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  • Silva-Valencia, JavierUniv Peruana Cayetano Heredia, Ctr Res Primary Hlth Care CINAPS, San Martin De Porres, Peru. (author)

Effect of the COVID-19 pandemic on mental health visits in primary care : an interrupted time series analysis from nine INTRePID countries

  • Article/chapterEnglish2024

Publisher, publication year, extent ...

  • Elsevier,2024
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-528679
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-528679URI
  • https://doi.org/10.1016/j.eclinm.2024.102533DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Lapadula, CarlaUniv Toronto, Dept Family & Community Med, Toronto, ON, Canada. (author)
  • Westfall, John M.DARTNet Inst, Aurora, CO USA. (author)
  • Gaona, GabrielaDARTNet Inst, Aurora, CO USA. (author)
  • de Lusignan, SimonUniv Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England. (author)
  • Kristiansson, Robert S.Uppsala universitet,Hälso- och sjukvårdsforskning(Swepub:uu)rokri367 (author)
  • Ling, Zheng JyeNatl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore. (author)
  • Goh, Lay HoonNatl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore. (author)
  • Soto-Becerra, PercyUniv Continental, Sch Med, Huancayo, Peru. (author)
  • Cuba-Fuentes, Maria SofiaUniv Peruana Cayetano Heredia, Ctr Res Primary Hlth Care CINAPS, San Martin De Porres, Peru. (author)
  • Wensaas, Knut -ArneNORCE Norwegian Res Ctr AS, Res Unit Gen Practice, Bergen, Norway. (author)
  • Flottorp, SigneNorwegian Inst Publ Hlth, Ctr Epidem Intervent Res, Oslo, Norway.;Univ Oslo, Dept Gen Practice, Oslo, Norway. (author)
  • Baste, ValborgNatl Ctr Emergency Primary Hlth Care, NORCE Norwegian Res Ctr, Bergen, Norway. (author)
  • Wong, William Chi-WaiUniv 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. (author)
  • Ng, Amy Pui PuiUniv 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. (author)
  • Ortigoza, AngelaUniv Toronto, Dept Family & Community Med, Toronto, ON, Canada. (author)
  • Manski-Nankervis, Jo -AnneUniv Melbourne, Dept Gen Practice & Primary Care, Melbourne, VIC, Australia. (author)
  • Hallinan, Christine MaryUniv Melbourne, Dept Gen Practice & Primary Care, Melbourne, VIC, Australia. (author)
  • Zingoni, PaulaMinist Hlth Autonomous City Buenos Aires, Buenos Aires, Argentina. (author)
  • Scattini, LucianoMinist Hlth Autonomous City Buenos Aires, Buenos Aires, Argentina. (author)
  • Heald, AdrianUniv Manchester, Sch Med Sci, Div Diabet Endocrinol & Gastroenterol, Manchester, England. (author)
  • Tu, KarenUniv 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. (author)
  • 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)

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  • In:eClinicalMedicine: Elsevier702589-5370

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