The relationship between healthcare access and change in health-related quality-of-life among the general population of five countries during the COVID-19 pandemic.
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| Title: | The relationship between healthcare access and change in health-related quality-of-life among the general population of five countries during the COVID-19 pandemic. |
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| Authors: | Alexandrov, Nadja (AUTHOR), Scott, Emily Stella (AUTHOR), Janssen, Mathieu F. (AUTHOR), Lubetkin, Erica I. (AUTHOR), Yfantopoulos, John N. (AUTHOR), Bonsel, Gouke J. (AUTHOR), Haagsma, Juanita A. (AUTHOR) |
| Source: | Quality of Life Research. Sep2024, Vol. 33 Issue 9, p2541-2552. 12p. |
| Subjects: | COVID-19 pandemic, Health services accessibility, Health equity, Quality of life, Independent variables |
| Abstract: | Purpose: To determine whether (1) healthcare access at onset of the pandemic and (2) age, gender, socioeconomic status (SES), and pre-existing health status were associated with change in health-related quality-of-life (HRQoL) during the COVID-19 pandemic. The study includes a general population sample of five countries. Methods: An online questionnaire was administered to respondents from Greece, Italy, the Netherlands, the UK, and the US at the onset of the COVID-19 pandemic between April 22nd and May 5th of 2020, and 1 year later between May 23rd and June 29th of 2021. The questionnaire included questions on demographic background, health status, and HRQoL. The primary outcome was change in HRQoL as measured by the EQ-5D-5L instrument. Specifically, the EQ-5D-5L index and EQ VAS were used. Healthcare access was quantified with regard to the respondent's ease of getting an appointment, waiting time, and opportunity to contact the provider and during analysis dichotomized into "sufficient" versus "insufficient". Linear regression analysis was performed with change in HRQoL as dependent variable and background variables as independent variables. Results: In total, 6,765 respondents completed the second questionnaire. 19.8% of total respondents reported insufficient healthcare access. Respondents with insufficient healthcare had both more improved and deteriorated HRQoL compared to respondents with sufficient healthcare, whose HRQoL remained unchanged. We did not find significant interactions between age, gender, SES and/or chronic disease status with healthcare access at onset of the COVID-19 pandemic. Conclusion: Healthcare access was not associated with cumulative differences in change in HRQoL over a 1-year period in strata of age, gender, SES, and chronic disease status. [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 179574264 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The relationship between healthcare access and change in health-related quality-of-life among the general population of five countries during the COVID-19 pandemic. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Alexandrov%2C+Nadja%22">Alexandrov, Nadja</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scott%2C+Emily+Stella%22">Scott, Emily Stella</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Janssen%2C+Mathieu+F%2E%22">Janssen, Mathieu F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lubetkin%2C+Erica+I%2E%22">Lubetkin, Erica I.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yfantopoulos%2C+John+N%2E%22">Yfantopoulos, John N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bonsel%2C+Gouke+J%2E%22">Bonsel, Gouke J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haagsma%2C+Juanita+A%2E%22">Haagsma, Juanita A.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Sep2024, Vol. 33 Issue 9, p2541-2552. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+variables%22">Independent variables</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: To determine whether (1) healthcare access at onset of the pandemic and (2) age, gender, socioeconomic status (SES), and pre-existing health status were associated with change in health-related quality-of-life (HRQoL) during the COVID-19 pandemic. The study includes a general population sample of five countries. Methods: An online questionnaire was administered to respondents from Greece, Italy, the Netherlands, the UK, and the US at the onset of the COVID-19 pandemic between April 22nd and May 5th of 2020, and 1 year later between May 23rd and June 29th of 2021. The questionnaire included questions on demographic background, health status, and HRQoL. The primary outcome was change in HRQoL as measured by the EQ-5D-5L instrument. Specifically, the EQ-5D-5L index and EQ VAS were used. Healthcare access was quantified with regard to the respondent's ease of getting an appointment, waiting time, and opportunity to contact the provider and during analysis dichotomized into "sufficient" versus "insufficient". Linear regression analysis was performed with change in HRQoL as dependent variable and background variables as independent variables. Results: In total, 6,765 respondents completed the second questionnaire. 19.8% of total respondents reported insufficient healthcare access. Respondents with insufficient healthcare had both more improved and deteriorated HRQoL compared to respondents with sufficient healthcare, whose HRQoL remained unchanged. We did not find significant interactions between age, gender, SES and/or chronic disease status with healthcare access at onset of the COVID-19 pandemic. Conclusion: Healthcare access was not associated with cumulative differences in change in HRQoL over a 1-year period in strata of age, gender, SES, and chronic disease status. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-024-03704-1 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 2541 Subjects: – SubjectFull: COVID-19 pandemic Type: general – SubjectFull: Health services accessibility Type: general – SubjectFull: Health equity Type: general – SubjectFull: Quality of life Type: general – SubjectFull: Independent variables Type: general Titles: – TitleFull: The relationship between healthcare access and change in health-related quality-of-life among the general population of five countries during the COVID-19 pandemic. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Alexandrov, Nadja – PersonEntity: Name: NameFull: Scott, Emily Stella – PersonEntity: Name: NameFull: Janssen, Mathieu F. – PersonEntity: Name: NameFull: Lubetkin, Erica I. – PersonEntity: Name: NameFull: Yfantopoulos, John N. – PersonEntity: Name: NameFull: Bonsel, Gouke J. – PersonEntity: Name: NameFull: Haagsma, Juanita A. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 33 – Type: issue Value: 9 Titles: – TitleFull: Quality of Life Research Type: main |
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