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Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study

dc.contributorPontificia Universidad Javeriana. Facultad de Medicina. Instituto de Genética Humana. Grupo de investigación Instituto de Genética Humana
dc.contributorPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
dc.contributorPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud Mental
dc.contributorSuarez-Obando, Fernando
dc.contributorCarlos Gomez-Restrepo
dc.contributorCepeda-Gil, Magda
dc.contributorUribe Restrepo, Jose Miguel
dc.creatorGomez-Restrepo, Carlos
dc.creatorCepeda-Gil, Magda
dc.creatorTorrey, William C.
dc.creatorSuarez-Obando, Fernando
dc.creatorUribe Restrepo, Jose Miguel
dc.creatorPark, Sena
dc.creatorJassir, Maria Paula
dc.creatorMartínez Camblor, Pablo
dc.creatorCastro, Sergio M.
dc.creatorAguilera Cruz, Jeny Alejandra
dc.creatorGonzález, Lilian
dc.creatorChaparro, Natalia
dc.creatorGómez-Gamez, Ana María
dc.creatorBell, Kathleen
dc.creatorMarsch, Lisa A.
dc.date2022-10-21T19:46:44Z
dc.date2022-10-21T19:46:44Z
dc.date2022-09-07
dc.date.accessioned2025-10-30T14:03:44Z
dc.date.available2025-10-30T14:03:44Z
dc.identifierhttps://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/full
dc.identifier2296-2565
dc.identifierhttp://hdl.handle.net/10554/62148
dc.identifierhttps://doi.org/10.3389/fpubh.2022.896318
dc.identifierinstname:Pontificia Universidad Javeriana
dc.identifierreponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifierrepourl:https://repository.javeriana.edu.co
dc.identifier.urihttp://test.repositoriodigital.com:8080/handle/123456789/193254
dc.descriptionQ1
dc.descriptionQ1
dc.descriptionIntroduction: The COVID-19 pandemic has had an impact both in general and mental healthcare, challenged the health systems worldwide, and affected their capacity to deliver essential health services. We aimed to describe perceived changes in ease of access to general and mental healthcare among patients with a diagnosis of depression and/or unhealthy alcohol use in Colombia. Methods: This study is embedded in the DIADA project, a multicenter implementation research study aimed at evaluating the integration of mental healthcare in primary care in Colombia. Between November 2020 and August 2021, we conducted a COVID-19 pandemic impact assessment in a cohort of participants with newly diagnosed depression and/or unhealthy alcohol use part of DIADA project. We assessed the ease of access and factors related to perceived ease of access to general or mental healthcare, during the COVID-19 pandemic. Results: 836 participants completed the COVID-19 pandemic impact assessment. About 30% of participants considered their mental health to be worse during the pandemic and 84.3% perceived access to general healthcare to be worse during the pandemic. Most of participants (85.8%) were unable to assess access to mental health services, but a significant proportion considered it to be worse. Experiencing worse ease of access to general healthcare was more frequent among women, patients with diagnosis of depression, and patients with comorbidities. Experiencing worse ease of access to mental healthcare was more frequent among patients aged between 30 and 49.9 years, from socioeconomic status between 4 and 6, affiliated to the contributive social security regime, attending urban study sites, and those who perceived their mental health was worse during the pandemic. Discussion: Despite the overall perception of worse mental health during the pandemic, the use of mental healthcare was low compared to general healthcare. Ease of access was perceived to be worse compared to pre-pandemic. Ease of access and access were affected by geographical study site, socioeconomic status, age and gender. Our findings highlight the need for improved communication between patients and institutions, tailored strategies to adapt the healthcare provision to patients' characteristics, and continued efforts to strengthen the role of mental healthcare provision in primary care.
dc.descriptionhttps://orcid.org/0000-0002-9013-5384
dc.descriptionhttps://orcid.org/0000-0003-4579-6033
dc.descriptionhttps://orcid.org/0000-0001-6336-5347
dc.descriptionhttps://orcid.org/0000-0003-4284-7886
dc.descriptionhttps://orcid.org/0000-0002-9682-2759
dc.descriptionhttps://orcid.org/0000-0002-4785-6979
dc.descriptionRevista Internacional - Indexada
dc.descriptionA1
dc.descriptionNo
dc.formatPDF
dc.formatapplication/pdf
dc.formatapplication/pdf
dc.languageeng
dc.relation1
dc.relation13
dc.relationFrontiers in Public Health
dc.relation10
dc.rightsAtribución-NoComercial 4.0 Internacional
dc.rightshttp://creativecommons.org/licenses/by-nc/4.0/
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectMental health
dc.subjectPrimary health care
dc.subjectCOVID-19
dc.subjectHealthcare access
dc.subjectDepression
dc.subjectUnhealthy alcohol use
dc.subjectMental healthcare
dc.titlePerceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study
dc.typehttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.typeArtículo de revista
dc.typehttp://purl.org/coar/resource_type/c_2df8fbb1
dc.coverageColombia


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