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Table 2 The number of patients and contacts (appointments and remote consultations)1 by age group

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

 

2019

2020

Change (in %)

2019

2020

Change (in %)

2019

2020

Change (in %)

2019

2020

Change (in %)

Under 70 years (n= 5435)

Primary care T2D-related contacts (nurse/doctor)

 N of contacts, mean [min-max]

2.29 [0–42]

2.13 [0–30]

- 7.2*

0.51 [0–17]

0.51 [0–17]

+ 0.2

0.53 [0–14]

0.46 [0–13]

- 12.0*

1.26 [0–26]

1.15 [0–26]

- 8.2*

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

64.3 (±0.7)

59.4 (±0.7)

- 7.6*

29.1 (±0.6)

27.5 (±0.6)

- 5.6

29.3 (±0.6)

24.6 (±0.6)

- 15.9*

49.1 (±0.7)

43.1 (±0.7)

- 12.2*

 Proportion of patients with appointments, % (±SE)

52.5 (±0.7)

34.4 (±0.6)

- 34.5*†

18.4 (±0.5)

17.6 (±0.5)

- 4.6

19.9 (±0.5)

5.9 (±0.3)

- 70.4*†

36.9 (±0.7)

19.9 (±0.5)

- 46.0*

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

47.2 (±0.7)

51.6 (±0.7)

+ 9.3*

18.6 (±0.5)

18.4 (±0.5)

- 1.5

17.9 (±0.5)

21.7 (±0.6)

+ 21.5*

33.1 (±0.6)

36.6 (±0.7)

+ 10.6*

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

55.6 (±0.4)

75.2 (±0.4)

+ 35.3*

56.3 (±0.9)

59.7 (±0.9)

+ 6.0*

54.5 (±0.9)

86.6 (±0.7)

+ 58.9*†

55.8 (±0.6)

77.5 (±0.5)

+ 38.9*

Primary care dental health appointments with dentists

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

0.64 [0–13]

0.54 [0–11]

- 15.0*

0.15 [0–8]

0.11 [0–6]

- 23.4*†

0.13 [0–5]

0.09 [0–4]

- 30.6*

0.35 [0–8]

0.33 [0–11]

- 5.6

 Proportion of patients with appointment, % (±SE)

27.0 (±0.6)

23.9 (±0.6)

- 11.4*

10.7 (±0.4)

9.1 (±0.4)

- 15.4*

10.3 (±0.4)

7 (±0.4)

- 31.6*†

18.6 (±0.5)

17.7 (±0.5)

- 4.6

Specialised care emergency appointments

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

0.50 [0–34]

0.49 [0–54]

-1.3

0.09 [0–6]

0.11 [0–15]

+ 15.4

0.10 [0–10]

0.08 [0–13]

- 19.7*

0.03 [0–21]

0.30 [0–32]

- 0.1

 Proportion of patients with appointment, % (±SE)

23.1 (±0.6)

22.4 (±0.6)

- 3.0

6.7 (±0.3)

7.3 (±0.4)

+ 8.7

6.9 (±0.3)

5.4 (±0.3)

- 22.1*

15.6 (±0.5)

15.2 (±0.5)

- 2.8

70+ years (n= 6023)

Primary care T2D-related contacts (nurse/doctor)

 N of contacts, mean [min-max]

2.28 [0–39]

2.03 [0–33]

- 11.0*

0.49 [0–14]

0.48 [0–13]

- 2.7

0.53 [0–17]

0.43 [0–12]

- 19.0*

1.26 [0–23]

1.13 [0–25]

- 10.8*

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

67.1 (±0.6)

60.4 (±0.6)

- 10.0*

28.7 (±0.6)

27.9 (±0.6)

- 2.8

31.0 (±0.6)

24.1 (±0.6)

- 22.1*

52.3 (±0.6)

45.2 (±0.6)

- 13.7*

 Proportion of patients with appointments, % (±SE)

53.1 (±0.6)

32.5 (±0.6)

- 38.8*†

18.4 (±0.5)

16.5 (±0.5)

- 10.4*

20.3 (±0.5)

4.3 (±0.3)

- 78.9*†

38.7 (±0.6)

20.3 (±0.5)

- 47.6*

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

49.5 (±0.6)

53.2 (±0.6)

+ 7.5*

17.6 (±0.5)

18.8 (±0.5)

+ 6.7

18.8 (±0.5)

22.3 (±0.5)

+ 18.3*

35.1 (±0.6)

38.1 (±0.6)

+ 8.4*

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

55.6 (±0.4)

75.4 (±0.4)

+ 35.6*

56.3 (±0.9)

60.0 (±0.9)

+ 6.6*

54.8 (±0.9)

89.4 (±0.6)

+ 63.1*†

55.6 (±0.6)

76.7 (±0.5)

+ 37.9*

Primary care dental health appointments with dentists

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

0.34 [0–12]

0.27 [0–10]

- 19.4*

0.07 [0–5]

0.07 [0–4]

- 3.8†

0.07 [0–4]

0.03 [0–4]

- 54.4*

0.20 [0–7]

0.17 [0–7]

- 12.9*

 Proportion of patients with appointment, % (±SE)

15.9 (±0.5)

14.3 (±0.5)

-10.0*

5.5 (±0.3)

5.5 (±0.3)

- 0.6

5.4 (±0.3)

2.6 (±0.2)

- 51.5*†

11.0 (±0.4)

10.0 (±0.4)

- 9.0

Specialised care emergency appointments

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

0.66 [0–24]

0.69 [0–25]

+ 5.8

0.13 [0–6]

0.15 [0–10]

+ 10.2

0.13 [0–6]

0.12 [0–7]

- 10.2

0.39 [0–14]

0.43 [0–14]

+ 9.8*

 Proportion of patients with appointment, % (±SE)

31.4 (±0.6)

31.5 (±0.6)

+ 0.5

9.4 (±0.4)

9.7 (±0.4)

+ 3.5

9.4 (±0.4)

8.3 (±0.4)

- 12.1*

21.4 (±0.5)

22.2 (±0.5)

+ 3.8

  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)
  7. † Statistically significant difference in the magnitude of change between age group with p-value < 0.05 (Mann-Whitney U test for the difference in continuous variables, logistic regression with an interaction term for proportion)