Utilisation of primary healthcare services by patients with hypertension before, during and after the COVID-19 pandemic in Turku, Finland—are digital services creating disparity?

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Key Points

To assess accessibility differences of primary healthcare services for patients with hypertension during the COVID-19 pandemic.
Identified patients with hypertension from healthcare register data in Turku, Finland.
Collected data on GP visits, telephone contacts, electronic communication, and cardiometabolic diseases from 2019 to 2022.
Analyzed trends in service utilization and demographic differences regarding communication modes.
Patient numbers with hypertension decreased from 2019 to 2020 but returned to 2019 levels in 2021.
Electronic communication usage increased steadily, while telephone contacts decreased during the period.
Elderly patients utilized less electronic communication than younger patients, indicating growing disparities.

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Observational study shows increasing digital communication but higher structural inequality for elderly hypertension patients.

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Johansson et al. (2025) studied this question.

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