Table 1

Percentage change of healthcare service utilisation in 2020 compared with 2019 in China and different subgroups (%)

Total healthcare expenditureUtilisation frequencyPer capita expenditure
Pre-festivalDuring Spring festivalPost-festivalPre-festivalDuring Spring festivalPost-festivalPre-festivalDuring Spring festivalPost-festival
Total
(n=363)
5.4 (−1.0 to 11.7)−12.5 (−20.4 to −4.5)−37.8 (−42.9 to −32.7)2.5 (1.3 to 3.6)−8.3 (−11.6 to −4.9)−40.8 (−42.0 to −39.5)1.3 (−1.7 to 4.4)−5.5 (−10.0 to −1.0)3.3 (−1.0 to 7.6)
COVID-19 risk level
Low risk (n=143)18.2 (2.3 to 34.0)1.9 (−16.4 to 20.3)−26.1 (−30.9 to −21.2)7.4 (4.8 to 10.0)1.9 (−7.6 to 3.9)−32.8 (−35.4 to −30.2)5.9 (−1.0 to 12.9)−1.1 (−10.9 to 8.8)11.9 (6.0 to 17.8)
Medium risk (n=173)−2.9 (−4.4 to −1.5)−20.5 (−25.4 to −15.6)−46.6 (−48.0 to −45.1)−0.2 (−1.0 to 0.7)−10.2 (−14.4 to -6.1)−43.5 (−44.6 to −42.4)−2.6 (−3.9 to −1.4)−8.5 (−13.0 to −4.0)−4.7 (−6.6 to −2.8)
High risk (n=30)−5.5 (−7.9 to −3.1)−33.3 (−39.7 to −26.8)−60.6 (−63.0 to −58.1)−0.8 (−2.5 to 0.8)−20.4 (−28.7 to −12.1)−53.4 (−55.3 to −51.5)−4.6 (−6.6 to −2.7)−13.5 (−21.8 to −5.2)−15.7 (−18.8 to −12.6)
Hubei (n=17)1.1 (−14.3 to 16.4)−15.0 (−61.4 to 31.4)−7.2 (−108.2 to 93.7)−6.3 (−9.6 to −3.0)−20.9 (−50.3 to 8.5)−58.0 (−63.7 to −52.2)13.2 (−12.1 to 38.4)1.3 (−14.0 to 16.7)45.7 (−29.0 to 120.4)
City in lockdown
Yes (n=97)−2.4 (−5.4 to 0.6)−19.8 (−28.9 to −10.6)−40.4 (−58.1 to −22.7)−0.9 (−2.1 to 0.2)−12.9 (−19.6 to −6.2)−48.2 (−49.9 to −46.5)−0.5 (−5.1 to 4.0)−7.5 (−12.7 to −2.4)4.3 (−9.1 to 17.8)
No (n=266)8.2 (−0.4 to 16.8)−9.8 (−20.1 to 0.5)−36.8 (−39.5 to −34.2)3.7 (2.2 to 5.2)−6.6 (−10.5 to −2.7)−38.1 (−39.7 to −36.5)2.0 (−1.8 to 5.8)−4.8 (−10.7 to 1.1)2.9 (−0.3 to 6.1)
Geographic area in China
Eastern (n=117)3.3 (−2.1 to 8.7)−12.9 (−24.7 to −1.0)−35.9 (−41.2 to −30.5)3.0 (1.2 to 4.9)−1.0 (−7.4 to 5.4)−34.6 (−37.3 to −31.8)−1.2(−4.5 to 2.2)−10.7 (−20.8 to −0.6)−4.2 (−8.9 to 0.5)
Central (n=119)*0.3 (−2.4 to 2.9)−13.4 (−21.7 to −5.2)−41.5 (−45.0 to −38.1)1.4 (−0.1 to 2.9)−8.5 (−13.9 to −3.1)−41.9 (−43.4 to −40.3)−1.4(−3.3 to 0.5)−5.8 (−10.5 to −1.0)−1.7 (−5.8 to 2.5)
Western (n=110)11.1 (−4.9 to 27.2)−11.1 (−28.2 to 5.9)−40.8 (−43.1 to −38.4)3.8 (1.4 to 6.1)−12.8 (−17.7 to −7.9)−43.3 (−45.1 to −41.4)3.8 (−3.0 to 10.6)−1.8 (−9.4 to 5.9)7.8 (3.2 to 12.5)
  • The percentage change in healthcare service utilisation was defined as the percentage of decrease or increase in 2020 compared with the same period in 2019, a 95% CI was presented in parentheses. The data cover the periods between 8 January and 12 March in 2019, and between 28 December 2019 and 28 February 2020 (two periods in 2019 and 2020 cover the same lunar calendar). The pre-festival period includes the 4 weeks before the Spring Festival week that year; during Spring Festival period includes 1 week of the actual festival that year; the post-festival period includes 4 weeks after the festival week that year, respectively.

  • * Excluding Hubei province.