Differential Impact of COVID-19 on the Use of Tele–mental Health Among Veterans Living in Urban or Rural Areas
Objective:The authors examined the use of Veterans Affairs Video Connect (VVC) for mental health care by rural and urban veterans and the impact of the COVID-19 pandemic on patterns of VVC use.Methods:Data from 557,668 rural and 1,384,093 urban veterans (collected July 2019–October 2020) from the Ve...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2022-12, Vol.73 (12), p.1393-1396 |
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| container_issue | 12 |
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| container_title | Psychiatric services (Washington, D.C.) |
| container_volume | 73 |
| creator | Hogan, Julianna Amspoker, Amber B. Walder, Annette Hamer, Joshua Lindsay, Jan A. Ecker, Anthony H. |
| description | Objective:The authors examined the use of Veterans Affairs Video Connect (VVC) for mental health care by rural and urban veterans and the impact of the COVID-19 pandemic on patterns of VVC use.Methods:Data from 557,668 rural and 1,384,093 urban veterans (collected July 2019–October 2020) from the Veterans Health Administration Corporate Data Warehouse were examined with interrupted time-series models to determine rural versus urban VVC use before and during the initial 7 months of the pandemic.Results:Before COVID-19, rates of VVC use as percentages of all mental health care were higher among rural veterans. After implementation of pandemic restrictions, rural veteran VVC use continued to increase, but this increase was surpassed by that of urban veterans.Conclusions:These findings highlight the need to monitor emerging disparities in telehealth use and to encourage and support use of VVC and access to mental health care for all veterans, particularly those experiencing barriers to care. |
| doi_str_mv | 10.1176/appi.ps.202100363 |
| format | Article |
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After implementation of pandemic restrictions, rural veteran VVC use continued to increase, but this increase was surpassed by that of urban veterans.Conclusions:These findings highlight the need to monitor emerging disparities in telehealth use and to encourage and support use of VVC and access to mental health care for all veterans, particularly those experiencing barriers to care.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.202100363</identifier><identifier>PMID: 35652189</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject>COVID-19 ; COVID-19 - epidemiology ; Health disparities ; Humans ; Mental Health ; Pandemics ; Pandemics - prevention & control ; Rural areas ; Rural Population ; Telemedicine ; United States - epidemiology ; United States Department of Veterans Affairs ; Veterans ; Veterans - psychology ; Veterans Health</subject><ispartof>Psychiatric services (Washington, D.C.), 2022-12, Vol.73 (12), p.1393-1396</ispartof><rights>Copyright © 2022 by the American Psychiatric Association 2022</rights><rights>Copyright American Psychiatric Publishing, Inc. Dec 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a434t-38aba5815e79c90adf531deb26e7f750f5d4f3f41839ed4787d3c18f5c8c39e33</citedby><cites>FETCH-LOGICAL-a434t-38aba5815e79c90adf531deb26e7f750f5d4f3f41839ed4787d3c18f5c8c39e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.202100363$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.202100363$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2842,21605,21606,21607,27901,27902,77536,77541</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35652189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hogan, Julianna</creatorcontrib><creatorcontrib>Amspoker, Amber B.</creatorcontrib><creatorcontrib>Walder, Annette</creatorcontrib><creatorcontrib>Hamer, Joshua</creatorcontrib><creatorcontrib>Lindsay, Jan A.</creatorcontrib><creatorcontrib>Ecker, Anthony H.</creatorcontrib><title>Differential Impact of COVID-19 on the Use of Tele–mental Health Among Veterans Living in Urban or Rural Areas</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Objective:The authors examined the use of Veterans Affairs Video Connect (VVC) for mental health care by rural and urban veterans and the impact of the COVID-19 pandemic on patterns of VVC use.Methods:Data from 557,668 rural and 1,384,093 urban veterans (collected July 2019–October 2020) from the Veterans Health Administration Corporate Data Warehouse were examined with interrupted time-series models to determine rural versus urban VVC use before and during the initial 7 months of the pandemic.Results:Before COVID-19, rates of VVC use as percentages of all mental health care were higher among rural veterans. After implementation of pandemic restrictions, rural veteran VVC use continued to increase, but this increase was surpassed by that of urban veterans.Conclusions:These findings highlight the need to monitor emerging disparities in telehealth use and to encourage and support use of VVC and access to mental health care for all veterans, particularly those experiencing barriers to care.