Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems

Abstract Background Since the end of January 2020, the coronavirus (COVID-19) pandemic has been responsible for a global health crisis. In England a number of non-pharmaceutical interventions have been introduced throughout the pandemic, including guidelines on healthcare attendance (for example, pr...

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Autores principales:	Claire F. Ferraro, Lucy Findlater, Roger Morbey, Helen E. Hughes, Sally Harcourt, Thomas C. Hughes, Alex J. Elliot, Isabel Oliver, Gillian E. Smith
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Syndromic surveillance Healthcare utilisation Viral Epidemiology Coronavirus Pandemic Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/edc5d57d662442779622bbfa67430262
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spelling	oai:doaj.org-article:edc5d57d662442779622bbfa674302622021-11-08T10:43:28ZDescribing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems10.1186/s12889-021-12117-51471-2458https://doaj.org/article/edc5d57d662442779622bbfa674302622021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12117-5https://doaj.org/toc/1471-2458Abstract Background Since the end of January 2020, the coronavirus (COVID-19) pandemic has been responsible for a global health crisis. In England a number of non-pharmaceutical interventions have been introduced throughout the pandemic, including guidelines on healthcare attendance (for example, promoting remote consultations), increased handwashing and social distancing. These interventions are likely to have impacted the incidence of non–COVID-19 conditions as well as healthcare seeking behaviour. Syndromic Surveillance Systems offer the ability to monitor trends in healthcare usage over time. Methods This study describes the indirect impact of COVID-19 on healthcare utilisation using a range of syndromic indicators including eye conditions, mumps, fractures, herpes zoster and cardiac conditions. Data from the syndromic surveillance systems monitored by Public Health England were used to describe the number of contacts with NHS 111, general practitioner (GP) In Hours (GPIH) and Out-of-Hours (GPOOH), Ambulance and Emergency Department (ED) services over comparable periods before and during the pandemic. Results The peak pandemic period in 2020 (weeks 13–20), compared to the same period in 2019, displayed on average a 12% increase in NHS 111 calls, an 11% decrease in GPOOH consultations, and a 49% decrease in ED attendances. In the GP In Hours system, conjunctivitis consultations decreased by 64% and mumps consultations by 31%. There was a 49% reduction in attendance at EDs for fractures, and there was no longer any weekend increase in ED fracture attendances, with similar attendance patterns observed across each day of the week. There was a decrease in the number of ED attendances with diagnoses of myocardial ischaemia. Conclusion The COVID-19 pandemic drastically impacted healthcare utilisation for non-COVID-19 conditions, due to a combination of a probable decrease in incidence of certain conditions and changes in healthcare seeking behaviour. Syndromic surveillance has a valuable role in describing and understanding these trends.Claire F. FerraroLucy FindlaterRoger MorbeyHelen E. HughesSally HarcourtThomas C. HughesAlex J. ElliotIsabel OliverGillian E. SmithBMCarticleSyndromic surveillanceHealthcare utilisationViralEpidemiologyCoronavirusPandemicPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Syndromic surveillance Healthcare utilisation Viral Epidemiology Coronavirus Pandemic Public aspects of medicine RA1-1270
spellingShingle	Syndromic surveillance Healthcare utilisation Viral Epidemiology Coronavirus Pandemic Public aspects of medicine RA1-1270 Claire F. Ferraro Lucy Findlater Roger Morbey Helen E. Hughes Sally Harcourt Thomas C. Hughes Alex J. Elliot Isabel Oliver Gillian E. Smith Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems
description	Abstract Background Since the end of January 2020, the coronavirus (COVID-19) pandemic has been responsible for a global health crisis. In England a number of non-pharmaceutical interventions have been introduced throughout the pandemic, including guidelines on healthcare attendance (for example, promoting remote consultations), increased handwashing and social distancing. These interventions are likely to have impacted the incidence of non–COVID-19 conditions as well as healthcare seeking behaviour. Syndromic Surveillance Systems offer the ability to monitor trends in healthcare usage over time. Methods This study describes the indirect impact of COVID-19 on healthcare utilisation using a range of syndromic indicators including eye conditions, mumps, fractures, herpes zoster and cardiac conditions. Data from the syndromic surveillance systems monitored by Public Health England were used to describe the number of contacts with NHS 111, general practitioner (GP) In Hours (GPIH) and Out-of-Hours (GPOOH), Ambulance and Emergency Department (ED) services over comparable periods before and during the pandemic. Results The peak pandemic period in 2020 (weeks 13–20), compared to the same period in 2019, displayed on average a 12% increase in NHS 111 calls, an 11% decrease in GPOOH consultations, and a 49% decrease in ED attendances. In the GP In Hours system, conjunctivitis consultations decreased by 64% and mumps consultations by 31%. There was a 49% reduction in attendance at EDs for fractures, and there was no longer any weekend increase in ED fracture attendances, with similar attendance patterns observed across each day of the week. There was a decrease in the number of ED attendances with diagnoses of myocardial ischaemia. Conclusion The COVID-19 pandemic drastically impacted healthcare utilisation for non-COVID-19 conditions, due to a combination of a probable decrease in incidence of certain conditions and changes in healthcare seeking behaviour. Syndromic surveillance has a valuable role in describing and understanding these trends.
format	article
author	Claire F. Ferraro Lucy Findlater Roger Morbey Helen E. Hughes Sally Harcourt Thomas C. Hughes Alex J. Elliot Isabel Oliver Gillian E. Smith
author_facet	Claire F. Ferraro Lucy Findlater Roger Morbey Helen E. Hughes Sally Harcourt Thomas C. Hughes Alex J. Elliot Isabel Oliver Gillian E. Smith
author_sort	Claire F. Ferraro
title	Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems
title_short	Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems
title_full	Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems
title_fullStr	Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems
title_full_unstemmed	Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems
title_sort	describing the indirect impact of covid-19 on healthcare utilisation using syndromic surveillance systems
publisher	BMC
publishDate	2021
url	https://doaj.org/article/edc5d57d662442779622bbfa67430262
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Describing the indirect impact of COVID-19 on healthcare utilisation using syndromic surveillance systems

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