{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T04:05:48Z","timestamp":1743825948116,"version":"3.40.3"},"reference-count":60,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100011607","name":"Rajarata University of Sri Lanka","doi-asserted-by":"publisher","award":["RJT\/R&PC\/2021\/R\/FMAS\/01","RJT\/R&PC\/2021\/R\/FMAS\/01","RJT\/R&PC\/2021\/R\/FMAS\/01","RJT\/R&PC\/2021\/R\/FMAS\/01"],"award-info":[{"award-number":["RJT\/R&PC\/2021\/R\/FMAS\/01","RJT\/R&PC\/2021\/R\/FMAS\/01","RJT\/R&PC\/2021\/R\/FMAS\/01","RJT\/R&PC\/2021\/R\/FMAS\/01"]}],"id":[{"id":"10.13039\/501100011607","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Prim. Care"],"DOI":"10.1186\/s12875-025-02792-3","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T08:32:41Z","timestamp":1743755561000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Insights into the morbidity profiles of epidemiologically excluded COVID-19 patients in primary care settings during the third wave of the pandemic in the Anuradhapura District, Sri Lanka"],"prefix":"10.1186","volume":"26","author":[{"given":"Parami","family":"Abeyrathna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suneth Buddhika","family":"Agampodi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shyamalee","family":"Samaranayake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pahala Hangidi Gedara Janaka","family":"Pushpakumara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,3]]},"reference":[{"key":"2792_CR1","unstructured":"World Health Organization. Europe. Emergencies. Coronavirus disease (COVID-19) pandemic. 2023.  Available from:  https:\/\/www.who.int\/europe\/emergencies\/situations\/covid-19. Accessed 19 Feb 2024."},{"issue":"1","key":"2792_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-022-08487-0","volume":"22","author":"C Yang","year":"2022","unstructured":"Yang C, Yin J, Liu J, Liu J, Chen Q, Yang H, et al. The roles of primary care doctors in the COVID-19 pandemic: consistency and influencing factors of doctor\u2019s perception and actions and nominal definitions. BMC Health Serv Res. 2022;22(1):1\u201310. https:\/\/doi.org\/10.1186\/s12913-022-08487-0.","journal-title":"BMC Health Serv Res"},{"key":"2792_CR3","unstructured":"World Health Organization. The top 10 causes of death. 2020. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/the-top-10-causes-of-death. Accessed 15 Oct 2022."},{"key":"2792_CR4","doi-asserted-by":"publisher","unstructured":"OECD WHO. Mortality from all causes. In: Health at a Glance: Asia\/Pacific. 2020. https:\/\/doi.org\/10.1787\/26b007cd-en. Accessed 20 Oct 2023.","DOI":"10.1787\/26b007cd-en"},{"key":"2792_CR5","doi-asserted-by":"publisher","unstructured":"Salah HM, Minhas AMK, Khan MS, Pandey A, Michos ED, Mentz RJ, et al. Causes of hospitalization in the USA between 2005 and 2018. Eur Hear J Open. 2021;1(1). https:\/\/doi.org\/10.1093\/ehjopen\/oeab001.","DOI":"10.1093\/ehjopen\/oeab001"},{"key":"2792_CR6","unstructured":"DATA.GOV.SG.Top 10 Conditions of Hospitalisation. Available from: https:\/\/data.gov.sg\/dataset\/top-10-conditions-of-hospitalisation?view_id=736c593c-61e1-4773-a0db-39471d9953a0&resource_id=d40e7d15-cd97-4aa2-922d-403248b6bb33. Accessed 13 Mar 2024."},{"issue":"11","key":"2792_CR7","first-page":"832","volume":"64","author":"CR Finley","year":"2018","unstructured":"Finley CR, Chan DS, Garrison S, Korownyk C, Kolber MR, Campbell S, et al. What are the most common conditions in primary care? Systematic review. Can Fam Physician. 