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Effect of the COVID-19 pandemic on mental health visits in primary care: an interrupted time series analysis from nine INTRePID countries.
Silva-Valencia, Javier; Lapadula, Carla; Westfall, John M; Gaona, Gabriela; de Lusignan, Simon; Kristiansson, Robert Sarkadi; Ling, Zheng Jye; Goh, Lay Hoon; Soto-Becerra, Percy; Cuba-Fuentes, Maria Sofia; Wensaas, Knut-Arne; Flottorp, Signe; Baste, Valborg; Chi-Wai Wong, William; Pui Ng, Amy Pui; Ortigoza, Angela; Manski-Nankervis, Jo-Anne; Hallinan, Christine Mary; Zingoni, Paula; Scattini, Luciano; Heald, Adrian; Tu, Karen.
Afiliação
  • Silva-Valencia J; Center for Research in Primary Health Care (CINAPS), Universidad Peruana Cayetano Heredia, Peru.
  • Lapadula C; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Westfall JM; DARTNet Institute, Aurora, CO, USA.
  • Gaona G; DARTNet Institute, Aurora, CO, USA.
  • de Lusignan S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • Kristiansson RS; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
  • Ling ZJ; Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
  • Goh LH; Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
  • Soto-Becerra P; School of Medicine, Universidad Continental, Huancayo, Peru.
  • Cuba-Fuentes MS; Center for Research in Primary Health Care (CINAPS), Universidad Peruana Cayetano Heredia, Peru.
  • Wensaas KA; Research Unit for General Practice, NORCE Norwegian Research Centre AS, Bergen, Norway.
  • Flottorp S; Centre for Epidemic Interventions Research, Norwegian Institute of Public Health, Oslo, Norway.
  • Baste V; Department of General Practice, University of Oslo, Oslo, Norway.
  • Chi-Wai Wong W; National Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen, Norway.
  • Pui Ng AP; Department of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
  • Ortigoza A; Department of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
  • Manski-Nankervis JA; Department of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
  • Hallinan CM; Department of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
  • Zingoni P; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Scattini L; Department of General Practice and Primary Care, The University of Melbourne, Melbourne, Victoria, Australia.
  • Heald A; Department of General Practice and Primary Care, The University of Melbourne, Melbourne, Victoria, Australia.
  • Tu K; Ministry of Health of the Autonomous City of Buenos Aires, Buenos Aires, Argentina.
EClinicalMedicine ; 70: 102533, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38495523
ABSTRACT

Background:

The COVID-19 pandemic impacted mental health disorders, affecting both individuals with pre-existing conditions and those with no prior history. However, there is limited evidence regarding the pandemic's impact on mental health visits to primary care physicians. The International Consortium of Primary Care Big Data Researchers (INTRePID) explored primary care visit trends related to mental health conditions in Argentina, Australia, Canada, China, Norway, Peru, Singapore, Sweden, and the USA.

Methods:

We conducted an interrupted time series analysis in nine countries to examine changes in rates of monthly mental health visits to primary care settings from January 1st, 2018, to December 31st, 2021. Sub-group analysis considered service type (in-person/virtual) and six categories of mental health conditions (anxiety/depression, bipolar/schizophrenia/other psychotic disorders, sleep disorders, dementia, ADHD/eating disorders, and substance use disorder).

Findings:

Mental health visit rates increased after the onset of the pandemic in most countries. In Argentina, Canada, China, Norway, Peru, and Singapore, this increase was immediate ranged from an incidence rate ratio of 1·118 [95% CI 1.053-1.187] to 2.240 [95% CI 2.057-2.439] when comparing the first month of pandemic with the pre-pandemic trend. Increases in the following months varied across countries. Anxiety/depression was the leading reason for mental health visits in most countries. Virtual visits were reported in Australia, Canada, Norway, Peru, Sweden, and the USA, accounting for up to 40% of the total mental health visits.

Interpretation:

Findings suggest an overall increase in mental health visits, driven largely by anxiety/depression. During the COVID-19 pandemic, many of the studied countries adopted virtual care in particular for mental health visits. Primary care plays a crucial role in addressing mental ill-health in times of crisis.

Funding:

Canadian Institutes of Health Research grant #173094 and the Rathlyn Foundation Primary Care EMR Research and Discovery Fund.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: EClinicalMedicine Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: EClinicalMedicine Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido