Institute of Primary Care, University of Zurich and University Hospital Zurich, Zurich, Switzerland.
Campus Stiftung Lindenhof Bern (SLB), Bern, Switzerland.
Int J Public Health. 2023 May 19;68:1605839. doi: 10.3389/ijph.2023.1605839. eCollection 2023.
To provide a thorough assessment of the impact of the COVID-19 pandemic on the utilization of inpatient and outpatient mental healthcare in Switzerland. Retrospective cohort study using nationwide hospital data ( > 8 million) and claims data from a large Swiss health insurer ( > 1 million) in 2018-2020. Incidence proportions of different types of psychiatric inpatient admissions, psychiatric consultations, and psychotropic medication claims were analyzed using interrupted time series models for the general population and for the vulnerable subgroup of young people. Inpatient psychiatric admissions in the general population decreased by 16.2% (95% confidence interval: -19.2% to -13.2%) during the first and by 3.9% (-6.7% to -0.2%) during the second pandemic shutdown, whereas outpatient mental healthcare utilization was not substantially affected. We observed distinct patterns for young people, most strikingly, an increase in mental healthcare utilization among females aged <20 years. Mental healthcare provision for the majority of the population was largely maintained, but special attention should be paid to young people. Our findings highlight the importance of monitoring mental healthcare utilization among different populations.
为了全面评估 COVID-19 大流行对瑞士住院和门诊精神卫生保健利用的影响。采用全国医院数据（>800 万）和一家大型瑞士健康保险公司的索赔数据（>100 万）进行回顾性队列研究。2018-2020 年，使用中断时间序列模型分析了普通人群和脆弱的年轻人亚组中不同类型的精神科住院入院、精神科咨询和精神药物索赔的发生率比例。普通人群的住院精神科入院率在第一波疫情封锁期间下降了 16.2%（95%置信区间：-19.2%至-13.2%），在第二波疫情封锁期间下降了 3.9%（-6.7%至-0.2%），而门诊精神卫生保健的利用率并未受到实质性影响。我们观察到年轻人的模式截然不同，最引人注目的是，20 岁以下女性的精神卫生保健利用率增加。大多数人群的精神卫生保健服务基本保持，但应特别关注年轻人。我们的研究结果强调了监测不同人群精神卫生保健利用率的重要性。