2018;64(11):832\u201340 PMC6234945.","journal-title":"Can Fam Physician"},{"issue":"1","key":"2792_CR8","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1370\/afm.2731","volume":"20","author":"A Sis\u00f3-Almirall","year":"2022","unstructured":"Sis\u00f3-Almirall A, Kostov B, S\u00e1nchez E, Benavent-\u00e0reu J, Gonz\u00e1lez-De PL. Impact of the COVID-19 pandemic on primary health care disease incidence rates: 2017 to 2020. Ann Fam Med. 2022;20(1):63\u20138. https:\/\/doi.org\/10.1370\/afm.2731.","journal-title":"Ann Fam Med"},{"key":"2792_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0271049","volume":"17","author":"S Van den Bulck","year":"2022","unstructured":"Van den Bulck S, Cr\u00e8vecoeur J, Aertgeerts B, Delvaux N, Neyens T, Van Pottelbergh G, et al. The impact of the Covid-19 pandemic on the incidence of diseases and the provision of primary care: a registry-based study. PLoS ONE. 2022;17:1\u201313. https:\/\/doi.org\/10.1371\/journal.pone.0271049.","journal-title":"PLoS ONE"},{"key":"2792_CR10","unstructured":"World Health Organization. Weekly epidemiological update on COVID-19 - 28 December 2021. Emergency situation updates. 2021. Available from: https:\/\/www.who.int\/publications\/m\/item\/weekly-epidemiological-update-on-covid-19---28-december-2021. Accessed 30 Mar 2023."},{"key":"2792_CR11","unstructured":"Center for Disease Control. Faststats, National Center for Health Statistics. 2021. Leading Causes of Death. Available from: https:\/\/www.cdc.gov\/nchs\/fastats\/leading-causes-of-death.htm. Accessed 15 Mar 2023."},{"key":"2792_CR12","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.jad.2022.11.043","volume":"323","author":"N Yonemoto","year":"2023","unstructured":"Yonemoto N, Kawashima Y. Help-seeking behaviors for mental health problems during the COVID-19 pandemic: a systematic review. J Affect Disord. 2023;323:85\u2013100. https:\/\/doi.org\/10.1016\/j.jad.2022.11.043.","journal-title":"J Affect Disord"},{"key":"2792_CR13","unstructured":"Canadian Institute for Health Information. Inpatient Hospitalization, Surgery and Newborn Statistics, 2021\u20132022 Canada. 2023. Available from https:\/\/www.cihi.ca\/en\/hospital-stays-in-canada-2021-2022#:~:text=The%20most%20common%20reason%20for,acute%20LOS%20of%202.7%20days. Accessed 15 Jan 2024."},{"key":"2792_CR14","unstructured":"Royal Australian College of General Practitioners. RSC: Public health data. 2020. Available from: https:\/\/www.rcgp.org.uk\/representing-you\/research-at-rcgp\/research-surveillance-centre\/public-health-data. Accessed 15 Jan 2024."},{"issue":"1","key":"2792_CR15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12913-021-06730-8","volume":"21","author":"W Abebe","year":"2021","unstructured":"Abebe W, Worku A, Moges T, Tekle N, Amogne W, Haile T, et al. Trends of follow-up clinic visits and admissions three-months before and during COVID-19 pandemic at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: an interrupted time series analysis. BMC Health Serv Res. 2021;21(1):1\u201310 Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/34301264\/.","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"2792_CR16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3399\/bjgpopen20X101128","volume":"4","author":"P Huston","year":"2020","unstructured":"Huston P, Campbell J, Russell G, Goodyear-Smith F, Phillips RL, van Weel C, et al. COVID-19 and primary care in six countries. BJGP Open. 2020;4(4):1\u20136 Available from: https:\/\/bjgpopen.org\/content\/4\/4\/bjgpopen20X101128.","journal-title":"BJGP Open"},{"key":"2792_CR17","doi-asserted-by":"crossref","unstructured":"Bodilsen