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B Davin-Casalena1, M Jardin1, H Guerrera2

  • 1Observatoire Régional de la Santé (ORS) Provence-Alpes-Côte d'Azur, 27 boulevard Jean Moulin, 13005 Marseille.

Revue D'Epidemiologie Et De Sante Publique
|August 29, 2021
PubMed
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The COVID-19 lockdown in France reduced private doctor activity and vaccinations but increased teleconsultations. This monitoring system helps public health officials respond to healthcare changes during the pandemic.

Area of Science:

  • Epidemiology
  • Public Health
  • Health Services Research

Background:

  • The COVID-19 pandemic and associated lockdown measures in France (March-May 2020) significantly altered healthcare utilization patterns.
  • Patients' healthcare-seeking behaviors were impacted by the epidemic and fear of SARS-CoV-2 exposure.

Purpose of the Study:

  • To develop and implement a real-time system for monitoring private healthcare activity in South-eastern France.
  • To track changes in prescription patterns for diabetes, mental health, and vaccinations from March to October 2020.

Main Methods:

  • Utilized regional healthcare insurance databases for 2019 and 2020.
  • Constructed weekly indicators of healthcare use, comparing 2020 data against the 2019 baseline.
  • Analyzed trends in doctor consultations, teleconsultations, drug prescriptions, and vaccination rates.
Keywords:
COVID-19Covid-19DoctorsDrugsHealthcare useMédecinsMédicamentsPrivate healthcarePublic healthRecours aux soinsSanté publiqueSoins de villeVaccination

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Main Results:

  • Private doctor activity decreased during lockdown (GPs -23%, specialists -46%) but largely recovered post-lockdown.
  • Teleconsultations surged, reaching 30% of total consultations during the peak crisis.
  • Drug prescriptions initially peaked, while vaccination rates for measles, mumps, and rubella (MMR) and HPV significantly declined.

Conclusions:

  • The COVID-19 epidemic poses risks beyond direct infection, including potential harm from delayed healthcare.
  • The monitoring system provides crucial data for public health authorities to implement targeted interventions.
  • The crisis accelerated the adoption of teleconsultation, offering new avenues for healthcare delivery.