Telehealth for mentalhealthcare increased more during pandemic than in-person care dropped RANDCorporation JAMAHealthForum
shows details of service utilization rates according to period, diagnostic category, mode of service delivery, and patient sex., service utilization rates declined by 52% to 57% for in-person care following the US national emergency declaration. For example, mean service utilization for depression care declined from 17.0 beneficiaries per 10 000 members per week to 7.2 beneficiaries per 10 000 members per week, a 57% decline.
Multivariable regression models were used to inspect trends in total service utilization and in-person vs telehealth service utilization by diagnostic category after adjusting for patient- and county-level characteristics. Looking at total service utilization, we found only 1 significant difference between the 2 periods; there was a higher rate of treatment for anxiety disorders following the national declaration .
In contrast with total service utilization, we observed significant countervailing declines and increases in service utilization of in-person and telehealth care, respectively. With regard to in-person care, we observed decreases in weekly beneficiaries per 10 000 enrollees for major depressive disorder , anxiety disorders , bipolar disorder , adjustment disorders , and PTSD .
Segmented regression analyses were used to model separate intercepts and slopes for both time intervals: before and after the national emergency declaration . In the preperiod, we observed stable mental health service utilization rates across all diagnostic categories; none of the pre–COVID-19 slopes differed significantly from 0 except for a modest increase in service utilization for bipolar disorder during this period.
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