دورية أكاديمية
Temporal Trends in Telehealth Availability in Mental Health Treatment Settings: Differences in Growth by State Rurality, 2015-2020.
العنوان: | Temporal Trends in Telehealth Availability in Mental Health Treatment Settings: Differences in Growth by State Rurality, 2015-2020. |
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المؤلفون: | Pro G; Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA. gcpro@uams.edu.; Fay W. Boozman College of Public Health, Southern Public Health and Criminal Justice Research Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA. gcpro@uams.edu., Fairman B; Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA., Baloh J; Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA., Willis D; Department of Internal Medicine, College of Medicine, Community Health and Research, University of Arkansas for Medical Sciences, Fayetteville, AR, USA., Montgomery BEE; Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Fay W. Boozman College of Public Health, Southern Public Health and Criminal Justice Research Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA. |
المصدر: | Journal of urban health : bulletin of the New York Academy of Medicine [J Urban Health] 2023 Dec; Vol. 100 (6), pp. 1149-1158. Date of Electronic Publication: 2023 Nov 27. |
نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Country of Publication: United States NLM ID: 9809909 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-2869 (Electronic) Linking ISSN: 10993460 NLM ISO Abbreviation: J Urban Health Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2006- : New York, NY : Springer Original Publication: Cary, NC : Oxford University Press for the New York Academy of Medicine, c1998- |
مواضيع طبية MeSH: | COVID-19*/epidemiology , Telemedicine*, Humans ; United States ; Mental Health ; Pandemics ; Rural Population |
مستخلص: | We sought to investigate temporal trends in telehealth availability among outpatient mental health treatment facilities and differences in the pace of telehealth growth by state urbanicity and rurality. We used the National Mental Health Services Survey (2015-2020) to identify outpatient mental health treatment facilities in the US (N = 28,989 facilities; 2015 n = 5,018; 2020 n = 4,889). We used logistic regression to model telehealth, predicted by time, state rurality (1 to 10% rural, 10 to < 20%, 20 to < 30%, or [Formula: see text] 30%), and their interaction, and adjusted for relevant covariates. We estimated the predicted probability of telehealth based on our model. We estimated effects with and without data from 2020 to assess whether the rapid and widespread adoption of telehealth during the COVID-19 pandemic changed the rural/urban trajectories of telehealth availability. We found that telehealth grew fastest in more urban states (year*rurality interaction p < 0.0001). Between 2015 and 2020, the predicted probability of telehealth in more urban states increased by 51 percentage points (from 9 to 61%), whereas telehealth in more rural states increased by 38 percentage points (from 23 to 61%). Predicted telehealth also varied widely by state, ranging from more than 75% of facilities (RI, OR) to below 20% (VT, KY). Health systems and new technological innovations must consider the unique challenges faced by urban populations and how best practices may be adapted to meet the growing urban demand. We framed our findings around the need for policies that minimize barriers to telehealth. (© 2023. The New York Academy of Medicine.) |
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معلومات مُعتمدة: | U3GRH40001 United States HRSA HRSA HHS; U3GRH40001 United States HRSA HRSA HHS |
فهرسة مساهمة: | Keywords: Behavioral health services; Epidemiology; Telehealth |
تواريخ الأحداث: | Date Created: 20231127 Date Completed: 20231220 Latest Revision: 20231226 |
رمز التحديث: | 20231227 |
مُعرف محوري في PubMed: | PMC10728410 |
DOI: | 10.1007/s11524-023-00795-y |
PMID: | 38012502 |
قاعدة البيانات: | MEDLINE |
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