Mental health-related healthcare service utilisation and psychotropic drug dispensation trends in British Columbia during COVID-19 pandemic:a population-based study

作     者：Moe Zandy Sylvia El Kurdi Hasina Samji Geoff McKee Reka Gustafson Kate Smolina Moe Zandy;Sylvia El Kurdi;Hasina Samji;Geoff McKee;Reka Gustafson;Kate Smolina

作者机构：BC Centre for Disease ControlVancouverBritish ColumbiaCanada Faculty of Health SciencesSimon Fraser UniversityBurnabyBritish ColumbiaCanada School of Population and Public HealthThe University of British ColumbiaVancouverBritish ColumbiaCanada BC Children's Hospital Research InstituteVancouverBritish ColumbiaCanada 

出 版 物：《General Psychiatry》 (综合精神医学（英文）)

年 卷 期：2023年第36卷第1期

页      面：50-57页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：The BCC19C was established and maintained through operational support from Data Analytics,Reporting and Evaluation(DARE) BC Centre for Disease Control(BCCDC)at the Provincial Health Services Authority(PHSA) 

主　　题：service consequences Canada 

摘      要：Background The impact of the COVID-19 pandemic on the population’s mental health is vital for informing public health policy and ***,information on mental health-related healthcare service utilisation trends beyond the first year of the pandemic is *** We examined mental health-related healthcare service utilisation patterns and psychotropic drug dispensations in British Columbia,Canada,during the COVID-19 pandemic compared with the prepandemic *** We conducted a retrospective population-based secondary analysis using administrative health data to capture outpatient physician visits,emergency department visits,hospital admissions and psychotropic drug *** examined time trends of mental health-related healthcare service utilisation and psychotropic drug dispensations between January to December 2019(prepandemic period)and January 2020 to December 2021(pandemic period).In addition,we calculated age-standardised rates and rate ratios to compare mental health-related healthcare service utilisation before and during the first two years of the COVID-19 pandemic,stratified by year,sex,age and *** By late 2020,except for emergency department visits,utilisation of healthcare services recovered to prepandemic *** 2019 and 2021,the monthly average rate for overall mental health-related outpatient physician visits,emergency department visits and psychotropic drug dispensations increased significantly by 24%,5%and 8%,*** and statistically significant increases were observed among 10–14 year-olds(44%in outpatient physician visits,30%in emergency department visits,55%in hospital admissions and 35%in psychotropic drug dispensations)and 15–19 year-olds(45%in outpatient physician visits,14%in emergency department visits,18%in hospital admissions and 34%in psychotropic drug dispensations).Additionally,these increases were more prominent among females than males,with some variation for specif