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

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dc.contributor.authorGomez-Restrepo, Carlos
dc.contributor.authorCepeda-Gil, Magda
dc.contributor.authorTorrey, William C.
dc.contributor.authorSuarez-Obando, Fernando
dc.contributor.authorUribe Restrepo, Jose Miguel
dc.contributor.authorPark, Sena
dc.contributor.authorJassir, Maria Paula
dc.contributor.authorMartínez Camblor, Pablo
dc.contributor.authorCastro, Sergio M.
dc.contributor.authorAguilera Cruz, Jeny Alejandra
dc.contributor.authorGonzález, Lilian
dc.contributor.authorChaparro, Natalia
dc.contributor.authorGómez-Gamez, Ana María
dc.contributor.authorBell, Kathleen
dc.contributor.authorMarsch, Lisa A.
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Instituto de Genética Humana. Grupo de investigación Instituto de Genética Humanaspa
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud Mental
dc.contributor.javerianateacherSuarez-Obando, Fernando
dc.contributor.javerianateacherCarlos Gomez-Restrepo
dc.contributor.javerianateacherCepeda-Gil, Magda
dc.contributor.javerianateacherUribe Restrepo, Jose Miguel
dc.coverage.spatialColombiaspa
dc.date.accessioned2022-10-21T19:46:44Z
dc.date.available2022-10-21T19:46:44Z
dc.date.created2022-09-07
dc.description.abstractenglishIntroduction: 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.spa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0002-9013-5384spa
dc.description.orcidhttps://orcid.org/0000-0003-4579-6033spa
dc.description.orcidhttps://orcid.org/0000-0001-6336-5347spa
dc.description.orcidhttps://orcid.org/0000-0003-4284-7886spa
dc.description.orcidhttps://orcid.org/0000-0002-9682-2759spa
dc.description.orcidhttps://orcid.org/0000-0002-4785-6979spa
dc.description.publindexA1spa
dc.description.quartilescopusQ1spa
dc.description.quartilewosQ1spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/fullspa
dc.identifier.doihttps://doi.org/10.3389/fpubh.2022.896318spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn2296-2565spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/62148
dc.language.isoengspa
dc.relation.citationendpage13spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume10spa
dc.relation.ispartofjournalFrontiers in Public Healthspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordMental healthspa
dc.subject.keywordPrimary health carespa
dc.subject.keywordCOVID-19spa
dc.subject.keywordHealthcare accessspa
dc.subject.keywordDepressionspa
dc.subject.keywordUnhealthy alcohol usespa
dc.subject.keywordMental healthcarespa
dc.titlePerceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional studyspa
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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