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 -