J, Nielsen PB, S\u00f8gaard M, Dalager-Pedersen M, Speiser LOZ, Yndigegn T, et al. Hospital admission and mortality rates for non-covid diseases in Denmark during covid-19 pandemic: nationwide population based cohort study. BMJ. 2021;373. Available from: https:\/\/www.bmj.com\/content\/373\/bmj.n1135.","DOI":"10.1136\/bmj.n1135"},{"issue":"1","key":"2792_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-023-16282-7","volume":"23","author":"MS Oduro","year":"2023","unstructured":"Oduro MS, Peprah P, Morgan AK, Agyemang-Duah W. Staying in or out? COVID-19-induced healthcare utilization avoidance and associated socio-demographic factors in rural India. BMC Public Health. 2023;23(1):1\u201316. https:\/\/doi.org\/10.1186\/s12889-023-16282-7.","journal-title":"BMC Public Health"},{"key":"2792_CR19","unstructured":"Ministry of health Sri Lanka. Annual Health Bulletin. 2020. Available from: www.health.gov.lk . Accessed 01 Apr 2024."},{"key":"2792_CR20","unstructured":"World Health Organization. What is Universal Health Coverage?; 2019. Available from: https:\/\/www.who.int\/health_financing\/universal_coverage_definition\/en\/. Accessed 2022 Apr 8."},{"key":"2792_CR21","unstructured":"Unit E. Epidemiology Unit. High endemic diseases\/outbreaks. 2022. Available from: https:\/\/www.epid.gov.lk\/list-of-notifiable-diseases\/list-of-notifiable-diseases."},{"issue":"suppl_1","key":"2792_CR22","doi-asserted-by":"publisher","first-page":"i59","DOI":"10.1093\/heapol\/czu115","volume":"30","author":"RP Rannan-Eliya","year":"2015","unstructured":"Rannan-Eliya RP, Wijemanne N, Liyanage IK, Jayanthan J, Dalpatadu S, Amarasinghe S, et al. The quality of outpatient primary care in public and private sectors in Sri Lanka\u2014how well do patient perceptions match reality and what are the implications? Health Policy Plan. 2015;30(suppl_1):i59-74. https:\/\/doi.org\/10.1093\/heapol\/czu115.","journal-title":"Health Policy Plan"},{"issue":"10","key":"2792_CR23","first-page":"730","volume":"3","author":"S Dharmaratne","year":"2012","unstructured":"Dharmaratne S, Agampodi S, Dassanayaka S, Kumarihami P, Ratnayake A, Wickramathilake S. Disease burden assessment beyond in-patient data: a morbidity profile assessment of outpatients. Int J Prev Med. 2012;3(10):730\u20132 Available from: \/pmc\/articles\/PMC3483002\/.","journal-title":"Int J Prev Med"},{"key":"2792_CR24","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1093\/trstmh\/trab058","volume":"115","author":"MA Niriella","year":"2021","unstructured":"Niriella MA, Ediriweera DS, De Silva AP, Premarathna BH, Jayasinghe S, de Silva HJ. Dengue and leptospirosis infection during the coronavirus 2019 outbreak in Sri Lanka. Trans R Soc Trop Med Hyg. 2021;115:944\u20136 Available from:http:\/\/www.epid.gov.lk\/web\/.","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2792_CR25","unstructured":"Govindaraj R, Navaratne K, Cavagnero E, Seshadri SR. The world bank: health care in Sri Lanka: what can the private health sector offer?. 2014. Available from:  http:\/\/documents.worldbank.org\/curated\/en\/423511468307190661\/pdf\/899540WP0Box380th0Care0in0Sri0Lanka.pdf."},{"key":"2792_CR26","unstructured":"Ministry of Health, Sri Lanka. Epidemiology unit COVID - 19; 2022. Available from: https:\/\/www.epid.gov.lk\/storage\/post\/pdfs\/en_6401f1862b0cb_esummery-december.pdf. Accessed 25 Jan 2023."},{"key":"2792_CR27","unstructured":"Department of Census and Statistics Sri Lanka. Household income and expenditure. 