{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:22:44Z","timestamp":1787772164226,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The COVID-19 pandemic (2020\u20132022) significantly disrupted healthcare delivery, with primary care utilization patterns shifting in response to public health interventions and system adaptations. Understanding these changes is essential to inform future preparedness and service planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective descriptive study of weekly attendances at five public polyclinics in western Singapore from January 2019 to June 2022. Attendances were categorized using ICD-10-CM codes into three groups: acute respiratory infections (ARI), acute non-respiratory infections (ANRI), and acute non-infective conditions (ANI). Trends were examined across three phases: pre-pandemic, pandemic, and transition to post-pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A marked decline in attendances was observed across all three condition categories during the pandemic, with the most pronounced and sustained reductions seen in ANRI and ANI visits. ARI attendances also declined initially, but later rebounded and constituted an increasing proportion of acute presentations over time. Shifts were temporally aligned with key national policy changes, including movement restrictions and changes in healthcare access points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pandemic-related interventions and behavioral adaptations led to substantial and lasting shifts in primary care acute illness attendances. Reduced medical certification requirements, telehealth uptake, and diversion to Public Health Preparedness Clinics likely contributed to these patterns. The findings underscore the importance of adaptive service models, and integrated data monitoring to strengthen health system resilience in future public health emergencies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2048_25","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:00:29Z","timestamp":1781791229000},"page":"1975-1980","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["From disruption to recovery: Trends in acute condition attendances at Western Singapore polyclinics during and after the COVID-19 pandemic"],"prefix":"10.4103","volume":"15","author":[{"given":"Zeenathnisa M.","family":"Aribou","sequence":"first","affiliation":[{"name":"Department of Occupational Medicine, National University Hospital, Lower Kent Ridge, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clement","family":"Kweh","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, National University Hospital, Lower Kent Ridge, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying X.","family":"Chua","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Bukit Panjang Polyclinic, 50 Woodlands Road, Singapore 677726"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fong S.","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Medical Dr, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Fu J.","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, Woodlands Health, Yishun Central, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"See M.","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, National University Hospital, Lower Kent Ridge, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"R3-20260619","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1017\/dmp.2013.82","article-title":"Response of general practitioners to infectious disease public health crises: An integrative systematic review of the literature","volume":"7","author":"Kunin","year":"2013","journal-title":"Disaster Med Public Health Prep"},{"key":"R4-20260619","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1370\/afm.2539","article-title":"COVID-19: notes from the front line, Singapore's primary healthcare perspective","volume":"18","author":"Lim","year":"2020","journal-title":"Ann Fam 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2004 to 2016: Cyclical epidemic patterns dominated by serotypes 1 and 2","volume":"99","author":"Rajarethinam","year":"2018","journal-title":"Am J Trop Med Hyg"},{"key":"R9-20260619","doi-asserted-by":"crossref","first-page":"818","DOI":"10.47102\/annals-acadmedsg.2021151","article-title":"Factors reducing inappropriate attendances to emergency departments before and during the COVID-19 pandemic: A multicentre study","volume":"50","author":"Cheng","year":"2021","journal-title":"Ann Acad Med Singap"},{"key":"R10-20260619","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1056\/NEJMoa2115624","article-title":"BNT162b2 vaccine booster and mortality due to COVID-19","volume":"385","author":"Arbel","year":"2021","journal-title":"N Engl J Med"},{"key":"R11-20260619","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1186\/s12889-021-11200-1","article-title":"The impact of the COVID-19 pandemic on health-seeking behavior of an Asian population with acute respiratory infections in a densely populated community","volume":"21","author":"Tan","year":"2021","journal-title":"BMC Public Health"},{"key":"R12-20260619","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1089\/tmj.2021.0174","article-title":"Telemedicine in primary care during the COVID-19 pandemic: Provider and patient satisfaction examined","volume":"28","author":"Vosburg","year":"2022","journal-title":"Telemed J E Health"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2048_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:31:47Z","timestamp":1787769107000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2048_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2048_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-11-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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