Benjamin Picillo, Helen Yu-Lefler, Cuong Bui, Minh Wendt, Alek Sripipatana
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As health centers rapidly expanded telehealth in response to COVID-19, the objective of the study was to assess whether telehealth use was associated with utilization and continuity within mental health care received by patients of HRSA-funded health centers. <b>Methods:</b> Cross-sectional analyses, using a nationally representative sample of adult patients with mental health needs from the 2022 Health Center Patient Survey (<i>n</i> = 1,044), explored associations between telehealth use and utilization of mental health services from primary care providers (PCP) and continuity of counseling services. Multivariate logistic regression models accounted for predisposing, enabling, and need factors to assess the influence of telehealth use on utilization and continuity outcomes. <b>Results:</b> After adjusting for patient-level factors, telehealth users with mental health needs had statistically significant and higher odds of receiving mental health services from a PCP at a health center compared with nontelehealth users (adjusted odds ratios [aOR] = 2.60, <i>p</i> < 0.001; 95% confidence interval [CI] [1.50, 4.52]). Telehealth-using patients receiving counseling services had statistically significant and higher odds of receiving all counseling services at a health center compared with nontelehealth users (aOR = 3.65, <i>p</i> < 0.001, 95% CI [2.04, 6.53]). <b>Conclusions:</b> Telehealth facilitates mental health care utilization and continuity for historically and medically underserved patients at health centers and can be an important tool for care management and coordination for patients with mental health needs, particularly during and following public health emergencies.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"838-847"},"PeriodicalIF":2.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Telehealth-Facilitated Mental Health Care Access and Continuity for Patients Served at the Health Resources and Services Administration-Funded Health Centers.\",\"authors\":\"Benjamin Picillo, Helen Yu-Lefler, Cuong Bui, Minh Wendt, Alek Sripipatana\",\"doi\":\"10.1089/tmj.2025.0011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objective:</b> The Health Resources and Services Administration (HRSA)-funded health centers provide critical behavioral health services to historically and medically underserved individuals with complex health and social needs. As health centers rapidly expanded telehealth in response to COVID-19, the objective of the study was to assess whether telehealth use was associated with utilization and continuity within mental health care received by patients of HRSA-funded health centers. <b>Methods:</b> Cross-sectional analyses, using a nationally representative sample of adult patients with mental health needs from the 2022 Health Center Patient Survey (<i>n</i> = 1,044), explored associations between telehealth use and utilization of mental health services from primary care providers (PCP) and continuity of counseling services. Multivariate logistic regression models accounted for predisposing, enabling, and need factors to assess the influence of telehealth use on utilization and continuity outcomes. <b>Results:</b> After adjusting for patient-level factors, telehealth users with mental health needs had statistically significant and higher odds of receiving mental health services from a PCP at a health center compared with nontelehealth users (adjusted odds ratios [aOR] = 2.60, <i>p</i> < 0.001; 95% confidence interval [CI] [1.50, 4.52]). Telehealth-using patients receiving counseling services had statistically significant and higher odds of receiving all counseling services at a health center compared with nontelehealth users (aOR = 3.65, <i>p</i> < 0.001, 95% CI [2.04, 6.53]). <b>Conclusions:</b> Telehealth facilitates mental health care utilization and continuity for historically and medically underserved patients at health centers and can be an important tool for care management and coordination for patients with mental health needs, particularly during and following public health emergencies.</p>\",\"PeriodicalId\":54434,\"journal\":{\"name\":\"Telemedicine and e-Health\",\"volume\":\" \",\"pages\":\"838-847\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Telemedicine and e-Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1089/tmj.2025.0011\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Telemedicine and e-Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/tmj.2025.0011","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/27 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
目的:卫生资源和服务管理局(HRSA)资助的卫生中心为具有复杂健康和社会需求的历史和医疗服务不足的个人提供关键的行为健康服务。随着卫生中心迅速扩大远程医疗以应对COVID-19,本研究的目的是评估远程医疗的使用是否与hrsa资助的卫生中心患者接受的精神卫生保健的利用率和连续性有关。方法:横断面分析,使用2022年健康中心患者调查中具有全国代表性的心理健康需求成年患者样本(n = 1,044),探讨远程医疗使用和初级保健提供者(PCP)心理健康服务的利用与咨询服务连续性之间的关系。多变量逻辑回归模型考虑了易感因素、使能因素和需要因素,以评估远程医疗使用对利用和连续性结果的影响。结果:在调整患者水平因素后,与非远程医疗用户相比,有心理健康需求的远程医疗用户从健康中心的PCP获得心理健康服务的几率具有统计学意义,且高于非远程医疗用户(调整后的优势比[aOR] = 2.60, p < 0.001;95%可信区间[CI][1.50, 4.52])。与非远程医疗用户相比,使用远程医疗的患者在医疗中心接受所有咨询服务的几率具有统计学意义(aOR = 3.65, p < 0.001, 95% CI[2.04, 6.53])。结论:远程医疗促进了卫生中心对历史上和医疗服务不足的患者的精神卫生保健的利用和连续性,可以成为对有精神卫生需求的患者进行护理管理和协调的重要工具,特别是在突发公共卫生事件期间和之后。
Telehealth-Facilitated Mental Health Care Access and Continuity for Patients Served at the Health Resources and Services Administration-Funded Health Centers.
Objective: The Health Resources and Services Administration (HRSA)-funded health centers provide critical behavioral health services to historically and medically underserved individuals with complex health and social needs. As health centers rapidly expanded telehealth in response to COVID-19, the objective of the study was to assess whether telehealth use was associated with utilization and continuity within mental health care received by patients of HRSA-funded health centers. Methods: Cross-sectional analyses, using a nationally representative sample of adult patients with mental health needs from the 2022 Health Center Patient Survey (n = 1,044), explored associations between telehealth use and utilization of mental health services from primary care providers (PCP) and continuity of counseling services. Multivariate logistic regression models accounted for predisposing, enabling, and need factors to assess the influence of telehealth use on utilization and continuity outcomes. Results: After adjusting for patient-level factors, telehealth users with mental health needs had statistically significant and higher odds of receiving mental health services from a PCP at a health center compared with nontelehealth users (adjusted odds ratios [aOR] = 2.60, p < 0.001; 95% confidence interval [CI] [1.50, 4.52]). Telehealth-using patients receiving counseling services had statistically significant and higher odds of receiving all counseling services at a health center compared with nontelehealth users (aOR = 3.65, p < 0.001, 95% CI [2.04, 6.53]). Conclusions: Telehealth facilitates mental health care utilization and continuity for historically and medically underserved patients at health centers and can be an important tool for care management and coordination for patients with mental health needs, particularly during and following public health emergencies.
期刊介绍:
Telemedicine and e-Health is the leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. It places special emphasis on the impact of telemedicine on the quality, cost effectiveness, and access to healthcare. Telemedicine applications play an increasingly important role in health care. They offer indispensable tools for home healthcare, remote patient monitoring, and disease management, not only for rural health and battlefield care, but also for nursing home, assisted living facilities, and maritime and aviation settings.
Telemedicine and e-Health offers timely coverage of the advances in technology that offer practitioners, medical centers, and hospitals new and innovative options for managing patient care, electronic records, and medical billing.