2016. Available from: http:\/\/www.statistics.gov.lk\/HIES\/HIES2016\/HIES2016_FinalReport.pdf. Accessed 8 Apr 2022."},{"key":"2792_CR28","unstructured":"Ministry of health Sri Lanka. COVID-19 (new Coronavirus) outbreak in Sri Lanka interim guidelines for Sri Lankan Primary Care Physicians (Version 03). 2020;19(Version 03):1\u201337."},{"key":"2792_CR29","unstructured":"Ministry of Health. Revised guidelines on laboratory testing strategy for COVID-19. 2021. http:\/\/old.epid.gov.lk\/web\/index.php?option=com_content&view=article&id=230&lang=ta&Itemid=."},{"key":"2792_CR30","unstructured":"World Organization of Family Doctors. International classification of primary care.. International classification of primary care. Available from:http:\/\/www.globalfamilydoctor.com. Accessed 01 Jun 2023."},{"issue":"4","key":"2792_CR31","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1093\/fampra\/cmn040","volume":"25","author":"EA Bayliss","year":"2008","unstructured":"Bayliss EA, Edwards AE, Steiner JF, Main DS. Processes of care desired by elderly patients with multimorbidities. Fam Pract. 2008;25(4):287\u201393 https:\/\/pubmed.ncbi.nlm.nih.gov\/18628243\/.","journal-title":"Fam Pract"},{"issue":"4","key":"2792_CR32","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1093\/fampra\/15.4.323","volume":"15","author":"N de Silva","year":"1998","unstructured":"de Silva N, Mendis K. One-day general practice morbidity survey in Sri Lanka. Fam Pract. 1998;15(4):323\u201331. https:\/\/doi.org\/10.1093\/fampra\/15.4.323. Cited 2019 Mar 23.","journal-title":"Fam Pract"},{"key":"2792_CR33","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1186\/s12875-024-02448-8","volume":"25","author":"I Alwis","year":"2024","unstructured":"Alwis I, Rajapaksha B, Jayasanka C, et al. Morbidity profile and pharmaceutical management of adult outpatients between primary and tertiary care levels in Sri Lanka: a dual-centre, comparative study. BMC Prim Care. 2024;25:200. https:\/\/doi.org\/10.1186\/s12875-024-02448-8.","journal-title":"BMC Prim Care"},{"key":"2792_CR34","doi-asserted-by":"crossref","unstructured":"Ediriweera DS, de Silva NR, Malavige GN, de Silva HJ. An epidemiological model to aid decision-making for COVID-19 control in Sri Lanka. PLoS One. 2020;15(8).","DOI":"10.1371\/journal.pone.0238340"},{"key":"2792_CR35","unstructured":"Sri Lanka Health Promotion Bureau. Website. COVID 19 dashboard. Available from: https:\/\/hpb.health.gov.lk\/covid19-dashboard\/. Cited 2021 Jan 13."},{"key":"2792_CR36","unstructured":"World Health Organization. Coronavirus disease 2019 (COVID-19) situation report \u2013 73. 2020. Available from: https:\/\/iris.who.int\/bitstream\/handle\/10665\/331686\/nCoVsitrep02Apr2020-eng.pdf."},{"key":"2792_CR37","unstructured":"World Health Organization. Covid 19. 2022. Available from: https:\/\/covid19.who.int\/region\/searo\/country\/lk."},{"key":"2792_CR38","doi-asserted-by":"crossref","unstructured":"Munasinghe NL, O\u2019Reilly G, Cameron P. Lessons learned from the COVID-19 response in Sri Lankan hospitals: an interview of frontline healthcare professionals. Front public Heal. 2023;11. Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/38125853\/.","DOI":"10.3389\/fpubh.2023.1280055"},{"issue":"5","key":"2792_CR39","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1177\/10105395221090348","volume":"34","author":"I Karunathilake","year":"2022","unstructured":"Karunathilake I, Edirisinghe S, Weerasinghe M, Perera BJC, Hamdani A, Mudiyanse R, et al. An innovative telemedicine initiative from Sri Lanka: the value of volunteerism in a resource-constrained scenario during the COVID-19 pandemic. Asia Pac J Public Health. 