Decline in Hospital Visits by Patients with Schizophrenia Early in the COVID-19 Outbreak in Korea
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objective: This study investigated trends in hospital utilization by patients with schizophrenia during the first wave of the COVID-19 outbreak in Korea. Methods: The Prophet algorithm was used to predict the monthly number of patients with schizophrenia in 2020 based on medical insurance data between 2010 and 2019. The projected expectations were compared with the actual number of patients receiving outpatient and inpatient treatment each month in the first half of 2020. We conduct interrupted time series analyses of short-term data to determine the significance of recent changes in the trend of hospital visits by patients with schizophrenia. Results: The prediction model showed that the actual number of patients receiving treatment each month during the early COVID-19 outbreak decreased by up to 3.6% compared to the projected expectations. The interrupted time series model also revealed a significant change in hospital utilization compared to the year before the onset of COVID-19 in Korea (F = 8.961, p = 0.010). Conclusion: This suggests that many patients with schizophrenia were not receiving adequate treatment during the COVID-19 outbreak. A strategy should be developed to keep treating patients with schizophrenia during the COVID-19 pandemic.
Abstract
Objective: This study investigated trends in hospital utilization by patients with schizophrenia during the first wave of the COVID-19 outbreak in Korea. Methods: The Prophet algorithm was used to predict the monthly number of patients with schizophrenia in 2020 based on medical insurance data between 2010 and 2019. The projected expectations were compared with the actual number of patients receiving outpatient and inpatient treatment each month in the first half of 2020. We conduct interrupted time series analyses of short-term data to determine the significance of recent changes in the trend of hospital visits by patients with schizophrenia. Results: The prediction model showed that the actual number of patients receiving treatment each month during the early COVID-19 outbreak decreased by up to 3.6% compared to the projected expectations. The interrupted time series model also revealed a significant change in hospital utilization compared to the year before the onset of COVID-19 in Korea (F = 8.961, p = 0.010). Conclusion: This suggests that many patients with schizophrenia were not receiving adequate treatment during the COVID-19 outbreak. A strategy should be developed to keep treating patients with schizophrenia during the COVID-19 pandemic.
참고문헌 (17)
- Anderson KK, "Effectiveness of early psychosis intervention : comparison of service users and nonusers in population-based health administrative data", Am J Psychiatry, 175, pp.443~452 (2018)
- Kim M, "Comparison of psychosocial distress in areas with different COVID-19 prevalence in Korea", Front Psychiatry, 11, pp.593105~ (2020)
- Kim SW, "Using psychoneuroimmunity against COVID-19", Brain Behav Immun, 87, pp.4~5 (2020)
- KozloffN, "The COVID-19 global pandemic : implications for people with schizophrenia and related disorders", Schizophr Bull, 46, pp.752~757 (2020)
- "Disease statistics"[URL]
- "The its.analysis R package- modelling short time series data" (2019)[URL]
- Korean Society of Infectious Diseases, "Report on the Epidemiological Features of Coronavirus Disease 2019 (COVID-19) Outbreak in the Republic of Korea from January 19 to March 2, 2020", Journal of Korean Medical Science, 35(10), pp.1~11 (2020), 대한의학회[DOI]
- Ki M, "2015 MERS outbreak in Korea: hospital-to-hospital transmission", Epidemiol Health, 37, pp.e2015033~ (2015)
- Go DS, "A review of the admission system for mental disorders in South Korea", Int J Environ Res Public Health, 17, pp.9159~ (2020)
- Ryu S, "Network study of responses to unusualness and psychological stress during the COVID-19 outbreak in Korea", PLoS One, 16, pp.e0246894~ (2021)
- Carpiniello B, "Psychiatry during the COVID-19 pandemic : a survey on mental health departments in Italy", BMC Psychiatry, 20, pp.593~ (2020)
- Costa M, "COVID-19concerns among persons with mental illness", Psychiatr Serv, 71, pp.1188~1190 (2020)
- The impact of COVID-19 on mental, neurological and substance use services: results of a rapid assessment, "World Health Organization", World Health Organization, ~ (2020)
- Ju-Wan Kim, "Telephone based Interventions for Psychological Problems in Hospital Isolated Patients with COVID-19", Clinical Psychopharmacology and Neuroscience, 18(4), pp.616~620 (2020), 대한정신약물학회[DOI]
- Ji-Young Oh, "Current Status and Progress of Telemedicine in Korea and Other Countries", Healthcare Informatics Research, 21(4), pp.239~243 (2015), 대한의료정보학회[DOI]
- Sung Joon Cho, "Annual Prevalence and Incidence of Schizophrenia and Similar Psychotic Disorders in the Republic of Korea: A National Health Insurance Data-Based Study", PSYCHIATRY INVESTIGATION, 17(1), pp.61~70 (2020), 대한신경정신의학회[DOI]