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Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study

INTRODUCTION: The COVID-19 pandemic has had an impact both in general and mental healthcare, challenged the health systems worldwide, and affected their capacity to deliver essential health services. We aimed to describe perceived changes in ease of access to general and mental healthcare among pati...

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Autores principales: Gómez-Restrepo, Carlos, Cepeda, Magda, Torrey, William C., Suarez-Obando, Fernando, Uribe-Restrepo, José Miguel, Park, Sena, Acosta, María Paula Jassir, Camblor, Pablo Martínez, Castro, Sergio M., Aguilera-Cruz, Jeny, González, Lilian, Chaparro, Natalia, Gómez-Gamez, Ana María, Bell, Kathleen, Marsch, Lisa A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490130/
https://www.ncbi.nlm.nih.gov/pubmed/36159257
http://dx.doi.org/10.3389/fpubh.2022.896318
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author Gómez-Restrepo, Carlos
Cepeda, Magda
Torrey, William C.
Suarez-Obando, Fernando
Uribe-Restrepo, José Miguel
Park, Sena
Acosta, María Paula Jassir
Camblor, Pablo Martínez
Castro, Sergio M.
Aguilera-Cruz, Jeny
González, Lilian
Chaparro, Natalia
Gómez-Gamez, Ana María
Bell, Kathleen
Marsch, Lisa A.
author_facet Gómez-Restrepo, Carlos
Cepeda, Magda
Torrey, William C.
Suarez-Obando, Fernando
Uribe-Restrepo, José Miguel
Park, Sena
Acosta, María Paula Jassir
Camblor, Pablo Martínez
Castro, Sergio M.
Aguilera-Cruz, Jeny
González, Lilian
Chaparro, Natalia
Gómez-Gamez, Ana María
Bell, Kathleen
Marsch, Lisa A.
author_sort Gómez-Restrepo, Carlos
collection PubMed
description INTRODUCTION: The COVID-19 pandemic has had an impact both in general and mental healthcare, challenged the health systems worldwide, and affected their capacity to deliver essential health services. We aimed to describe perceived changes in ease of access to general and mental healthcare among patients with a diagnosis of depression and/or unhealthy alcohol use in Colombia. METHODS: This study is embedded in the DIADA project, a multicenter implementation research study aimed at evaluating the integration of mental healthcare in primary care in Colombia. Between November 2020 and August 2021, we conducted a COVID-19 pandemic impact assessment in a cohort of participants with newly diagnosed depression and/or unhealthy alcohol use part of DIADA project. We assessed the ease of access and factors related to perceived ease of access to general or mental healthcare, during the COVID-19 pandemic. RESULTS: 836 participants completed the COVID-19 pandemic impact assessment. About 30% of participants considered their mental health to be worse during the pandemic and 84.3% perceived access to general healthcare to be worse during the pandemic. Most of participants (85.8%) were unable to assess access to mental health services, but a significant proportion considered it to be worse. Experiencing worse ease of access to general healthcare was more frequent among women, patients with diagnosis of depression, and patients with comorbidities. Experiencing worse ease of access to mental healthcare was more frequent among patients aged between 30 and 49.9 years, from socioeconomic status between 4 and 6, affiliated to the contributive social security regime, attending urban study sites, and those who perceived their mental health was worse during the pandemic. DISCUSSION: Despite the overall perception of worse mental health during the pandemic, the use of mental healthcare was low compared to general healthcare. Ease of access was perceived to be worse compared to pre-pandemic. Ease of access and access were affected by geographical study site, socioeconomic status, age and gender. Our findings highlight the need for improved communication between patients and institutions, tailored strategies to adapt the healthcare provision to patients' characteristics, and continued efforts to strengthen the role of mental healthcare provision in primary care.
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spelling pubmed-94901302022-09-22 Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study Gómez-Restrepo, Carlos Cepeda, Magda Torrey, William C. Suarez-Obando, Fernando Uribe-Restrepo, José Miguel Park, Sena Acosta, María Paula Jassir Camblor, Pablo Martínez Castro, Sergio M. Aguilera-Cruz, Jeny González, Lilian Chaparro, Natalia Gómez-Gamez, Ana María Bell, Kathleen Marsch, Lisa A. Front Public Health Public Health INTRODUCTION: The COVID-19 pandemic has had an impact both in general and mental healthcare, challenged the health systems worldwide, and affected their capacity to deliver essential health services. We aimed to describe perceived changes in ease of access to general and mental healthcare among patients with a diagnosis of depression and/or unhealthy alcohol use in Colombia. METHODS: This study is embedded in the DIADA project, a multicenter implementation research study aimed at evaluating the integration of mental healthcare in primary care in Colombia. Between November 2020 and August 2021, we conducted a COVID-19 pandemic impact assessment in a cohort of participants with newly diagnosed depression and/or unhealthy alcohol use part of DIADA project. We assessed the ease of access and factors related to perceived ease of access to general or mental healthcare, during the COVID-19 pandemic. RESULTS: 836 participants completed the COVID-19 pandemic impact assessment. About 30% of participants considered their mental health to be worse during the pandemic and 84.3% perceived access to general healthcare to be worse during the pandemic. Most of participants (85.8%) were unable to assess access to mental health services, but a significant proportion considered it to be worse. Experiencing worse ease of access to general healthcare was more frequent among women, patients with diagnosis of depression, and patients with comorbidities. Experiencing worse ease of access to mental healthcare was more frequent among patients aged between 30 and 49.9 years, from socioeconomic status between 4 and 6, affiliated to the contributive social security regime, attending urban study sites, and those who perceived their mental health was worse during the pandemic. DISCUSSION: Despite the overall perception of worse mental health during the pandemic, the use of mental healthcare was low compared to general healthcare. Ease of access was perceived to be worse compared to pre-pandemic. Ease of access and access were affected by geographical study site, socioeconomic status, age and gender. Our findings highlight the need for improved communication between patients and institutions, tailored strategies to adapt the healthcare provision to patients' characteristics, and continued efforts to strengthen the role of mental healthcare provision in primary care. Frontiers Media S.A. 2022-09-07 /pmc/articles/PMC9490130/ /pubmed/36159257 http://dx.doi.org/10.3389/fpubh.2022.896318 Text en Copyright © 2022 Gómez-Restrepo, Cepeda, Torrey, Suarez-Obando, Uribe-Restrepo, Park, Acosta, Camblor, Castro, Aguilera-Cruz, González, Chaparro, Gómez-Gamez, Bell and Marsch. 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
Gómez-Restrepo, Carlos
Cepeda, Magda
Torrey, William C.
Suarez-Obando, Fernando
Uribe-Restrepo, José Miguel
Park, Sena
Acosta, María Paula Jassir
Camblor, Pablo Martínez
Castro, Sergio M.
Aguilera-Cruz, Jeny
González, Lilian
Chaparro, Natalia
Gómez-Gamez, Ana María
Bell, Kathleen
Marsch, Lisa A.
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study
title Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study
title_full Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study
title_fullStr Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study
title_full_unstemmed Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study
title_short Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study
title_sort perceived access to general and mental healthcare in primary care in colombia during covid-19: a cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490130/
https://www.ncbi.nlm.nih.gov/pubmed/36159257
http://dx.doi.org/10.3389/fpubh.2022.896318
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