2022;34(5):557\u201360. https:\/\/doi.org\/10.1177\/10105395221090348.","journal-title":"Asia Pac J Public Health"},{"key":"2792_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0243614","volume":"15","author":"S Prathapan","year":"2020","unstructured":"Prathapan S, Mestrige Chamath Fernando GV, Matthias AT, Arachchige Charuni YBM, Gayan Abeygunawardhana HM, Gayasha Kavindi Somathilake BG. The rising complexity and burden of multimorbidity in a middle-income country. PLoS One. 2020;15:1\u201314. https:\/\/doi.org\/10.1371\/journal.pone.0243614.","journal-title":"PLoS One"},{"issue":"10","key":"2792_CR41","doi-asserted-by":"crossref","first-page":"e543","DOI":"10.1016\/S2468-2667(20)30201-2","volume":"5","author":"R Williams","year":"2020","unstructured":"Williams R, Jenkins DA, Ashcroft DM, Brown B, Campbell S, Carr MJ, et al. Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. Lancet Public Heal. 2020;5(10):e543\u201350.","journal-title":"Lancet Public Heal"},{"key":"2792_CR42","doi-asserted-by":"publisher","first-page":"1364","DOI":"10.1186\/s12913-023-10158-745","volume":"23","author":"L Mahuela","year":"2023","unstructured":"Mahuela L, Oliv\u00e1n-Bl\u00e1zquez B, Lear-Claveras A, et al. Use of health services and medication use, new comorbidities, and mortality in patients with chronic diseases who did not contract COVID-19 during the first year of the pandemic: a retrospective study and comparison by sex. BMC Health Serv Res. 2023;23:1364. https:\/\/doi.org\/10.1186\/s12913-023-10158-745.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"2792_CR43","doi-asserted-by":"publisher","first-page":"88","DOI":"10.4269\/ajtmh.17-0032","volume":"97","author":"D Shapiro","year":"2017","unstructured":"Shapiro D, Bodinayake CK, Nagahawatte A, Devasiri V, Kurukulasooriya R, Hsiang J, Nicholson B, et al. Burden and seasonality of viral acute respiratory tract infections among outpatients in Southern Sri Lanka. Am J Trop Med Hyg. 2017;97(1):88\u201396. https:\/\/doi.org\/10.4269\/ajtmh.17-0032.","journal-title":"Am J Trop Med Hyg"},{"key":"2792_CR44","unstructured":"V Withanage. Other respiratory tract infections during the Covid 19 pandemic in Southern province, Sri Lanka. 2022. Available from: https:\/\/slmicrobiology.lk\/2022\/01\/04\/other-respiratory-tract-infections-during-the-covid-19-pandemic-in-southern-province-sri-lanka-2021\/."},{"key":"2792_CR45","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s15010-023-02085-w","volume":"1","author":"N Maison","year":"2023","unstructured":"Maison N, Omony J, Rinderknecht S, Kolberg L, Meyer-B\u00fchn M, von Mutius E, et al. Old foes following news ways?\u2014Pandemic-related changes in the epidemiology of viral respiratory tract infections. Infection. 2023;1:1\u201310. https:\/\/doi.org\/10.1007\/s15010-023-02085-w.","journal-title":"Infection"},{"key":"2792_CR46","unstructured":"EpidemiologyUnit. Communicable disease surveillance program of Sri Lanka. 2023. Available from https:\/\/www.epid.gov.lk\/storage\/post\/pdfs\/en_643fb35101272_en_641005964d33d_Communicable%20Disease%20Surveillance%20-%20Final.pdf. Accessed 30 Jan 2024."},{"key":"2792_CR47","unstructured":"Ibrahim M, Rabah A, Liman B, Ibrahim N. Effect of temperature and relative humidity on the growth of Helminthosporium fulvum. Niger J Basic Appl Sci. 2011;19(1):127\u20139. Available from https:\/\/www.ajol.info\/index.php\/njbas\/article\/view\/69357\/57383#:~:text=The%20result%20of%20the%20effect,after%204%20days%20of%20incubation."