TY - JOUR
PY - 2023//
TI - Trends in telepsychiatry and in-person psychiatric care for depression in an academic health system, 2017-2022
JO - Psychiatric services
A1 - Ettman, Catherine K.
A1 - Brantner, Carly L.
A1 - Albert, Michael
A1 - Goes, Fernando S.
A1 - Mojtabai, Ramin
A1 - Spivak, Stanislav
A1 - Stuart, Elizabeth A.
A1 - Zandi, Peter P.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: The authors aimed to assess differences in appointment completion rates between telepsychiatry and in-person outpatient psychiatric care for patients with depression in an academic health system.
METHODS: Electronic health records of encounters for patients (ages ≥10) with a depression diagnosis and at least one scheduled outpatient psychiatric appointment (N=586,266 appointments; November 2017-October 2022) were assessed for appointment volume and completion of telepsychiatry versus in-person sessions.
RESULTS: Telepsychiatry became the dominant care modality after the onset of the COVID-19 pandemic, although the number of telepsychiatry and in-person appointments nearly converged by October 2022. Logistic regression showed that telepsychiatry appointments (July 2020-October 2022) were more likely (OR=1.30, 95% CI=1.27-1.34) to be completed than in-person appointments.
CONCLUSIONS: Telepsychiatry appointments were less likely to be canceled or missed than in-person appointments, suggesting that telepsychiatry improved efficiency and continuity of care. As in-person operations resume following the pandemic, maintaining telepsychiatry services may optimize hospital-level and patient outcomes.
Language: en
LA - en SN - 1075-2730 UR - http://dx.doi.org/10.1176/appi.ps.20230064 ID - ref1 ER -