Telemental Health and US Rural-Urban Differences in Specialty Mental Health Use, 2010-2017.

American Journal of Public Health
Sadiq Y PatelAteev Mehrotra

Abstract

Objectives. To examine whether growing use of telemental health (TMH) has reduced the rural-urban gap in specialty mental health care use in the United States.Methods. Using 2010-2017 Medicare data, we analyzed trends in the rural-urban difference in rates of specialty visits (in-person and TMH).Results. Among rural beneficiaries diagnosed with schizophrenia or bipolar disorder, TMH use grew by 425% over the 8 years and, in higher-use rural areas, accounted for one quarter of all specialty mental health visits in 2017. Among patients with schizophrenia or bipolar disorder, TMH visits differentially grew in rural areas by 0.14 visits from 2010 to 2017. This growth partially offset the 0.42-visit differential decline in in-person visits in rural areas. In net, the gap between rural and urban patients in specialty visits was larger by 2017.Conclusions. TMH has improved access to specialty care in rural areas, particularly for individuals diagnosed with schizophrenia or bipolar disorder. While growth in TMH use has been insufficient to eliminate the overall rural-urban difference in specialty care use, this difference may have been larger if not for TMH.Public Health Implications. Targeted policy to extend TMH to underserved areas ...Continue Reading

References

Aug 15, 2001·Journal of Environmental Science and Health. Part A, Toxic/hazardous Substances & Environmental Engineering·F Ceçen, G Gürsoy
Mar 19, 2003·Archives of Psychiatric Nursing·Elizabeth MerwinSteven Stern
Aug 3, 2004·The American Journal of Psychiatry·Paul E RuskinPeter Hauser
Jun 17, 2005·The New England Journal of Medicine·Ronald C KesslerAlan M Zaslavsky
Feb 11, 2010·Journal of Environmental Monitoring : JEM·Susanne SchmidtJochen F Mueller
Apr 10, 2010·Perspectives in Psychiatric Care·Francisca García-Lizana, Ingrid Muñoz-Mayorga
Feb 23, 2013·Clinical Schizophrenia & Related Psychoses·John KasckowGretchen Haas
May 24, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Donald M HiltyPeter M Yellowlees
Mar 25, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Nina M AntoniottiNancy Rowe
May 22, 2018·American Journal of Preventive Medicine·C Holly A AndrillaEric H Larson
Jan 12, 2019·Health Affairs·Haiden A HuskampAteev Mehrotra
Dec 4, 2019·Health Affairs·James B KirbyQuyen Ngo-Metzger
Jan 31, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Lori Uscher-PinesAteev Mehrotra

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Citations

Jan 23, 2021·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Alisa B BuschShelly F Greenfield
Apr 29, 2021·The American Journal of Hospice & Palliative Care·Yun Cai, Nasreen Lalani
May 26, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Pushpa V RajaNeal Doran
Jul 29, 2021·JMIR Formative Research·Amanda Reid, Alex Kresovich
Jul 10, 2021·Journal of Telemedicine and Telecare·Demi ZhuBrian E Bunnell
Aug 20, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Sadiq Y PatelAteev Mehrotra
Aug 28, 2021·International Journal of Environmental Research and Public Health·Carl B RothChristian G Huber

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