},{"issue":"4","key":"2792_CR48","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/j.jacme.2012.09.002","volume":"2","author":"MH Hsiao","year":"2012","unstructured":"Hsiao MH, Yang MC, Yan SH, Yang CH, Chou CC, Chang CF, et al. Environmental factors associated with the prevalence of animal bites or stings in patients admitted to an emergency department. J Acute Med. 2012;2(4):95\u2013102. https:\/\/doi.org\/10.1016\/j.jacme.2012.09.002.","journal-title":"J Acute Med"},{"issue":"3","key":"2792_CR49","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.clindermatol.2021.01.017","volume":"39","author":"S Bhargava","year":"2021","unstructured":"Bhargava S, Negbenebor N, Sadoughifar R, Ahmad S, Kroumpouzos G. Global impact on dermatology practice due to the COVID-19 pandemic. Clin Dermatol. 2021;39(3):479\u201387 Available from https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8043816\/.","journal-title":"Clin Dermatol"},{"issue":"2","key":"2792_CR50","doi-asserted-by":"crossref","first-page":"e001789","DOI":"10.1136\/bmjoq-2021-001789","volume":"11","author":"K Jones","year":"2022","unstructured":"Jones K, Lennon E, McCathie K, Millar A, Isles C, McFadyen A, et al. Teledermatology to reduce face-to-face appointments in general practice during the COVID-19 pandemic: a quality improvement project. BMJ Open Qual. 2022;11(2):e001789 Available from:https:\/\/bmjopenquality.bmj.com\/content\/11\/2\/e001789.","journal-title":"BMJ Open Qual"},{"key":"2792_CR51","unstructured":"Ministry Of Health. Annual Health Bulletin 2021. Available from: http:\/\/www.health.gov.lk\/moh_final\/english\/others.php?spid=26. Accessed 25 Jan 2023."},{"issue":"1","key":"2792_CR52","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-023-04918-2","volume":"23","author":"TD Sundarapperuma","year":"2023","unstructured":"Sundarapperuma TD, Gamage MWK, Rathnayake N, Weeratunga EB, Jagodage HMH. Psychological disturbances encountered by the healthcare professionals, military professionals and general public in Sri Lanka during COVID-19 pandemic: a cross-sectional study. BMC Psychiatry. 2023;23(1):1\u20139 Available from https:\/\/pubmed.ncbi.nlm.nih.gov\/37344813\/.","journal-title":"BMC Psychiatry"},{"key":"2792_CR53","doi-asserted-by":"publisher","unstructured":"Mirza JF, Wijayatilake, PVHDK, Ratnayake DRDL, Godavitharana AMM, Amarasinghe DK, Thennakoon, et al. Psychiatric morbidity among COVID-19 positive persons in Central Province, Sri Lanka: a cross-sectional study. Sri Lanka J Psychiatry.  2022;13(2):27\u201335. https:\/\/doi.org\/10.4038\/sljpsyc.v13i2.8375.","DOI":"10.4038\/sljpsyc.v13i2.8375"},{"issue":"9","key":"2792_CR54","doi-asserted-by":"crossref","first-page":"e29622","DOI":"10.2196\/29622","volume":"23","author":"FL Segui","year":"2021","unstructured":"Segui FL, Guillamet GH, Arolas HP, Marin-Gomez FX, Comellas AR, Morros AMR, et al. Characterization and identification of variations in types of primary care visits before and during the covid-19 pandemic in catalonia: big data analysis study. J Med Internet Res. 2021;23(9):e29622 Available from: https:\/\/www.jmir.org\/2021\/9\/e29622.Cited 2023 Nov 7","journal-title":"J Med Internet Res"},{"issue":"290","key":"2792_CR55","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1016\/j.jad.2021.04.070","volume":"1","author":"JH Seo","year":"2021","unstructured":"Seo JH, Kim SJ, Lee M, Kang JI. Impact of the COVID-19 pandemic on mental health service use among psychiatric outpatients in a tertiary hospital. J Affect Disord. 