Changes in Healthcare Utilization, Spending, and Perceived Health During Covid–19: A Longitudinal Study from Singapore

33 Pages Posted: 21 Sep 2020

See all articles by SangNam Ahn

SangNam Ahn

University of Memphis - School of Public Health

Seonghoon Kim

Singapore Management University

Kanghyock Koh

Brown University

Multiple version iconThere are 2 versions of this paper

Abstract

The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Using monthly panel data of nationally representative middle-aged and older Singaporeans, we examined the associations of the pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health. At its peak, doctor visits decreased by 30% and out-of-pocket medical spending decreased by 23%, mostly driven by reductions in inpatient and outpatient care. Although there were little changes in self-reported health and sleep quality, COVID–19 increased depressive symptoms by 4%. We argue that it is imperative to monitor COVID–19's long-term health effects among non-COVID–19 patients since our findings indicated delayed healthcare and worsened mental health during the outbreak.

Keywords: COVID–19, pandemic, healthcare utilization, healthcare spending, self-reported health status, mental health

JEL Classification: I12, I18

Suggested Citation

Ahn, SangNam and Kim, Seonghoon and Koh, Kanghyock, Changes in Healthcare Utilization, Spending, and Perceived Health During Covid–19: A Longitudinal Study from Singapore. IZA Discussion Paper No. 13715, Available at SSRN: https://ssrn.com/abstract=3695416

SangNam Ahn (Contact Author)

University of Memphis - School of Public Health ( email )

Memphis, TN
United States

Seonghoon Kim

Singapore Management University ( email )

90 Stamford Road
178903
Singapore
68085465 (Phone)
178903 (Fax)

HOME PAGE: http://https://sites.google.com/site/econseonghoon/

Kanghyock Koh

Brown University

No Address Available

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