# Impacts of the COVID-19 Pandemic on Primary Care Utilization: An Analysis of Primary Care Claims Data in Alberta, Canada

## TL;DR

The study analyzes how the COVID-19 pandemic affected primary care use in Alberta, showing a shift to virtual care and reduced in-person visits.

## Contribution

The study provides new insights into primary care utilization trends during the pandemic, including demographic-specific changes and the adoption of virtual care.

## Key findings

- The proportion of Albertans with primary care visits decreased by −9.55% in 2020/21 but partially recovered by 2022/23.
- Virtual care accounted for 23.77% of visits in 2020/21, declining to 14.43% by 2022/23.
- Children aged 5 to 11 and newborns experienced the largest declines in primary care visits during the pandemic.

## Abstract

The COVID-19 pandemic disrupted primary health care systems worldwide, prompting rapid changes in how care was delivered. In Alberta, this included a significant shift from in-person to virtual care. This study examines trends in primary care utilization among Albertans during COVID-19 and the shift toward virtual care.

Repeated cross-sectional analyses were conducted from 2018/19 to 2022/23 using Alberta Health Practitioner Claims data. Utilization was measured as the proportion of Albertans with at least one visit and the annual visit rate per person. Annual percent change (APC) was calculated relative to the pre-pandemic year (2019/20) and stratified by demographics.

The proportion of Albertans with a primary care visit decreased by −9.55% in 2020/21 but recovered to −4.62% by 2022/23. Annual visit rates remained stable post-pandemic. The largest declines in 2020/21 were among children aged 5 to 11 (−38.42%), ≤4 (−33.42%), newborns (−30.36% to −25.49%), and those without health conditions (−20.9%). Virtual care accounted for 23.77% of visits in 2020/21, dropping to 14.43% by 2022/23.

While fewer Albertans accessed primary care, visit rates remained stable due to virtual care. Further research is needed to assess the long-term impacts of COVID-19 on primary healthcare delivery.