{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:01Z","timestamp":1787027281725,"version":"build-2736575974"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T00:00:00Z","timestamp":1717027200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The coronavirus disease 2019 (COVID-19) pandemic has profoundly affected the utilization of rehabilitation services. Existing evidence investigating this issue at the nationwide level is lacking, and it is uncertain whether the effects of the COVID-19 pandemic on the use of rehabilitation therapy of children and adolescents with cerebral palsy. This study aimed to investigate the impact of COVID-19 on the rehabilitation therapy of children and adolescents with cerebral palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We obtained data from South Korea\u2019s Health Insurance Review and Assessment Agency for 2017\u20132021. By analyzing the claims data, we focused on rehabilitation therapy in individuals with CP under 18\u2009years of age. We categorized these according to therapy type (physical, occupational, or dysphagia), medical facility, hospital visits, and insurance. We calculated the patient counts and average claims per person and compared the average from before to during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over the 5\u2009years, there was a significant decline in the number of patients undergoing rehabilitation therapy (trend\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), but the average claims per person remained stable (trend\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.971). During the COVID-19 pandemic, the average number of claims per person decreased significantly compared to the control period (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Both the physical (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049) and occupational therapy groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019) showed significant differences in claims. General hospitals and hospitals experienced a decrease in average cases by 2.2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) and 2.4 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) respectively, while long-term care hospitals increased by 3.1 cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Outpatients showed a decline of 2.0 cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), whereas inpatients showed an increase of 5.9 cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Individuals with health insurance decreased by 0.5 cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007), but the decrease of 0.08 cases among medical aid-covered individuals was not statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.898).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In 2020\u20132021, the average number of claims per person showed a significant decrease compared to the pre-COVID-19 pandemic period (2017\u20132019). Depending on the type of treatment, the number of claims for physical and occupational therapy significantly decreased.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2024.1374766","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T05:44:32Z","timestamp":1717047872000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["The impact of the COVID-19 pandemic on the rehabilitation therapy of children and adolescents with cerebral palsy: a nationwide, health insurance data-based study"],"prefix":"10.3389","volume":"12","author":[{"given":"Jieun","family":"Shin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi Jin","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Bum","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yung Jin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1056\/NEJMoa2001017","article-title":"A novel coronavirus from patients with pneumonia in China, 2019","volume":"382","author":"Zhu","year":"2020","journal-title":"N Engl J Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"164","DOI":"10.3961\/jpmph.20.088","article-title":"The delay in confirming COVID-19 cases linked to a religious Group in Korea","volume":"53","author":"Kim","year":"2020","journal-title":"J Prev Med Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2406","DOI":"10.3201\/eid2610.201886","article-title":"Effect of nonpharmaceutical interventions on transmission of severe acute respiratory syndrome coronavirus 2, South Korea, 2020","volume":"26","author":"Ryu","year":"2020","journal-title":"Emerg Infect Dis"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1505","DOI":"10.2147\/NDT.S235165","article-title":"Cerebral palsy: current opinions on definition, epidemiology, risk factors, classification and treatment options","volume":"16","author":"Sadowska","year":"2020","journal-title":"Neuropsychiatr Dis Treat"},{"key":"ref5","first-page":"213","article-title":"Cerebral Palsy: An Overview","volume":"101","author":"Vitrikas","year":"2020","journal-title":"Am Fam Physician"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"692","DOI":"10.23736\/S1973-9087.20.06407-2","article-title":"Impact on rehabilitation programs during COVID-19 containment for children with pediatric and perinatal stroke","volume":"56","author":"Bertamino","year":"2020","journal-title":"Eur J Phys