</description><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Health disparities</subject><subject>Humans</subject><subject>Mental Health</subject><subject>Pandemics</subject><subject>Pandemics - prevention & control</subject><subject>Rural areas</subject><subject>Rural Population</subject><subject>Telemedicine</subject><subject>United States - epidemiology</subject><subject>United States Department of Veterans Affairs</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><subject>Veterans Health</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1OwzAQhS0EouXnAGyQJTZsEuw4ziTLqgVaqRISomwjNxnTVPnDTpDYcQduyElwaekCiZXtp--9GfkRcsGZzzlEN6ptC7-1fsACzpiIxAEZcinBS4CxQ3dnIL0ABBuQE2vXjDEOPDomAyEjGfA4GZJ2UmiNBuuuUCWdVa3KOtpoOn54nk08ntCmpt0K6cLiRn7CEr8-PivHO3yKquxWdFQ19Qt9xg6Nqi2dF2-Fexc1XZilqmlj6GNvHD4yqOwZOdKqtHi-O0_J4u72aTz15g_3s_Fo7qlQhJ0nYrVUMuYSIckSpnItBc9xGUQIGiTTMg-10CGPRYJ5CDHkIuOxllmcOUWIU3K9zW1N89qj7dKqsBmWpaqx6W0aRBAAi1yUQ6_-oOumN7XbLg0gBAkRB3AU31KZaaw1qNPWFJUy7yln6aaOdFNH2jrTbx3Oc7lL7pcV5nvH7_87wN8CP9792P8TvwGJlJUg</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Hogan, Julianna</creator><creator>Amspoker, Amber B.</creator><creator>Walder, Annette</creator><creator>Hamer, Joshua</creator><creator>Lindsay, Jan A.</creator><creator>Ecker, Anthony H.</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20221201</creationdate><title>Differential Impact of COVID-19 on the Use of Tele–mental Health Among Veterans Living in Urban or Rural Areas</title><author>Hogan, Julianna ; Amspoker, Amber B. ; Walder, Annette ; Hamer, Joshua ; Lindsay, Jan A. ; Ecker, Anthony H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a434t-38aba5815e79c90adf531deb26e7f750f5d4f3f41839ed4787d3c18f5c8c39e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Health disparities</topic><topic>Humans</topic><topic>Mental Health</topic><topic>Pandemics</topic><topic>Pandemics - prevention & control</topic><topic>Rural areas</topic><topic>Rural Population</topic><topic>Telemedicine</topic><topic>United States - epidemiology</topic><topic>United States Department of Veterans Affairs</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><topic>Veterans Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hogan, Julianna</creatorcontrib><creatorcontrib>Amspoker, Amber B.</creatorcontrib><creatorcontrib>Walder, Annette</creatorcontrib><creatorcontrib>Hamer, Joshua</creatorcontrib><creatorcontrib>Lindsay, Jan A.</creatorcontrib><creatorcontrib>Ecker, Anthony H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hogan, Julianna</au><au>Amspoker, Amber B.</au><au>Walder, Annette</au><au>Hamer, Joshua</au><au>Lindsay, Jan A.</au><au>Ecker, Anthony H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential Impact of COVID-19 on the Use of Tele–mental Health Among Veterans Living in Urban or Rural Areas</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>73</volume><issue>12</issue><spage>1393</spage><epage>1396</epage><pages>1393-1396</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Objective:The authors examined the use of Veterans Affairs Video Connect (VVC) for mental health care by rural and urban veterans and the impact of the COVID-19 pandemic on patterns of VVC use.Methods:Data from 557,668 rural and 1,384,093 urban veterans (collected July 2019–October 2020) from the Veterans Health Administration Corporate Data Warehouse were examined with interrupted time-series models to determine rural versus urban VVC use before and during the initial 7 months of the pandemic.Results:Before COVID-19, rates of VVC use as percentages of all mental health care were higher among rural veterans. 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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | COVID-19 COVID-19 - epidemiology Health disparities Humans Mental Health Pandemics Pandemics - prevention & control Rural areas Rural Population Telemedicine United States - epidemiology United States Department of Veterans Affairs Veterans Veterans - psychology Veterans Health |
| title | Differential Impact of COVID-19 on the Use of Tele–mental Health Among Veterans Living in Urban or Rural Areas |
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