Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US

Simple item page
dc.contributor.authorSun, Ching-Fangen
dc.contributor.authorCorrell, Christoph U.en
dc.contributor.authorTrestman, Robert L.en
dc.contributor.authorLin, Yezheen
dc.contributor.authorXie, Huien
dc.contributor.authorHankey, Maria Stacken
dc.contributor.authorUymatiao, Raymond Paglinawanen
dc.contributor.authorPatel, Riya T.en
dc.contributor.authorMetsutnan, Vemmy L.en
dc.contributor.authorMcDaid, Erin Corinneen
dc.contributor.authorSaha, Atreyien
dc.contributor.authorKuo, Chinen
dc.contributor.authorLewis, Paulaen
dc.contributor.authorBhatt, Shyam H.en
dc.contributor.authorLipphard, Lauren Elizabethen
dc.contributor.authorKablinger, Anita S.en
dc.coverage.countryUnited Statesen
dc.date.accessioned2023-07-24T17:27:29Zen
dc.date.available2023-07-24T17:27:29Zen
dc.date.issued2023-09-01en
dc.date.updated2023-07-24T17:06:09Zen
dc.description.abstractObjective: 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.en
dc.description.versionAccepted versionen
dc.format.extentPages 12-17en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.genhosppsych.2023.05.012en
dc.identifier.eissn1873-7714en
dc.identifier.issn0163-8343en
dc.identifier.orcidKablinger, Anita [0000-0002-7131-0036]en
dc.identifier.orcidTrestman, Robert [0000-0003-0168-8057]en
dc.identifier.otherS0163-8343(23)00087-7 (PII)en
dc.identifier.pmid37290263en
dc.identifier.urihttp://hdl.handle.net/10919/115828en
dc.identifier.volume84en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/37290263en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectCoronavirus/COVID-19en
dc.subjectMental health systems/hospitalsen
dc.subjectOutpatient clinicsen
dc.subjectPublic healthen
dc.subjectTelecommunicationsen
dc.subjectClinical Researchen
dc.subjectMental Healthen
dc.subjectHealth Servicesen
dc.subjectRural Healthen
dc.subjectBrain Disordersen
dc.titleLow availability, long wait times, and high geographic disparity of psychiatric outpatient care in the USen
dc.title.serialGeneral Hospital Psychiatryen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournal Articleen
dcterms.dateAccepted2023-05-21en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicine/Psychiatry and Behavioral Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
APOCU_GHP_7925.pdf
Size:
440.53 KB
Format:
Adobe Portable Document Format
Description:
Accepted version
Download

Collections

All Faculty Deposits
Scholarly Works, Virginia Tech Carilion School of Medicine (VTCSOM)