The impact of the COVID-19 pandemic on urban-rural outpatient primary care utilisation in Malaysia: a retrospective time series and spatiotemporal analysis.

Subsequently, all regions showed a decreasing trend from March until May 2020, ranging from 16.22 to 29.10% reduction per month.

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While these findings may present an encouraging trend, further exploration into the mortality and morbidity of chronic disease patients is crucial to comprehensively evaluate the impact of reduced OPD utilisation on patient outcomes, accounting for survival bias.

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This was reflected in our findings, which showed a trend of surge increase in OPD utilisation after the first lockdown was lifted, particularly in urban areas.

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