5]

0.12 [0–4]

- 3.8

0.14 [0–4]

0.10 [0–5]

- 30.9*

0.34 [0–8]

0.29 [0–8]

- 15.0*

 Proportion of patients with any contact, % (±SE)

38.1 (±0.5)

31.8 (±0.4)

- 16.5*

10.9 (±0.3)

10.3 (±0.3)

- 5.0

12.2 (±0.3)

8.5 (±0.3)

- 29.9*

24.4 (±0.4)

20.0 (±0.4)

- 18.0*

 Proportion of remote contacts among all contacts, % (±SE)

68.2 (±0.6)

84.0 (±0.5)

+ 23.2*

67.0 (±1.2)

75.9 (±1.2)

+ 13.3*

71.3 (±1.1)

89.2 (±0.9)

+ 25.1*

67.4 (±0.8)

85.6 (±0.6)

+ 27.0*

Primary care dental health appointments with dentists

 N of appointments

5491

4578

- 16.6*

1236

1030

- 16.7*

1143

696

- 39.1*

3112

2852

- 8.4*

 N of appointments per person, mean [min-max]

0.48 [0–13]

0.40 [0–11]

- 16.6*

0.11 [0–8]

0.09 [0–6]

- 16.7*

0.10 [0–5]

0.06 [0–4]

- 39.1*

0.27 [0–8]

0.25 [0–11]

- 8.4*

 Proportion of patients with appointment, % (±SE)

21.2 (±0.4)

18.9 (±0.4)

- 10.9*

8.0 (±0.3)

7.2 (±0.2)

- 10.1*

7.7 (±0.3)

4.7 (±0.2)

- 38.9*

14.6 (±0.3)

13.7 (±0.3)

- 6.3*

Specialised care emergency appointments

 N of appointments

6660

6855

+ 2.9

1311

1471

+ 12.2*

1369

1176

- 14.1*

3980

4208

+ 5.7

 N of appointments per person, mean [min-max]

0.58 [0–35]

0.60 [0–54]

+ 2.9

0.11 [0–6]

0.13 [0–15]

+ 12.2*

0.12 [0–10]

0.10 [0–13]

- 14.1*

0.35 [0–21]

0.37 [0–32]

+ 5.7

 Proportion of patients with appointment, % (±SE)

27.5 (±0.4)

27.2 (±0.4)

- 0.9

8.1 (±0.3)

8.6 (±0.3)

+ 5.6*

8.2 (±0.23)

6.9 (±0.2)

- 16.1*

18.7 (±0.4)

18.9 (±0.4)

+ 1.2

  1. Abbreviations: SE standard error
  2. 1Face-to-face appointments only in emergency and dental health care
  3. 2Pre-lockdown periods: 1 January–17 March 2019; 1 January–15 March 2020
  4. 3Lockdown periods: 18 March–2 June 2019; 16 March–31 May 2020
  5. 4Post-lockdown periods: 3 June–31 December 2019, 1 June–31 December 2020
  6. * Statistically significant difference between 2019 and 2020 with p-value < 0.05 (Wilcoxon signed-rank test for the difference in continuous variables, logistic regression for proportions)