Rehabil Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"515","DOI":"10.23736\/S1973-9087.20.06317-0","article-title":"COVID-19 pandemic. What should physical and rehabilitation medicine specialists do? A clinician's perspective","volume":"56","author":"Carda","year":"2020","journal-title":"Eur J Phys Rehabil Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e2014008","DOI":"10.4178\/epih\/e2014008","article-title":"A guide for the utilization of Health Insurance Review and Assessment Service national patient samples","volume":"36","author":"Kim","year":"2014","journal-title":"Epidemiol Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"718","DOI":"10.3346\/jkms.2017.32.5.718","article-title":"Towards actualizing the value potential of Korea health insurance review and assessment (HIRA) data as a resource for Health Research: strengths, limitations, applications, and strategies for optimal use of HIRA data","volume":"32","author":"Kim","year":"2017","journal-title":"J Korean Med Sci"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1910","DOI":"10.1093\/ptj\/pzaa152","article-title":"Impact of social isolation due to the COVID-19 pandemic in patients with pediatric disorders: rehabilitation perspectives from a developing country","volume":"100","author":"Meireles","year":"2020","journal-title":"Phys Ther"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1007\/s43465-021-00591-3","article-title":"Impact of COVID pandemic on the children with cerebral palsy","volume":"56","author":"Bhaskar","year":"2022","journal-title":"Indian J Orthop"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1473","DOI":"10.1007\/s11845-021-02622-2","article-title":"Evaluation of the effects of the COVID-19 pandemic on children with cerebral palsy, caregivers' quality of life, and caregivers' fear of COVID-19 with telemedicine","volume":"190","author":"Cankurtaran","year":"2021","journal-title":"Ir J Med Sci"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"4363","DOI":"10.3390\/ijerph18084363","article-title":"Avoidance of healthcare utilization in South Korea during the coronavirus disease 2019 (COVID-19) pandemic","volume":"18","author":"Lee","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"100904","DOI":"10.1016\/j.lanwpc.2023.100904","article-title":"The road to recovery: impact of COVID-19 on healthcare utilization in South Korea in 2016-2022 using an interrupted time-series analysis","volume":"41","author":"Yoo","year":"2023","journal-title":"Lancet Reg Health West Pac"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"101429","DOI":"10.1016\/j.rehab.2020.08.001","article-title":"Emerging health challenges for children with physical disabilities and their parents during the COVID-19 pandemic: the ECHO French survey","volume":"64","author":"Cacioppo","year":"2021","journal-title":"Ann Phys Rehabil Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1007\/s00455-020-10153-8","article-title":"Dysphagia care across the continuum: a multidisciplinary dysphagia research society taskforce report of service-delivery during the COVID-19 global pandemic","volume":"36","author":"Miles","year":"2021","journal-title":"Dysphagia"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e8","DOI":"10.29339\/pha.22.8","article-title":"Changes in inpatient healthcare utilization at public hospitals during the Covid-19 pandemic","volume":"6","author":"Park","year":"2022","journal-title":"Public Health Aff"},{"key":"ref18","volume-title":"Changes in health insurance medical expenses before and after COVID-19 and their implications","author":"Kim","year":"2020"},{"key":"ref19","author":"Young-Taek Park","year":"2021"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1186\/s12913-021-07446-5","article-title":"Associations of the COVID-19 pandemic with older individuals' healthcare utilization and self-reported health status: a longitudinal analysis from Singapore","volume":"22","author":"Ahn","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e003421","DOI":"10.1136\/bmjgh-2020-003421","article-title":"Reduction in healthcare services during the COVID-19 pandemic in China","volume":"5","author":"Zhang","year":"2020","journal-title":"BMJ Glob Health"},{"key":"ref22","author":"Cho","year":"2021"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/s13034-023-00569-z","article-title":"The perceived impact of Covid-19 pandemic on the children with cerebral palsy: the parents\u2019 perspective explored within the \u201c6-F words\u201d framework","volume":"17","author":"Pizzighello","year":"2023","journal-title":"Child Adolesc Psychiatry Ment Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"746","DOI":"10.3389\/fneur.2020.00746","article-title":"Accelerating telemedicine for cerebral palsy during the COVID-19 pandemic and beyond","volume":"11","author":"Ben-Pazi","year":"2020","journal-title":"Front Neurol"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2024.1374766\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T05:44:43Z","timestamp":1717047883000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2024.1374766\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,30]]},"references-count":24,"alternative-id":["10.3389\/fpubh.2024.1374766"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2024.1374766","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,30]]},"article-number":"1374766"}}