International comparison of hospitalizations and emergency department visits related to mental health conditions across high‐income countries before and during the COVID ‐19 pandemic

作者：Nicholas Bowden, Aaron Hedquist, Dannie Dai, Olukorede Abiona, Enrique Bernal‐Delgado, Carl Rudolf Blankart, Julie Cartailler, Francisco Estupiñán‐Romero, Philip Haywood, Zeynep Or, Irene Papanicolas, Mai Stafford, Steven Wyatt, Reijo Sund, Jean Pierre Uwitonze, Walter P. Wodchis, Robin Gauld, Hien Vu, Tania Sawaya, José F. Figueroa · 发表于：Health Services Research · 年份：2024 · DOI：10.1111/1475-6773.14386 · 被引用次数：10 · 研究领域：COVID-19 and Mental Health、COVID-19 and healthcare impacts、Emergency and Acute Care Studies

OBJECTIVE: To explore variation in rates of acute care utilization for mental health conditions, including hospitalizations and emergency department (ED) visits, across high-income countries before and during the COVID-19 pandemic. DATA SOURCES AND STUDY SETTING: Administrative patient-level data between 2017 and 2020 of eight high-income countries: Canada, England, Finland, France, New Zealand, Spain, Switzerland, and the United States (US). STUDY DESIGN: Multi-country retrospective observational study using a federated data approach that evaluated age-sex standardized rates of hospitalizations and ED visits for mental health conditions. PRINCIPAL FINDINGS: There was significant variation in rates of acute mental health care utilization across countries. Among the subset of four countries with both hospitalization and ED data, the US had the highest pre-COVID-19 combined average annual acute care rate of 1613 episodes/100,000 people (95% CI: 1428, 1797). Finland had the lowest rate of 776 (686, 866). When examining hospitalization rates only, France had the highest rate of inpatient hospitalizations of 988/100,000 (95% CI 858, 1118) while Spain had the lowest at 87/100,000 (95% CI 76, 99). For ED rates for mental health conditions, the US had the highest rate of 958/100,000 (95% CI 861, 1055) while France had the lowest rate with 241/100,000 (95% CI 216, 265). Notable shifts coinciding with the onset of the COVID-19 pandemic were observed including a substitution of care set...