Abstract
We assessed the impact of the COVID-19 pandemic in Spain on new cases of diseases and conditions commonly seen in primary care. In 2020, there were significant reductions from 2017-2019 in the annual incidences of hypertension (40% reduction), hypercholesterolemia (36%), type 2 diabetes (39%), chronic kidney disease (43%), ischemic heart disease (48%), benign prostatic hypertrophy (38%), osteoporosis (40%), hypothyroidism (46%), chronic obstructive pulmonary disease (50%), alcohol use disorder (46%), benign colon polyps and tumors (42%), and melanomas (45%). Prioritization of COVID-19 care changed the physician-patient relationship to the detriment of face-to-face scheduled visits for chronic disease detection and monitoring, which fell by almost 41%. To return to prepandemic levels of diagnosis and management of chronic diseases, primary health care services should reorganize and carry out specific actions for groups at higher risk. VISUAL ABSTRACT Annals “Online First” article.
Keywords: COVID-19; SARS-Cov-2; chronic conditions; delivery of health care; health services accessibility; organizational change; pandemics; population health; primary care; telemedicine; underdiagnosis.
【저자키워드】 COVID-19, SARS-CoV-2, primary care, Telemedicine, Population health, Health services accessibility, Pandemics, delivery of health care, chronic conditions, organizational change, underdiagnosis., 【초록키워드】 Tumor, primary care, Health care, COVID-19 pandemic, Diagnosis, Chronic kidney disease, Telemedicine, diabetes, alcohol, hypertension, chronic disease, Osteoporosis, type 2 diabetes, Health, Primary Health Care, management, Spain, Melanoma, Pandemics, Kidney disease, disease detection, incidence, group, disease, Care, pulmonary disease, chronic obstructive pulmonary disease, hypercholesterolemia, heart disease, chronic conditions, tumors, obstructive pulmonary disease, reduction, Health Service, Chronic diseases, Colon, Hypothyroidism, higher risk, significant reductions, ischemic heart disease, disorder, benign prostatic hypertrophy, condition, changed, chronic obstructive, Annal, type 2 diabete, 【제목키워드】 Impact,