The
coronavirus
disease
2019
(COVID-19)
pandemic
has
worsened
mental
health
and
reduced
access
to
services.
During
the
pandemic,
demand
for
telemedicine
increased
related
laws
have
been
enacted.
This
study
aimed
investigate
use
cases
of
major
illnesses
during
COVID-19
compare
characteristics
patients
who
received
service
with
those
in-person
care.This
population-based,
cross-sectional,
observational
was
based
on
insurance
claims
data,
included
2,749,872
outpatient
treatment
illness
from
February
24,
2020
June
30,
2022.
Logistic
regression
performed
assess
relationships
between
patient
use.
Patients
services
were
analyzed
in
subgroups
each
illness.During
period,
80,157
(2.9%),
an
average
age
63
years,
at
least
one
treatment.
There
a
predominance
women
medical
aid
recipients.
lowest
proportion
treatments
depression
(2.1%),
highest
dementia
(6.7%).
receiving
long-term
care
hospitals
high
(22.6%),
odds
ratio
(OR)
(5.84),
compared
that
tertiary
or
general
hospitals,
followed
by
psychiatric
clinics.
proportions
departments
internal
medicine,
neurology,
psychiatry.
aged
>
80
years
most
(OR:
1.23)
across
all
diagnoses.
Cases
other
disorders
had
higher
ORs
(2.60
2.36,
respectively)
depression.
Except
behavioral/emotional
disorders,
hospitalization
probability
Comorbidities
positively
associated
treatment.Older
people
physical
more
likely
temporarily
provided
pandemic.
Telemedicine
maintained
continuity
severe
illnesses.
can
be
useful
filling
gaps
vulnerable
populations
than
mild
aspect
should
considered
future
establishment
systems.
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
15
Опубликована: Дек. 20, 2024
Comprehensive
evidence
on
the
impact
of
Coronavirus
Disease
2019
(COVID-19)
pandemic
use
mental
health
services
is
scarce.
The
aim
this
study
was
to
evaluate
COVID-19
access
in
Italy
and
assess
socioeconomic
citizenship
inequalities
for
same
outcome.
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Март 26, 2024
Abstract
Purpose
The
CoMeH
cohort
was
established
to
assess
the
impact
of
COVID-19
pandemic
on
use
mental
health
services
in
Italy
short
and
long
term,
with
a
particular
focus
socioeconomic
and/or
citizenship
inequalities.
Methods
All
residents
subjects
for
at
least
2
years,
aged
≥
10
assisted
by
an
NHS
general
practitioner
(GP)
area
residence,
three
vast
catchment
areas
(N
=
5,167,043).
Primary
outcomes
interest
are
following
indicators
care
services’
use:
first
access
any
service,
total
number
accesses
services,
consumption
psychiatric
drugs,
or
psychological
outpatient
visits,
residential
day
days
spent
facilities,
emergency
inpatient
admissions
hospitals.
Results
Incident
users
were
3.2%
population
Bergamo
LHA,
3.5%
Rome2
4.4%
Tuscany
Region.
overall
crude
incidence
rate
3.3%
pre-COVID-19
period
2.6%
during
pandemic.
Prescriptions
disorder
(57.2%)
ED
(25.1%)
main
reasons
enrollment.
Compared
population,
people
conditions
older
more
often
female.
distribution
incident
deprivation
index
overlapped
that
population.
Immigrants
younger,
socioeconomically
deprived,
entered
study
admission.
Conclusion
We
will
through
evaluation
hospitalization,
emergency,
drug
prescriptions.
also
evaluate
inequalities
census-based
migration
status.
Finally,
we
analyze
infection
outcome
cohort.
The
coronavirus
disease
2019
(COVID-19)
pandemic
has
worsened
mental
health
and
reduced
access
to
services.
During
the
pandemic,
demand
for
telemedicine
increased
related
laws
have
been
enacted.
This
study
aimed
investigate
use
cases
of
major
illnesses
during
COVID-19
compare
characteristics
patients
who
received
service
with
those
in-person
care.This
population-based,
cross-sectional,
observational
was
based
on
insurance
claims
data,
included
2,749,872
outpatient
treatment
illness
from
February
24,
2020
June
30,
2022.
Logistic
regression
performed
assess
relationships
between
patient
use.
Patients
services
were
analyzed
in
subgroups
each
illness.During
period,
80,157
(2.9%),
an
average
age
63
years,
at
least
one
treatment.
There
a
predominance
women
medical
aid
recipients.
lowest
proportion
treatments
depression
(2.1%),
highest
dementia
(6.7%).
receiving
long-term
care
hospitals
high
(22.6%),
odds
ratio
(OR)
(5.84),
compared
that
tertiary
or
general
hospitals,
followed
by
psychiatric
clinics.
proportions
departments
internal
medicine,
neurology,
psychiatry.
aged
>
80
years
most
(OR:
1.23)
across
all
diagnoses.
Cases
other
disorders
had
higher
ORs
(2.60
2.36,
respectively)
depression.
Except
behavioral/emotional
disorders,
hospitalization
probability
Comorbidities
positively
associated
treatment.Older
people
physical
more
likely
temporarily
provided
pandemic.
Telemedicine
maintained
continuity
severe
illnesses.
can
be
useful
filling
gaps
vulnerable
populations
than
mild
aspect
should
considered
future
establishment
systems.