2021;1(290):279\u201383. https:\/\/doi.org\/10.1016\/j.jad.2021.04.070.","journal-title":"J Affect Disord"},{"issue":"11","key":"2792_CR56","doi-asserted-by":"publisher","first-page":"1280055","DOI":"10.3389\/fpubh.2023.1280055","volume":"6","author":"NL Munasinghe","year":"2023","unstructured":"Munasinghe NL, O\u2019Reilly G, Cameron P. Lessons learned from the COVID-19 response in Sri Lankan hospitals: an interview of frontline healthcare professionals. Front Public Health. 2023;6(11):1280055. https:\/\/doi.org\/10.3389\/fpubh.2023.1280055.","journal-title":"Front Public Health"},{"key":"2792_CR57","unstructured":"World Health Organization. Non-Communicable Diseases Sri Lanka Country Profile 2018. Available from https:\/\/www.who.int\/publications\/m\/item\/noncommunicable-diseases-lka-country-profile-2018. Accessed 12 Dec 2022."},{"issue":"5and6","key":"2792_CR58","doi-asserted-by":"publisher","first-page":"649","DOI":"10.4103\/0971-5916.323435","volume":"153","author":"KC Sahoo","year":"2021","unstructured":"Sahoo KC, Kanungo S, Mahapatra P, Pati S. Non-communicable diseases care during COVID-19 pandemic: a mixed-method study in Khurda district of Odisha, India. Indian J Med Res. 2021;153(5and6):649\u201357. https:\/\/doi.org\/10.4103\/0971-5916.323435.","journal-title":"Indian J Med Res"},{"key":"2792_CR59","doi-asserted-by":"publisher","unstructured":"Iaccarino G, Grassi G, Borghi C, Ferri C, Salvetti M, Volpe Massimo M. Age and multimorbidity predict death among COVID-19 patients. Hypertension. 2020;76(2).  https:\/\/doi.org\/10.1161\/HYPERTENSIONAHA.120.15324.","DOI":"10.1161\/HYPERTENSIONAHA.120.15324"},{"issue":"1","key":"2792_CR60","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-023-17515-5","volume":"24","author":"G Raknes","year":"2024","unstructured":"Raknes G, Fager\u00e5s SJ, Sveen KA, J\u00fal\u00edusson PB, Str\u00f8m MS. Excess non-COVID-19 mortality in Norway 2020\u20132022. BMC Public Health. 2024;24(1):1\u201313. https:\/\/doi.org\/10.1186\/s12889-023-17515-5.","journal-title":"BMC Public Health"}],"container-title":["BMC Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-025-02792-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12875-025-02792-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-025-02792-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T08:33:13Z","timestamp":1743755593000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcfampract.biomedcentral.com\/articles\/10.1186\/s12875-025-02792-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,3]]},"references-count":60,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["2792"],"URL":"https:\/\/doi.org\/10.1186\/s12875-025-02792-3","relation":{},"ISSN":["2731-4553"],"issn-type":[{"value":"2731-4553","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,3]]},"assertion":[{"value":"10 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was obtained from the Faculty of Medicine and Allied Sciences Ethics Review Committee, the Rajarata University of Sri Lanka, under ERC\/2020\/66. Informed consent was obtained from all adult participants, and assent was obtained from the guardians of children younger than 18. An information sheet in Sinhala, Tamil and English was shared among the participants to explain the aim of the study. No incentives were given to the study participants during the data collection. Before data collection, approval from healthcare institutions was obtained from the directors and medical officers of state hospitals and private sector primary care facilities.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"95"}}