Effect of the COVID-19 pandemic on mental health visits in primary care: an interrupted time series analysis from nine INTRePID countries

Silva-Valencia, Javier; Lapadula, Carla; Westfall, John M.; Gaona, Gabriela; de Lusignan, Simon; Kristiansson, Robert Sarkadi; Ling, Zheng Jye; Goh, Lay Hoon; Soto-Becerra, Percy; Cuba-Fuentes, Maria Sofia; Wensaas, Knut-Arne; Flottorp, Signe; Baste, Valborg; Chi-Wai Wong, William; Pui Ng, Amy Pui; Ortigoza, Angela; Manski-Nankervis, Jo-Anne; Hallinan, Christine Mary; Zingoni, Paula; Scattini, Luciano; Heald, Adrian; Tu, Karen; Tu, Karen; Ortigoza, Angela; Lapadula, Carla; Zingoni, Paula; Scattini, Luciano; Manski-Nankervis, Jo-Anne; Hallinan, Christine Mary; Laughlin, Adrian; Wong, William Chi-Wai; Ng, Amy Pui Pui; Li, Zhou; Wensaas, Knut-Arne; Flottorp, Signe Agnes; Baste, Valborg; Cuba-Fuentes, Maria Sofia; Silva-Valencia, Javier; Soto-Becerra, Percy; Jye Ling, Zheng; Hoon Goh, Lay; Kristiansson, Robert; Martinell, Mats; de Lusignan, Simon; Hoang, Uy; Heald, Adrian; Pace, Wilson; Westfall, John M.; Gaona, Gabriela; Kidd, Michael

doi:10.1016/j.eclinm.2024.102533

Cited by 1 publication

(1 citation statement)

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“…The representativeness of the data regarding primary care physician visits varied by country ( Supplementary Table S1 ). Further detailed information about the INTRePID datasets can be found elsewhere, as described in prior publications ( 16 , 17 ).…”

Section: Methodsmentioning

confidence: 99%

Changes in primary care visits for respiratory illness during the COVID-19 pandemic: a multinational study by the International Consortium of Primary Care Big Data Researchers (INTRePID)

Westfall,

Bonilla,

Lapadula

et al. 2024

Front. Med.

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ObjectivesThe majority of patients with respiratory illness are seen in primary care settings. Given COVID-19 is predominantly a respiratory illness, the INTernational ConsoRtium of Primary Care BIg Data Researchers (INTRePID), assessed the pandemic impact on primary care visits for respiratory illnesses.DesignDefinitions for respiratory illness types were agreed on collectively. Monthly visit counts with diagnosis were shared centrally for analysis.SettingPrimary care settings in Argentina, Australia, Canada, China, Norway, Peru, Singapore, Sweden and the United States.ParticipantsOver 38 million patients seen in primary care settings in INTRePID countries before and during the pandemic, from January 1st, 2018, to December 31st, 2021.Main outcome measuresRelative change in the monthly mean number of visits before and after the onset of the pandemic for acute infectious respiratory disease visits including influenza, upper and lower respiratory tract infections and chronic respiratory disease visits including asthma, chronic obstructive pulmonary disease, respiratory allergies, and other respiratory diseases.ResultsINTRePID countries reported a marked decrease in the average monthly visits for respiratory illness. Changes in visits varied from −10.9% [95% confidence interval (CI): −33.1 to +11.3%] in Norway to −79.9% (95% CI: −86.4% to −73.4%) in China for acute infectious respiratory disease visits and − 2.1% (95% CI: −12.1 to +7.8%) in Peru to −59.9% (95% CI: −68.6% to −51.3%) in China for chronic respiratory illness visits. While seasonal variation in allergic respiratory illness continued during the pandemic, there was essentially no spike in influenza illness during the first 2 years of the pandemic.ConclusionThe COVID-19 pandemic had a major impact on primary care visits for respiratory presentations. Primary care continued to provide services for respiratory illness, although there was a decrease in infectious illness during the COVID pandemic. Understanding the role of primary care may provide valuable information for COVID-19 recovery efforts and planning for future global emergencies.

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Section: Methodsmentioning

confidence: 99%