Trends In Outpatient Mental Health Services Use Before And During The COVID-19 Pandemic.
Trends In Outpatient Mental Health Services Use Before And During The COVID-19 Pandemic.
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DOI：
10.1377/hlthaff.2021.01297
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发表时间：
2022-04
期刊：
影响因子：
9.7
通讯作者：
Lin, Sunny C.
中科院分区：
文献类型：
--
作者：
Zhu, Jane M.;Myers, Renae;McConnell, K. John;Levander, Ximena;Lin, Sunny C.
COVID-19大流行扰乱了美国各地的精神健康服务提供，但这些干扰的程度和影响尚不清楚。这项回顾性观察分析使用索赔清算所Office Ally比较了2016-18年3月至12月的门诊心理健康服务使用情况与2020年同期的使用情况。我们确定了12岁及以上的人遇到的主要诊断代码对应于心理健康状况，并分类为面对面或远程医疗，使用当前程序术语和服务地点代码。在大流行的最初几个月，面对面的心理健康接触减少了一半，由于远程医疗的普及，服务的提供迅速恢复（占平均每月接触的47.9%）。我们发现，不同群体的远程医疗使用增加的程度不同：精神分裂症患者相对于面对面访问的远程医疗接触比例较低（1.7%对2.7%），而焦虑和恐惧相关疾病的比例较高（27.5%对25.5%）。这些调查结果突出表明，必须通过新的模式扩大获得服务的机会，而不取代某些群体必要的亲自护理。
The COVID-19 pandemic disrupted mental health services delivery across the US, but the extent and implications of these disruptions are unclear. This retrospective observational analysis used the claims clearinghouse Office Ally to compare outpatient mental health services use from March to December 2016–18 against use during the same period in 2020. We identified encounters for people ages twelve and older with primary diagnosis codes corresponding to mental health conditions and categorized encounters as in-person or telehealth, using Current Procedural Terminology and place-of-service codes. In-person mental health encounters were reduced by half in the early months of the pandemic, with rapid recovery of service delivery attributable to telehealth uptake (accounting for 47.9 percent of average monthly encounters). We found variation in the degree to which telehealth use increased across groups: People with schizophrenia made up a lower proportion of telehealth encounters relative to in-person visits (1.7 percent versus 2.7 percent), whereas those with anxiety and fear-related disorders accounted for a higher proportion (27.5 percent versus 25.5 percent). These findings highlight the importance of broadening access to services through new modalities without supplanting necessary in-person care for certain groups.
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影响因子：
9.7
作者：
Lau, Jen;Knudsen, Janine;Chokshi, Dave A.
通讯作者：
Chokshi, Dave A.
影响因子：
3.8
作者：
Tse, Jeanie;LaStella, Drew;Dixon, Lisa B.
通讯作者：
Dixon, Lisa B.
影响因子：
9.7
作者：
Mehrotra, Ateev;Huskamp, Haiden A.;Busch, Alisa B.
通讯作者：
Busch, Alisa B.
影响因子：
4.7
作者：
Bashshur, Rashid L.;Shannon, Gary W.;Yellowlees, Peter M.
通讯作者：
Yellowlees, Peter M.
DOI：
10.1001/jamahealthforum.2021.3282
发表时间：
2021-10
期刊：
JAMA health forum
影响因子：
--
作者：
Barnett ML;Huskamp HA;Busch AB;Uscher-Pines L;Chaiyachati KH;Mehrotra A
通讯作者：
Mehrotra A