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Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Telemed+J+E+Health 2021 ; 27 (4): 454-458 Nephropedia Template TP
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Rapid Increase in Telemental Health Within the Department of Veterans Affairs During the COVID-19 Pandemic #MMPMID32926664
Connolly SL; Stolzmann KL; Heyworth L; Weaver KR; Bauer MS; Miller CJ
Telemed J E Health 2021[Apr]; 27 (4): 454-458 PMID32926664show ga
Background: The use of telemental health via videoconferencing (TMH-V) became critical during the Coronavirus disease 2019 (COVID-19) pandemic due to restriction of non-urgent in-person appointments. The current brief report demonstrates the rapid growth in TMH-V appointments in the weeks following the pandemic declaration within the Department of Veterans Affairs (VA), the largest healthcare system in the United States. Methods: COVID-19 changes in TMH-V appointments were captured during the six weeks following the World Health Organization's pandemic declaration (March 11, 2020-April 22, 2020). Pre-COVID-19 TMH-V encounters were assessed from October 1, 2017 to March 10, 2020. Results: Daily TMH-V encounters rose from 1,739 on March 11 to 11,406 on April 22 (556% growth, 222,349 total encounters). Between March 11-April 22, 114,714 patients were seen via TMH-V, and 77.5% were first-time TMH-V users. 12,342 MH providers completed a TMH-V appointment between March 11-April 22, and 34.7% were first-time TMH-V users. The percentage growth of TMH-V appointments was higher than the rise in telephone appointments (442% growth); in-person appointments dropped by 81% during this time period. Discussion and Conclusions: The speed of VA's growth in TMH-V appointments in the wake of the COVID-19 pandemic was facilitated by its pre-existing telehealth infrastructure, including earlier national efforts to increase the number of providers using TMH-V. Longstanding barriers to TMH-V implementation were lessened in the context of a pandemic, during which non-urgent in-person MH care was drastically reduced. Future work is necessary to understand the extent to which COVID-19 related changes in TMH-V use may permanently impact mental health care provision.
|*COVID-19[MESH]
|Humans[MESH]
|Mental Health Services/*statistics & numerical data[MESH]
|Pandemics[MESH]
|Telemedicine/*statistics & numerical data[MESH]
|United States/epidemiology[MESH]
|Veterans[MESH]
|Veterans Health Services/*statistics & numerical data[MESH]
Telemed+J+E+Health 2021 ; 27 (4): 454-458
