Electronic Resource
Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US
| العنوان: | Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US |
|---|---|
| المؤلفون: | Sun, Ching-Fang, Correll, Christoph U., Trestman, Robert L., Lin, Yezhe, Xie, Hui, Hankey, Maria Stack, Uymatiao, Raymond Paglinawan, Patel, Riya T., Metsutnan, Vemmy L., McDaid, Erin Corinne, Saha, Atreyi, Kuo, Chin, Lewis, Paula, Bhatt, Shyam H., Lipphard, Lauren Elizabeth, Kablinger, Anita S. |
| بيانات النشر: | Elsevier 2023-09-01 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Objective: To identify potential barriers to care, this study examined the general psychiatry outpatient new appointment availability in the US, including in-person and telepsychiatry appointments, comparing results between insurance types (Medicaid vs. private insurance), states, and urbanization levels. Method: This mystery shopper study investigated 5 US states selected according to Mental Health America Adult Ranking and geography to represent the US mental health care system. Clinics across five selected states were stratified sampled by county urbanization levels. Calls were made during 05/2022–07/2022. Collected data included contact information accuracy, appointment availability, wait time (days), and related information. Results: Altogether, 948 psychiatrists were sampled in New York, California, North Dakota, Virginia, and Wyoming. Overall contact information accuracy averaged 85.3%. Altogether, 18.5% of psychiatrists were available to see new patients with a significantly longer wait time for in-person than telepsychiatry appointments (median = 67.0 days vs median = 43.0 days, p < 0.01). The most frequent reason for unavailability was provider not taking new patients (53.9%). Mental health resources were unevenly distributed, favoring urban areas. Conclusion: Psychiatric care has been severely restricted in the US with low accessibility and long wait times. Transitioning to telepsychiatry represents a potential solution for rural disparities in access. |
| مصطلحات الفهرس: | Coronavirus/COVID-19, Mental health systems/hospitals, Outpatient clinics, Public health, Telecommunications, Clinical Research, Mental Health, Health Services, Rural Health, Brain Disorders, Article - Refereed |
| URL: | |
| الاتاحة: | Open access content. Open access content http://rightsstatements.org/vocab/InC/1.0 In Copyright |
| ملاحظة: | United States English |
| Other Numbers: | VPI oai:vtechworks.lib.vt.edu:10919/115828 0163-8343 S0163-8343(23)00087-7 (PII) https://doi.org/10.1016/j.genhosppsych.2023.05.012 84 Kablinger, Anita [0000-0002-7131-0036] Trestman, Robert [0000-0003-0168-8057] 37290263 1873-7714 1402153069 |
| المصدر المساهم: | VIRGINIA TECH From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1402153069 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |