Change in Pediatric Health Care Spending and Drug Utilization during the COVID-19 Pandemic.

children drugs expenditure infectious diseases pediatric and healthcare preventive measures

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
15 Dec 2021
Historique:
received: 11 11 2021
revised: 26 11 2021
accepted: 09 12 2021
entrez: 24 12 2021
pubmed: 25 12 2021
medline: 25 12 2021
Statut: epublish

Résumé

To evaluate how the restrictive measures implemented during the SARS-CoV-2 pandemic have influenced the incidence of the most common children's diseases and the consumption of medications in 2020 compared to 2019. We involved all family pediatricians of the local health authority of Latina, from which we requested data of monthly visits in 2019 and 2020 for six common diseases disseminated through droplets and contact, and the territorial and integrative pharmaceutical unit of the area, from which we requested data of the net expenditure regarding the most commonly used drugs at pediatric age. There was significant reduction in the incidence of the evaluated diseases and in the consumption of investigated drugs between 2019 and 2020 in the months when the restrictive measures were in place, with an attenuation of this effect during the months of the gradual loosening of those measures. Nonpharmaceutical intervention measures have caused changes in the diffusion of common pediatric diseases. We believe that the implementation of a reasonable containment strategy, even outside of the pandemic, could positively influence the epidemiology of infectious and allergic diseases in children, and healthcare system spending.

Identifiants

pubmed: 34943379
pii: children8121183
doi: 10.3390/children8121183
pmc: PMC8699860
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Paediatr Respir Rev. 2021 Sep;39:3-8
pubmed: 34016531
PLoS One. 2021 Mar 22;16(3):e0248995
pubmed: 33750990
Thorax. 2011 Oct;66 Suppl 2:ii1-23
pubmed: 21903691
J Infect Dis. 2010 Feb 15;201(4):491-8
pubmed: 20088690
J Med Virol. 2021 May;93(5):3122-3132
pubmed: 33570199
Clin Infect Dis. 2021 Jun 15;72(12):2199-2202
pubmed: 32986804
J Pediatr. 2021 Oct;237:143-147
pubmed: 34043996
Eur J Pediatr. 2020 Aug;179(8):1267-1270
pubmed: 32388722
Environ Pollut. 2020 Nov;266(Pt 1):115099
pubmed: 32623270
PLoS One. 2011 May 06;6(5):e19515
pubmed: 21573121
Int J Environ Res Public Health. 2020 Nov 25;17(23):
pubmed: 33255697
Eur Respir J. 2017 Jun 1;49(6):
pubmed: 28572120
Child Adolesc Psychiatry Ment Health. 2020 May 12;14:20
pubmed: 32419840
JAMA Intern Med. 2021 Feb 1;181(2):269-271
pubmed: 33104158
Cochrane Database Syst Rev. 2018 Aug 22;8:CD001955
pubmed: 30133690
Lancet. 2020 Apr 11;395(10231):1225-1228
pubmed: 32178769
Intern Emerg Med. 2021 Jan;16(1):249
pubmed: 33079357
Eur J Pediatr. 2021 Nov;180(11):3335-3342
pubmed: 34023936
Am J Emerg Med. 2021 May;43:115-117
pubmed: 33556796
BMJ. 2009 Sep 21;339:b3675
pubmed: 19773323
Ital J Pediatr. 2014 Oct 24;40:65
pubmed: 25344148
Psychiatry Res. 2020 Nov;293:113429
pubmed: 32882598
N Engl J Med. 2020 Oct 29;383(18):e101
pubmed: 32897661
Cochrane Database Syst Rev. 2007 Oct 17;(4):CD006207
pubmed: 17943895
Emerg Infect Dis. 2009 Feb;15(2):233-41
pubmed: 19193267
Br J Nurs. 2018 Apr 12;27(7):382-388
pubmed: 29634339
JAMA Netw Open. 2021 Mar 1;4(3):e210414
pubmed: 33651109
J Allergy Clin Immunol Pract. 2020 Sep;8(8):2592-2599.e3
pubmed: 32561497
Clin Infect Dis. 2011 Oct;53(7):e25-76
pubmed: 21880587
Math Biosci. 2020 Jul;325:108364
pubmed: 32360770
Lancet Respir Med. 2020 Dec;8(12):e92-e93
pubmed: 33289636
Int J Nurs Stud. 2020 Aug;108:103629
pubmed: 32512240
J Affect Disord. 2020 Oct 1;275:112-118
pubmed: 32658812
PLoS One. 2020 Dec 11;15(12):e0243694
pubmed: 33306735
Ital J Pediatr. 2021 Jan 29;47(1):21
pubmed: 33514391
Front Public Health. 2020 Feb 20;8:14
pubmed: 32154200
Eur J Pediatr. 2021 Jun;180(6):1969-1973
pubmed: 33517482
Ann Allergy Asthma Immunol. 2021 Jul;127(1):91-99
pubmed: 33775900
Eur J Pediatr. 2021 Jun;180(6):1955-1963
pubmed: 33555426
BMC Public Health. 2012 Nov 12;12:968
pubmed: 23146107
Ital J Pediatr. 2020 Oct 2;46(1):142
pubmed: 33008445
Data Brief. 2021 Dec;39:107550
pubmed: 34778496
Ann Intern Med. 2009 Oct 6;151(7):437-46
pubmed: 19652172
JAMA Netw Open. 2021 Feb 1;4(2):e2037227
pubmed: 33576819
Int J Surg. 2014 Dec;12(12):1495-9
pubmed: 25046131
Ann Intern Med. 2020 Oct 6;173(7):542-555
pubmed: 32579379
Am J Emerg Med. 2021 Mar;41:201-204
pubmed: 33257144
BMC Public Health. 2018 Apr 18;18(1):518
pubmed: 29669545
Arch Dis Child Educ Pract Ed. 2015 Aug;100(4):193-7
pubmed: 25395494

Auteurs

Riccardo Lubrano (R)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Emanuela Del Giudice (E)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Alessia Marcellino (A)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Flavia Ventriglia (F)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Anna Dilillo (A)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Enrica De Luca (E)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Saverio Mallardo (S)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Sara Isoldi (S)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Vanessa Martucci (V)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Mariateresa Sanseviero (M)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Donatella Iorfida (D)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Concetta Malvaso (C)

Pediatri di Famiglia Azienda Sanitaria Locale di Latina, 04100 Latina, Italy.

Giovanni Cerimoniale (G)

Pediatri di Famiglia Azienda Sanitaria Locale di Latina, 04100 Latina, Italy.

Giuseppina Ragni (G)

Pediatri di Famiglia Azienda Sanitaria Locale di Latina, 04100 Latina, Italy.

Anna Lisa Grandinetti (AL)

Direzione Sanitaria Azienda Sanitaria Locale di Latina, 04100 Latina, Italy.

Loredana Arenare (L)

UOC Farmaceutica Territoriale e Integrativa Azienda Sanitaria Locale di Latina, 04100 Latina, Italy.

Silvia Bloise (S)

Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, Italy.

Classifications MeSH