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The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020
Objectives: To provide a thorough assessment of the impact of the COVID-19 pandemic on the utilization of inpatient and outpatient mental healthcare in Switzerland. Methods: Retrospective cohort study using nationwide hospital data (n > 8 million) and claims data from a large Swiss health insurer...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10235482/ https://www.ncbi.nlm.nih.gov/pubmed/37273771 http://dx.doi.org/10.3389/ijph.2023.1605839 |
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author | Rachamin, Yael Jäger, Levy Schweighoffer, Reka Signorell, Andri Bähler, Caroline Huber, Carola A. Blozik, Eva Seifritz, Erich Grischott, Thomas Senn, Oliver |
author_facet | Rachamin, Yael Jäger, Levy Schweighoffer, Reka Signorell, Andri Bähler, Caroline Huber, Carola A. Blozik, Eva Seifritz, Erich Grischott, Thomas Senn, Oliver |
author_sort | Rachamin, Yael |
collection | PubMed |
description | Objectives: To provide a thorough assessment of the impact of the COVID-19 pandemic on the utilization of inpatient and outpatient mental healthcare in Switzerland. Methods: Retrospective cohort study using nationwide hospital data (n > 8 million) and claims data from a large Swiss health insurer (n > 1 million) in 2018–2020. Incidence proportions of different types of psychiatric inpatient admissions, psychiatric consultations, and psychotropic medication claims were analyzed using interrupted time series models for the general population and for the vulnerable subgroup of young people. Results: Inpatient psychiatric admissions in the general population decreased by 16.2% (95% confidence interval: −19.2% to −13.2%) during the first and by 3.9% (−6.7% to −0.2%) during the second pandemic shutdown, whereas outpatient mental healthcare utilization was not substantially affected. We observed distinct patterns for young people, most strikingly, an increase in mental healthcare utilization among females aged <20 years. Conclusion: Mental healthcare provision for the majority of the population was largely maintained, but special attention should be paid to young people. Our findings highlight the importance of monitoring mental healthcare utilization among different populations. |
format | Online Article Text |
id | pubmed-10235482 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102354822023-06-03 The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020 Rachamin, Yael Jäger, Levy Schweighoffer, Reka Signorell, Andri Bähler, Caroline Huber, Carola A. Blozik, Eva Seifritz, Erich Grischott, Thomas Senn, Oliver Int J Public Health Public Health Archive Objectives: To provide a thorough assessment of the impact of the COVID-19 pandemic on the utilization of inpatient and outpatient mental healthcare in Switzerland. Methods: Retrospective cohort study using nationwide hospital data (n > 8 million) and claims data from a large Swiss health insurer (n > 1 million) in 2018–2020. Incidence proportions of different types of psychiatric inpatient admissions, psychiatric consultations, and psychotropic medication claims were analyzed using interrupted time series models for the general population and for the vulnerable subgroup of young people. Results: Inpatient psychiatric admissions in the general population decreased by 16.2% (95% confidence interval: −19.2% to −13.2%) during the first and by 3.9% (−6.7% to −0.2%) during the second pandemic shutdown, whereas outpatient mental healthcare utilization was not substantially affected. We observed distinct patterns for young people, most strikingly, an increase in mental healthcare utilization among females aged <20 years. Conclusion: Mental healthcare provision for the majority of the population was largely maintained, but special attention should be paid to young people. Our findings highlight the importance of monitoring mental healthcare utilization among different populations. Frontiers Media S.A. 2023-05-19 /pmc/articles/PMC10235482/ /pubmed/37273771 http://dx.doi.org/10.3389/ijph.2023.1605839 Text en Copyright © 2023 Rachamin, Jäger, Schweighoffer, Signorell, Bähler, Huber, Blozik, Seifritz, Grischott and Senn. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Archive Rachamin, Yael Jäger, Levy Schweighoffer, Reka Signorell, Andri Bähler, Caroline Huber, Carola A. Blozik, Eva Seifritz, Erich Grischott, Thomas Senn, Oliver The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020 |
title | The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020 |
title_full | The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020 |
title_fullStr | The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020 |
title_full_unstemmed | The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020 |
title_short | The Impact of COVID-19 on Mental Healthcare Utilization in Switzerland Was Strongest Among Young Females—Retrospective Study in 2018–2020 |
title_sort | impact of covid-19 on mental healthcare utilization in switzerland was strongest among young females—retrospective study in 2018–2020 |
topic | Public Health Archive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10235482/ https://www.ncbi.nlm.nih.gov/pubmed/37273771 http://dx.doi.org/10.3389/ijph.2023.1605839 |
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