{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T17:13:50Z","timestamp":1772212430975,"version":"3.50.1"},"reference-count":28,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T00:00:00Z","timestamp":1633651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Norwegian Institute of public health"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the temporal impact of mild COVID-19 on need for primary and specialist health care services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In all adults (\u226520 years) tested for SARS-CoV-2 in Norway March 1\n                      <jats:sup>st<\/jats:sup>\n                      2020 to February 1st 2021 (N = 1 401 922), we contrasted the monthly all-cause health care use before and up to 6 months after the test (% relative difference), for patients with a positive test for SARS-CoV-2 (non-hospitalization, i.e. mild COVID-19) and patients with a negative test (no COVID-19).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found a substantial short-term elevation in primary care use in all age groups, with men generally having a higher relative increase (men 20\u201344 years: 522%, 95%CI = 509\u2013535, 45\u201369 years: 439%, 95%CI = 426\u2013452, \u226570 years: 199%, 95%CI = 180\u2013218) than women (20\u201344 years: 342, 95%CI = 334\u2013350, 45\u201369 years = 375, 95%CI = 365\u2013385, \u226570 years: 156%, 95%CI = 141\u2013171) at 1 month following positive test. At 2 months, this sex difference was less pronounced, with a (20\u201344 years: 21%, 95%CI = 13\u201329, 45\u201369 years = 38%, 95%CI = 30\u201346, \u226570 years: 15%, 95%CI = 3\u201328) increase in primary care use for men, and a (20\u201344 years: 30%, 95%CI = 24\u201336, 45\u201369 years = 57%, 95%CI = 50\u201364, \u226570 years: 14%, 95%CI = 4\u201324) increase for women. At 3 months after test, only women aged 45\u201370 years still had an increased primary care use (14%, 95%CI = 7\u201320). The increase was due to respiratory- and general\/unspecified conditions. We observed no long-term (4\u20136 months) elevation in primary care use, and no elevation in specialist care use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mild COVID-19 gives an elevated need for primary care that vanishes 2\u20133 months after positive test. Middle-aged women had the most prolonged increased primary care use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0257926","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T19:35:12Z","timestamp":1633808112000},"page":"e0257926","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":29,"title":["Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7504-9253","authenticated-orcid":true,"given":"Katrine Damgaard","family":"Skyrud","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kjersti Helene","family":"Hern\u00e6s","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kjetil Elias","family":"Telle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Magnusson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2021,10,8]]},"reference":[{"issue":"8","key":"pone.0257926.ref001","doi-asserted-by":"crossref","DOI":"10.1177\/0300060520948382","article-title":"Rehabilitation of patients post-COVID-19 infection: a literature review","volume":"48","author":"A Demeco","year":"2020","journal-title":"J Int Med Res"},{"key":"pone.0257926.ref002","article-title":"Management of post-acute covid-19 in primary care","volume":"370","author":"T Greenhalgh","year":"2020","journal-title":"BMJ"},{"key":"pone.0257926.ref003","article-title":"6-month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records","author":"M Taquet","year":"2021","journal-title":"Lancet Psychiatry"},{"issue":"1","key":"pone.0257926.ref004","first-page":"26","article-title":"Six month follow-up of self-reported loss of smell during the COVID-19 pandemic","volume":"59","author":"C Hopkins","year":"2021","journal-title":"Rhinology"},{"issue":"10270","key":"pone.0257926.ref005","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/S0140-6736(20)32656-8","article-title":"6-month consequences of COVID-19 in patients discharged from hospital: a cohort study","volume":"397","author":"C Huang","year":"2021","journal-title":"Lancet"},{"key":"pone.0257926.ref006","first-page":"e13746","article-title":"Assessment and characterisation of post-COVID-19 manifestations","author":"M Kamal","year":"2020","journal-title":"Int J Clin Pract."},{"key":"pone.0257926.ref007","article-title":"Long-term persistence of olfactory and gustatory disorders in COVID-19 patients","author":"NN Nguyen","year":"2021","journal-title":"Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases"},{"key":"pone.0257926.ref008","doi-asserted-by":"crossref","unstructured":"Stavem K, Ghanima W, Olsen MK, Gilboe HM, Einvik G. 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