Impact of coronavirus disease 2019 on cancer care: How the pandemic has changed cancer utilization and expenditures

被引:2
|
作者
Sim, Jinah [1 ]
Shin, Jihye [2 ]
Lee, Hyun Jeong [3 ]
Lee, Yeonseung [3 ]
Kim, Young Ae [3 ]
机构
[1] Hallym Univ, Sch AI Convergence, Chunchon, South Korea
[2] Hlth Insurance Review & Assessment Serv HIRA, Dept Res, Wonju, South Korea
[3] Natl Canc Ctr, Div Canc Control & Policy, Gyeonggi, South Korea
来源
PLOS ONE | 2024年 / 19卷 / 02期
关键词
LENGTH-OF-STAY; LUMBAR FUSION; SURGERY; COST; DISCHARGE; CAROLINA; OUTCOMES;
D O I
10.1371/journal.pone.0296808
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Purpose Since identified in December 2019, the novel coronavirus disease 2019 (COVID-19) has had a global impact on medical resource use and costs for patients with cancer in South Korea. This study aimed to identify the medical use and costs among patients with cancer during the COVID-19 pandemic, to predict these patterns in South Korea in the future. Methods We conducted a secondary claims data analysis using the National Health Insurance Service database for the calendar period of 2019-2020. Monthly relative percent changes in cancer incidence, medical use, and billing costs for medical care utilization by cancer type were calculated. Then, the medical use and costs after January 2020 were predicted using a time series model with data before the COVID-19 outbreak (2014-2019). Results The incidence of cancer diagnoses has seen a notable decline since the outbreak of the COVID-19 in 2020 as compared to 2019. Despite the impact of COVID-19, there hasn't been a distinct decline in outpatient utilization when compared to inpatient utilization. While medical expenses for both inpatient and outpatient visits have slightly increased, the number of patients treated for cancer has decreased significantly compared to the previous year. In June 2020, overall outpatient costs experienced the highest increase (21.1%), while individual costs showed the most significant decrease (-4.9%) in June 2020. Finally, the number of hospitalisations and outpatient visits increased slightly from June-July in 2020, reducing the difference between the actual and predicted values. The decrease in the number of inpatient hospitalisations (-22 similar to-6%) in 2020 was also high. Conclusions The overall use of medical services by patients with cancer decreased in 2020 compared with that in the pre-COVID-19 pandemic period. In the future, the government should consider how to recover from the COVID-19 pandemic, and establish permanent health policies for patients with cancer.
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收藏
页数:14
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