The effect of COVID-19 pandemic and lockdown on consultation numbers, consultation reasons and performed services in primary care: results of a longitudinal observational study

Schäfer, Ingmar; Hansen, Heike; Menzel, Agata; Eisele, Marion; Tajdar, Daniel; Lühmann, Dagmar; Scherer, Martin

doi:10.1186/s12875-021-01471-3

Table 3 Change between baseline and follow-up in the frequency per week of performed services^a

From: The effect of COVID-19 pandemic and lockdown on consultation numbers, consultation reasons and performed services in primary care: results of a longitudinal observational study

	Baseline	Follow-Up	Change	p	p_adj^b
*House calls (also: calls at nursing homes)*	*31.6* ± *54.1*	*13.7* ± *17.3*	*-56.6%*	*0.001*	*0.002*
Local injection/infiltration	16.6 ± 43.2	7.7 ± 11.1	-53.5%	0.039	0.061
*Stool examination*	*10.4* ± *13.5*	*5.2* ± *6.6*	*-49.4%*	*0.001*	*0.004*
*Referral to specialist*	*93.4* ± *89.0*	*49.0* ± *52.9*	*-47.6%*	< *0.001*	< *0.001*
*Check-up 35*^c	*12.8* ± *12.6*	*6.9* ± *8.3*	*-46.3%*	< *0.001*	*0.001*
Physical therapy	9.2 ± 16.9	5.1 ± 11.5	-45.1%	0.037	0.063
*Urine analysis*	*39.5* ± *26.4*	*22.0* ± *17.2*	*-44.4%*	< *0.001*	< *0.001*
*Pain therapy*	*20.2* ± *30.9*	*11.5* ± *24.2*	*-43.2%*	*0.022*	*0.041*
*Skin cancer screening*	*8.4* ± *11.6*	*4.9* ± *7.4*	*-41.8%*	*0.010*	*0.025*
*Electrocardiogram (ECG)*	*20.7* ± *17.4*	*12.5* ± *11.1*	*-39.7%*	< *0.001*	< *0.001*
*Blood tests*	*87.5* ± *61.9*	*52.8* ± *32.8*	*-39.7%*	< *0.001*	< *0.001*
Nutrition counselling	16.7 ± 27.0	10.3 ± 24.1	-38.0%	0.070	0.103
*Pulmonary function test*	*9.5* ± *10.9*	*5.9* ± *9.4*	*-37.5%*	*0.011*	*0.024*
*Sonography*	*14.5* ± *17.3*	*9.1* ± *12.2*	*-37.4%*	*0.008*	*0.023*
*Wound dressing/compression/tamponade*	*16.9* ± *19.8*	*11.3* ± *11.3*	*-33.5%*	*0.011*	*0.022*
Disease management programme (DMP)	21.0 ± 20.1	17.3 ± 19.5	-17.7%	0.181	0.249
Psychosomatic basic care	24.2 ± 26.7	22.3 ± 27.1	-7.8%	0.622	0.652
Vaccination	16.1 ± 14.2	15.0 ± 13.8	-7.1%	0.563	0.652
Social medical assessments	4.8 ± 4.7	5.1 ± 6.3	6.3%	0.689	0.689
Lifestyle counselling, social counselling	36.8 ± 53.1	39.9 ± 46.5	8.4%	0.616	0.677
Continuous care for the chronically ill	82.8 ± 78.8	99.4 ± 239.4	20.0%	0.479	0.585
Organisation of patient care/support	8.2 ± 10.9	10.5 ± 16.4	28.5%	0.200	0.259

^a sorted in ascending order by change between baseline and follow-up; ^b α-level Benjamini-Hochberg-adjusted for 22 statistical tests; statistically significant results in bold and italic; ^c From the age of 35, the health insurance pays a regular health check-up every three years. The check-up 35 comprises anamnesis (particularly regarding the risk profile), physical examination (including measurement of blood pressure), blood examination (including lipid profile and glucose), urine examination (including protein, glucose, red and white blood cells, nitrite), medical advice concerning the test results and – if medically indicated – prevention recommendations [23]

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