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- Arch G Mainous, Lu Yin, James F Medley, Aaron A Saguil, and Frank A Orlando.
- From the Department of Community Health and Family Medicine, University of Florida, Gainesville, FL (AGM, LY, JFM, AAS, FAO), Department of Health Services Research Management, and Policy, University of Florida, Gainesville, FL (AGM). arch.mainous@ufl.edu).
- J Am Board Fam Med. 2024 Oct 25; 37 (4): 792795792-795.
BackgroundThe COVID-19 pandemic social distancing requirements encouraged patients to avoid public spaces including in-office health care visits. Ambulatory-care-sensitive conditions (ACSCs) represent conditions that can be managed with quality primary care and when access is limited, these conditions can lead to avoidable emergency department (ED) visits.MethodsUsing national data on ED visits from 2019 to 2021 in the National Hospital Ambulatory Care Survey, we examined the impact of COVID-19 pandemic on ACSC ED visits among older adults (aged ≥65).ResultsThe proportion of ED visits among older adults that were for ACSCs increased between 2019 (17.4%) and 2021 (18.5%). The trend in both rural (26.4%-28.6%) and urban areas (15.4%-16.8%) shows a significant jump from 2019 to 2021 (P < .001).ConclusionsThis rise in ACSC ED use is consistent with a delay in normal primary care during the pandemic.© Copyright by the American Board of Family Medicine.
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