Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits

Detalhes bibliográficos
Autor(a) principal: Lopes, Sílvia
Data de Publicação: 2022
Outros Autores: Soares, Patrícia, Gama, Ana, Pedro, Ana Rita, Moniz, Marta, Laires, Pedro, Goes, Ana Rita, Nunes, Carla, Dias, Sónia
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.
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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
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