Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Federal Centre of Health Education, 50825 Cologne, Germany.
Int J Environ Res Public Health. 2020 Dec 14;17(24):9351. doi: 10.3390/ijerph17249351.
This paper examined the determinants of perceived access to health care use during the COVID-19 pandemic in Germany using data from two waves (8 and 16) of the COVID-19 Snapshot Monitoring (COSMO). Descriptive and regression analysis were used. In wave 8, we found that about 60% of the individuals rather disagreed about having had problems accessing medical care. Furthermore, 73% of the individuals rather disagreed to having experienced health deteriorations due to restrictions on the availability of medical care. Moreover, 85% of the individuals were rather optimistic about future access to healthcare services. Overall, slightly better past and future access to healthcare services has been reported in wave 16. Several determinants were identified in regression analysis. In conclusion, data suggest that perceived past and future access to healthcare services during the COVID-19 pandemic is reasonably good.
本文使用 COVID-19 快照监测 (COSMO) 的两波 (8 波和 16 波) 数据，研究了 COVID-19 大流行期间德国感知医疗保健使用可及性的决定因素。采用描述性和回归分析。在第 8 波中，我们发现约 60%的个体对就医存在问题存在较大分歧。此外，73%的个体因医疗保健可用性受到限制而导致健康恶化而表示较大分歧。此外，85%的个体对未来获得医疗保健服务持乐观态度。总体而言，在第 16 波中报告的过去和未来获得医疗保健服务的情况略好。回归分析确定了几个决定因素。总之，数据表明，在 COVID-19 大流行期间，人们对过去和未来获得医疗保健服务的感知是相当好的。
