{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T13:07:18Z","timestamp":1785244038707,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asia Pac J Public Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    COVID-19 significantly disrupted health care services. This study aimed to evaluate the impact of appointment deferment during pandemic on patient outcomes. This was a retrospective cohort study where we traced the clinical parameters for patients where their appointment being scheduled to 6 months later. A total of 577 patients were included, mean age was 67.0 years (\u00b111.8). Patients (7.8%, n = 45) made unscheduled visits, hospitalizations (3.1%, n = 18) while (0.5%, n = 3) deceased. Low-density lipoprotein and estimated glomerular filtration rate showed slightly improved post deferment but might not be clinically significant. Further sub-analyses found that patients with hypertension and heart diseases had nearly twice the odd of having poorer outcome (adjusted odds ratio: 1.991, 95% CI [1.023, 3.876],\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .043). Understanding these patterns would help identify patient groups at higher risk of poor outcomes and inform future strategies for triaging and managing care during public health emergencies.\n                  <\/jats:p>","DOI":"10.1177\/10105395261447113","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T13:31:36Z","timestamp":1780061496000},"page":"408-414","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Appointment Deferment During the COVID-19 Pandemic on Patient Outcomes in a Primary Care Teaching Clinic"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5597-2104","authenticated-orcid":false,"given":"Hooi Chin","family":"Beh","sequence":"first","affiliation":[{"name":"Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3074-9114","authenticated-orcid":false,"given":"Wei Leik","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan Chen","family":"Beh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara Zi Yi","family":"Wong","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2330-7169","authenticated-orcid":false,"given":"Yew Shun","family":"Chin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1545-7110","authenticated-orcid":false,"given":"Abdullah.","family":"A","sequence":"additional","affiliation":[{"name":"Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3027-6628","authenticated-orcid":false,"given":"Haireen","family":"A. 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