 The study aimed to determine changes in utilization of healthcare services during the COVID-19 pandemic compared to prior years. A systematic review was conducted, and 81 studies across 20 countries were included, reporting on over 11 million services pre-pandemic and 6.9 million during the pandemic. The primary outcome was a median 37% reduction in overall service utilization with reductions for visits, admissions, diagnostics, and therapeutics of 42%, 28%, 31%, and 30%, respectively. Among studies reporting secondary outcomes, there were 60 estimates, with 27, 45%, reporting larger reductions in utilization among people with a milder spectrum of illness, and 33, 55%, reporting no difference. The study concludes that healthcare utilization decreased by about a third during the pandemic, with greater reductions among people with less severe illness. This article was authored by Mark Jones, Minna Johansson, Ian Scott, and others. We are article.tv, links in the description below.