Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/142907 |
Resumo: | Funding Information: This study was co-financed by the Foundation for Science and Technology, under the financing program ‘Research 4 Covid-19’ (Ref FCT 608). The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © 2022 American Chemical Society. |
id |
RCAP_ac21e0123490b999be0f71c993987427 |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/142907 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visitsresults from a community-based survey in Portugalaccident & emergency medicineCOVID-19health policyMedicine(all)SDG 3 - Good Health and Well-beingFunding Information: This study was co-financed by the Foundation for Science and Technology, under the financing program ‘Research 4 Covid-19’ (Ref FCT 608). The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © 2022 American Chemical Society.Objectives To examine the association between the perception of COVID-19 risk, confidence in health services and avoidance of emergency department (ED) visits in Portugal during the COVID-19 pandemic. Design Community-based, cross-sectional survey. Setting Volunteer sample that completed the online survey between April 2020 and May 2021. Participants 987 participants who perceived needing ED care. Of those, 242 reported avoiding ED visits. Outcome measures Logistic regression models for ED avoidance were conducted to estimate the effect of risk perception and confidence in health services, adjusted for sociodemographics, health status and time. Results The adjusted odds for ED avoidance were higher for participants lacking confidence in health service response to non-COVID-19 conditions (adjusted OR: 6.39; 95% CI 3.19 to 12.82) and COVID-19 (1.81; 1.19 to 2.77) and lower for those perceiving a low risk of being infected at a health provider (0.16; 0.07 to 0.38). Conclusion In our sample, confidence in health services and risk perception of infection at a health provider were associated with the decision to avoid the ED. These results suggest that policymakers and care providers need to mitigate the negative consequences of delayed healthcare; be aware of the implications of distrust and fear from those in need of healthcare and provide equally distributed safe alternatives to ED care.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNLopes, SílviaSoares, PatríciaGama, AnaPedro, Ana RitaMoniz, MartaLaires, PedroGoes, Ana RitaNunes, CarlaDias, Sónia2022-08-08T22:24:18Z2022-07-012022-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/142907eng2044-6055PURE: 45882557https://doi.org/10.1136/bmjopen-2021-058600info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:20:52Zoai:run.unl.pt:10362/142907Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:50:34.913294Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits results from a community-based survey in Portugal |
title |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits |
spellingShingle |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits Lopes, Sílvia accident & emergency medicine COVID-19 health policy Medicine(all) SDG 3 - Good Health and Well-being |
title_short |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits |
title_full |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits |
title_fullStr |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits |
title_full_unstemmed |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits |
title_sort |
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits |
author |
Lopes, Sílvia |
author_facet |
Lopes, Sílvia Soares, Patrícia Gama, Ana Pedro, Ana Rita Moniz, Marta Laires, Pedro Goes, Ana Rita Nunes, Carla Dias, Sónia |
author_role |
author |
author2 |
Soares, Patrícia Gama, Ana Pedro, Ana Rita Moniz, Marta Laires, Pedro Goes, Ana Rita Nunes, Carla Dias, Sónia |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Comprehensive Health Research Centre (CHRC) - Pólo ENSP Centro de Investigação em Saúde Pública (CISP/PHRC) Escola Nacional de Saúde Pública (ENSP) RUN |
dc.contributor.author.fl_str_mv |
Lopes, Sílvia Soares, Patrícia Gama, Ana Pedro, Ana Rita Moniz, Marta Laires, Pedro Goes, Ana Rita Nunes, Carla Dias, Sónia |
dc.subject.por.fl_str_mv |
accident & emergency medicine COVID-19 health policy Medicine(all) SDG 3 - Good Health and Well-being |
topic |
accident & emergency medicine COVID-19 health policy Medicine(all) SDG 3 - Good Health and Well-being |
description |
Funding Information: This study was co-financed by the Foundation for Science and Technology, under the financing program ‘Research 4 Covid-19’ (Ref FCT 608). The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © 2022 American Chemical Society. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-08T22:24:18Z 2022-07-01 2022-07-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/142907 |
url |
http://hdl.handle.net/10362/142907 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2044-6055 PURE: 45882557 https://doi.org/10.1136/bmjopen-2021-058600 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799138102071001088 |