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

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General Psychiatry 2023年第1期36卷 50-57页

作者： moe zandy Sylvia El Kurdi Hasina Samji Geoff McKee Reka Gustafson Kate Smolina BC Centre for Disease Control VancouverBritish ColumbiaCanada Faculty of Health Sciences Simon Fraser UniversityBurnabyBritish ColumbiaCanada School of Population and Public Health The University of British ColumbiaVancouverBritish ColumbiaCanada BC Children's Hospital Research Institute VancouverBritish ColumbiaCanada

Background The impact of the COVID-19 pandemic on the population’s mental health is vital for informing public health policy and decision-making.However,information on mental health-related healthcare service utilisation trends beyond the first year of the pandemic is limited.Aims 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 period.Methods 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 dispensations.We 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 condition.Results By late 2020,except for emergency department visits,utilisation of healthcare services recovered to prepandemic levels.Between 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%,respectively.Notable 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 specific mental health-related conditions.Conclusions

关键词： service consequences Canada

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