Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study
IntroductionThe 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 patien...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-09-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/full |
| _version_ | 1798037389854113792 |
|---|---|
| author | Carlos Gómez-Restrepo Carlos Gómez-Restrepo Magda Cepeda William C. Torrey Fernando Suarez-Obando José Miguel Uribe-Restrepo Sena Park María Paula Jassir Acosta Pablo Martínez Camblor Sergio M. Castro Jeny Aguilera-Cruz Lilian González Natalia Chaparro Ana María Gómez-Gamez Kathleen Bell Lisa A. Marsch |
| author_facet | Carlos Gómez-Restrepo Carlos Gómez-Restrepo Magda Cepeda William C. Torrey Fernando Suarez-Obando José Miguel Uribe-Restrepo Sena Park María Paula Jassir Acosta Pablo Martínez Camblor Sergio M. Castro Jeny Aguilera-Cruz Lilian González Natalia Chaparro Ana María Gómez-Gamez Kathleen Bell Lisa A. Marsch |
| author_sort | Carlos Gómez-Restrepo |
| collection | DOAJ |
| description | IntroductionThe 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.MethodsThis 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.Results836 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.DiscussionDespite 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. |
| first_indexed | 2024-04-11T21:25:55Z |
| format | Article |
| id | doaj.art-9081f969364343f99fa665f508398310 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T21:25:55Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-9081f969364343f99fa665f5083983102022-12-22T04:02:25ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.896318896318Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional studyCarlos Gómez-Restrepo0Carlos Gómez-Restrepo1Magda Cepeda2William C. Torrey3Fernando Suarez-Obando4José Miguel Uribe-Restrepo5Sena Park6María Paula Jassir Acosta7Pablo Martínez Camblor8Sergio M. Castro9Jeny Aguilera-Cruz10Lilian González11Natalia Chaparro12Ana María Gómez-Gamez13Kathleen Bell14Lisa A. Marsch15Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaHospital Universitario San Ignacio, Bogotá, ColombiaDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaDepartment of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, United StatesInsituto de Genética, Pontificia Universidad Javeriana, Bogotá, ColombiaDepartamento de Psiquiatría y Salud Pública, Pontificia Universidad Javeriana, Bogotá, ColombiaCenter for Technology and Behavioral Health, Dartmouth College, Lebanon, NH, United StatesDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaCenter for Technology and Behavioral Health, Dartmouth College, Lebanon, NH, United StatesDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, ColombiaCenter for Technology and Behavioral Health, Dartmouth College, Lebanon, NH, United StatesCenter for Technology and Behavioral Health, Dartmouth College, Lebanon, NH, United StatesIntroductionThe 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.MethodsThis 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.Results836 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.DiscussionDespite 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.https://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/fullmental healthprimary health careCOVID-19healthcare accessdepressionunhealthy alcohol use |
| spellingShingle | Carlos Gómez-Restrepo Carlos Gómez-Restrepo Magda Cepeda William C. Torrey Fernando Suarez-Obando José Miguel Uribe-Restrepo Sena Park María Paula Jassir Acosta Pablo Martínez Camblor Sergio M. Castro Jeny Aguilera-Cruz Lilian González Natalia Chaparro Ana María Gómez-Gamez Kathleen Bell Lisa A. Marsch Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study Frontiers in Public Health mental health primary health care COVID-19 healthcare access depression unhealthy alcohol use |
| 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 | mental health primary health care COVID-19 healthcare access depression unhealthy alcohol use |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/full |
| work_keys_str_mv | AT carlosgomezrestrepo perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT carlosgomezrestrepo perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT magdacepeda perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT williamctorrey perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT fernandosuarezobando perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT josemigueluriberestrepo perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT senapark perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT mariapaulajassiracosta perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT pablomartinezcamblor perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT sergiomcastro perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT jenyaguileracruz perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT liliangonzalez perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT nataliachaparro perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT anamariagomezgamez perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT kathleenbell perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy AT lisaamarsch perceivedaccesstogeneralandmentalhealthcareinprimarycareincolombiaduringcovid19acrosssectionalstudy |