For Medicaid beneficiaries with schizophrenia, supply of psychological well being care by telehealth (telemental well being care) subtle quickly after onset of the COVID-19 pandemic, in accordance with a examine printed on-line Jan. 16 in JAMA Community Open.
Sharon-Lise Normand, Ph.D., from Harvard Medical Faculty in Boston, and colleagues carried out a retrospective cohort examine utilizing New York State Medicaid knowledge from March 1, 2019, to Feb. 29, 2020 (prepandemic interval) and from March 11, 2020, to March 31, 2021 (pandemic interval) from 261 companies serving 30,990 beneficiaries with schizophrenia with a number of psychological well being visits.
Of the companies included within the examine, six (2%) and 248 (95%) by no means adopted telemental well being care and reached 10% cumulative telemental well being care visits in a imply of 18 days, respectively. The researchers noticed no affiliation for imply company prepandemic share of beneficiaries belonging to racial or ethnic minority teams with telemental well being care diffusion. Quicker diffusion was seen in state-operated versus free-standing companies (hazard ratio, 2.44).
Time to first telemental well being care go to was slower in each racial and ethnic minority group relative to White beneficiaries (hazard ratios, 0.93, 0.90, and 0.95 for Asian or different, Black, and Latinx, respectively). No matter pandemic severity and space, beneficiaries from not less than one racial or ethnic minority group had been much less probably than White beneficiaries to have a telemental well being care go to; when pandemic severity was increased, the variations narrowed.
“States should monitor the diffusion of innovations among vulnerable populations, investigating whether adoption speed varies by race and ethnicity,” the authors write.
Extra data:
Sharon-Lise Normand et al, Race and Ethnicity and Diffusion of Telemedicine in Medicaid for Schizophrenia Care After Onset of the COVID-19 Pandemic, JAMA Community Open (2025). DOI: 10.1001/jamanetworkopen.2024.54776
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