Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals’ risk assessment and decision making

Prakriti Shukla, Myeong Lee, Samantha A. Whitman, Kathleen H. Pine

Research output: Contribution to journalArticlepeer-review

Abstract

Delaying routine health care has been prevalent during the COIVD-19 pandemic. Macro-level data from this period reveals that U.S. patients under-utilized routine health care services such as primary care visits, preventative tests, screenings, routine optometry care, dental appointments, and visits for chronic disease management. Yet, there is a gap in research on how and why patients understand risks associated with seeking or delaying routing health care during an infectious disease pandemic. Our research addresses this gap based on semi-structured interviews with 40 participants living in regions across the United States. By building upon Unger-Saldaña and Infante-Castañeda's model of delayed health care, we extend this model by articulating how health care delays happen during an infectious disease pandemic. Specifically, we show how perceptions of uncertainty and subjective risk assessments shape people's decisions to delay routine health care while they operate at two levels, internal and external to one's social bubble, interacting with each other.

Original languageEnglish (US)
Article number115164
JournalSocial Science and Medicine
Volume307
DOIs
StatePublished - Aug 2022
Externally publishedYes

Keywords

  • COVID-19
  • Decision making
  • Delayed health care
  • Risk assessment

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

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