Impact of COVID-19 on primary care contacts with children and young people in England: longitudinal trends study 2015-2020.
BACKGROUND: The NHS response to COVID-19 altered provision and access to primary care.
AIM: To examine the impact of COVID-19 on GP contacts with children and young people (CYP) in England.
DESIGN AND SETTING: A longitudinal trends analysis was undertaken using electronic health records from the Clinical Practice Research Datalink (CPRD) Aurum database.
METHOD: All CYP aged <25 years registered with a GP in the CPRD Aurum database were included. The number of total, remote, and face-to-face contacts during the first UK lockdown (March to June 2020) were compared with the mean contacts for comparable weeks from 2015 to 2019.
RESULTS: In total, 47 607 765 GP contacts with 4 307 120 CYP were included. GP contacts fell 41% during the first lockdown compared with previous years. Children aged 1-14 years had greater falls in total contacts (>/=50%) compared with infants and those aged 15-24 years. Face-to-face contacts fell by 88%, with the greatest falls occurring among children aged 1-14 years (>90%). Remote contacts more than doubled, increasing most in infants (over 2.5-fold). Total contacts for respiratory illnesses fell by 74% whereas contacts for common non-transmissible conditions shifted largely to remote contacts, mitigating the total fall (31%).
CONCLUSION: During the COVID-19 pandemic, CYP's contact with GPs fell, particularly for face-to-face assessments. This may be explained by a lower incidence of respiratory illnesses because of fewer social contacts and changing health-seeking behaviour. The large shift to remote contacts mitigated total falls in contacts for some age groups and for common non-transmissible conditions.
|ジャーナル名||The British journal of general practice : the journal of the Royal College of General Practitioners|
|投稿者||Foley, Kimberley A; Maile, Edward J; Bottle, Alex; Neale, Francesca K; Viner, Russell M; Kenny, Simon E; Majeed, Azeem; Hargreaves, Dougal S; Saxena, Sonia|
|組織名||Department of Primary Care and Public Health, Imperial College London, London.;Population, Policy & Practice Research Programme, UCL Great Ormond Street;Institute of Child Health Population Policy and Practice, London.;Alder Hey Children's NHS Foundation Trust; professor, Department of Women's and;Children's Health, University of Liverpool, Liverpool; national clinical;director, NHS England and Improvement, London.;Mohn Centre for Children's Health and Wellbeing, Imperial College London, London.|