Journal
JOURNAL OF CLINICAL MEDICINE
Volume 11, Issue 22, Pages -Publisher
MDPI
DOI: 10.3390/jcm11226842
Keywords
COVID-19; well-child visits; pediatric vaccination; military dependents; health services utilization
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Funding
- intramural Uniformed Services University Military Research Royalty Funds Award
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The COVID-19 pandemic has significantly impacted well-child visits and vaccinations, leading to a decline in both rates across all demographic groups. The consequences of missed appointments and vaccinations remain unknown.
The COVID-19 pandemic has drastically impacted administration of healthcare including well-child visits and routine vaccinations. The purpose of this study was to determine the impact of COVID-19 pandemic disruption on childhood health maintenance: well-child visits and scheduled vaccinations. We queried the TRICARE Management Activity's Military Health System (MHS) database for outpatient well-child visits and vaccinations for all children 0 to 23 months of age eligible for TRICARE healthcare. The median rate of well-child visits, during the COVID-19 period (March 2020-July 2021), was significantly declined for all demographic groups: all ages, parental military ranks, sex, and regions as compared to the pre-COVID-19 period (February 2019-February 2020). Similar to rates of well-child visits, the rate of vaccinations declined during the COVID-19 period as compared to the pre-COVID-19 period for all demographic groups, except children 12-23 months. Rates of well-child visits for military dependent children under 2 years of age were decreased during the 16 month COVID-19 period, with large increases seen in the first 2 months of the pandemic; the consequences of missed well-child visits and vaccination are unknown.
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