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Effect of the COVID...
Effect of the COVID-19 pandemic on mental health visits in primary care : an interrupted time series analysis from nine INTRePID countries
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- Silva-Valencia, Javier (author)
- Univ Peruana Cayetano Heredia, Ctr Res Primary Hlth Care CINAPS, San Martin De Porres, Peru.
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- Lapadula, Carla (author)
- Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada.
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- Westfall, John M. (author)
- DARTNet Inst, Aurora, CO USA.
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- Gaona, Gabriela (author)
- DARTNet Inst, Aurora, CO USA.
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- de Lusignan, Simon (author)
- Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England.
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- Kristiansson, Robert S. (author)
- Uppsala universitet,Hälso- och sjukvårdsforskning
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- Ling, Zheng Jye (author)
- Natl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore.
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- Goh, Lay Hoon (author)
- Natl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore.
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- Soto-Becerra, Percy (author)
- Univ Continental, Sch Med, Huancayo, Peru.
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- Cuba-Fuentes, Maria Sofia (author)
- Univ Peruana Cayetano Heredia, Ctr Res Primary Hlth Care CINAPS, San Martin De Porres, Peru.
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- Wensaas, Knut -Arne (author)
- NORCE Norwegian Res Ctr AS, Res Unit Gen Practice, Bergen, Norway.
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- Flottorp, Signe (author)
- Norwegian Inst Publ Hlth, Ctr Epidem Intervent Res, Oslo, Norway.;Univ Oslo, Dept Gen Practice, Oslo, Norway.
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- Baste, Valborg (author)
- Natl Ctr Emergency Primary Hlth Care, NORCE Norwegian Res Ctr, Bergen, Norway.
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- Wong, William Chi-Wai (author)
- Univ Hong Kong, Shenzhen Hosp, Dept Family Med & Primary Care, Shenzhen, Peoples R China.;Univ Hong Kong, Li Ka Shing Fac Med, Sch Clin Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.
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- Ng, Amy Pui Pui (author)
- Univ Hong Kong, Shenzhen Hosp, Dept Family Med & Primary Care, Shenzhen, Peoples R China.;Univ Hong Kong, Li Ka Shing Fac Med, Sch Clin Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.
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- Ortigoza, Angela (author)
- Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada.
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- Manski-Nankervis, Jo -Anne (author)
- Univ Melbourne, Dept Gen Practice & Primary Care, Melbourne, VIC, Australia.
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- Hallinan, Christine Mary (author)
- Univ Melbourne, Dept Gen Practice & Primary Care, Melbourne, VIC, Australia.
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- Zingoni, Paula (author)
- Minist Hlth Autonomous City Buenos Aires, Buenos Aires, Argentina.
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- Scattini, Luciano (author)
- Minist Hlth Autonomous City Buenos Aires, Buenos Aires, Argentina.
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- Heald, Adrian (author)
- Univ Manchester, Sch Med Sci, Div Diabet Endocrinol & Gastroenterol, Manchester, England.
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- Tu, Karen (author)
- Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada.;Univ Hlth Network, Dept Res & Innovat, Toronto, ON, Canada.;Univ Hlth Network, Family Med North York Gen Hosp, Toronto Western Family Hlth Team, Toronto, ON, Canada.;500 Univ Ave,3rd Floor, Toronto, ON M5G 1V7, Canada.
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Univ Peruana Cayetano Heredia, Ctr Res Primary Hlth Care CINAPS, San Martin De Porres, Peru Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada. (creator_code:org_t)
- Elsevier, 2024
- 2024
- English.
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In: eClinicalMedicine. - : Elsevier. - 2589-5370. ; 70
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https://uu.diva-port... (primary) (Raw object)
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Abstract
Subject headings
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- 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 fi rst 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- Primary care
- Big data
- Mental health
- Global health
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Silva-Valencia, ...
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Lapadula, Carla
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Westfall, John M ...
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Gaona, Gabriela
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de Lusignan, Sim ...
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Kristiansson, Ro ...
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show more...
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Ling, Zheng Jye
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Goh, Lay Hoon
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Soto-Becerra, Pe ...
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Cuba-Fuentes, Ma ...
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Wensaas, Knut -A ...
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Flottorp, Signe
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Baste, Valborg
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Wong, William Ch ...
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Ng, Amy Pui Pui
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Ortigoza, Angela
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Manski-Nankervis ...
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Hallinan, Christ ...
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Zingoni, Paula
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Scattini, Lucian ...
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Heald, Adrian
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Tu, Karen
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MEDICAL AND HEAL ...
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Uppsala University