LVR-Institut für Versorgungsforschung, Köln, Germany.
LVR-Klinik Köln, Köln, Germany.
Front Public Health. 2021 Apr 30;9:593307. doi: 10.3389/fpubh.2021.593307. eCollection 2021.
During the Coronavirus-19 (COVID-19) pandemic, considerable changes occurred in the utilization of mental health care. We conducted an analysis of the changes of inpatient and day patient mental health care utilization in an association of psychiatric hospitals during the COVID-19 pandemic. We used the statistics database of the association of nine psychiatric hospitals of the Rhineland Regional Council (Landschaftsverband Rheinland, LVR). We compared the case numbers of spring 2019 and spring 2020 and analyzed alterations in the diagnostic spectrum. Finally, we analyzed the age, gender, and diagnoses of patients tested positive for COVID-19. A total of 25,612 inpatient psychiatric hospital admissions were assessed. Case rates decreased by 25% during the COVID-19 pandemic. Changes varied between diagnostic groups, and there were even increases in case numbers for certain diagnoses. Women and patients of higher ages were overrepresented among psychiatric inpatients with COVID-19. The COVID-19 pandemic resulted in considerable reductions in the total number of mental health-care admissions and in changes in the diagnostic spectrum. The results may be explainable by deferrals of elective hospital admissions during the acute phase of the pandemic and by destabilizing effects of the pandemic and social distancing on people with mental disorders.
在新冠疫情期间，精神卫生保健的利用发生了重大变化。我们分析了在新冠疫情期间，一家精神病医院协会中住院和日间精神卫生保健利用的变化。我们使用了莱茵兰地区委员会（Landschaftsverband Rheinland，LVR）九家精神病院协会的统计数据库。我们比较了 2019 年春季和 2020 年春季的病例数，并分析了诊断谱的变化。最后，我们分析了新冠病毒检测呈阳性的患者的年龄、性别和诊断。共评估了 25612 例住院精神病院入院病例。新冠疫情期间，病例数下降了 25%。变化在诊断组之间有所不同，某些诊断的病例数甚至有所增加。在新冠病毒检测呈阳性的住院精神病患者中，女性和年龄较大的患者比例过高。新冠疫情导致精神卫生保健入院总数大幅减少，并改变了诊断谱。这些结果可能是由于大流行急性期选择性住院治疗的推迟以及大流行和社会隔离对精神障碍患者的不稳定影响造成的。
