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Healthcare Access for a Diverse Population with Schizophrenia Following the Onset of the Covid-19 Pandemic

Datos Bibliográficos

ID8908262
AutoresMarcela Horvitz‐Lennon (0000-0001-8120-9313, Cambridge Health Alliance, autor de correspondencia), Emily Leckman‐Westin (0000-0003-3812-4036, Albany State University), Emily Leckman-Westin, Molly Finnerty (0000-0003-2035-5637, New York State Department of Health), Junghye Jeong (New York State Department of Health), Jeannette Tsuei (0000-0002-3028-7431, RAND Corporation), Katya Zelevinsky (0000-0001-8289-6178, Harvard University), Qingxian Chen (0000-0002-0620-7198, New York State Department of Health), Sharon‐Lise T Normand (0000-0001-7027-4769, Harvard University), Sharon-Lise T Normand
Año2023
Volumen60
Número1
Páginas72-80
Fecha de publicación2023-05-18
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCommunity Mental Health Journal (JOURNAL)
Identificadores de la revistaISSN: 0010-3853 • E-ISSN: 1573-2789
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10597-023-01105-1
PMID37199854
OpenAlexW4377011668
IdiomaEN
Citas recibidas1
Referencias citadas31

COVID-19 has had a disproportionate impact on the most disadvantaged members of society, including minorities and those with disabling chronic illnesses such as schizophrenia. We examined the pandemic's impacts among New York State's Medicaid beneficiaries with schizophrenia in the immediate post-pandemic surge period, with a focus on equity of access to critical healthcare. We compared changes in utilization of key behavioral health outpatient services and inpatient services for life-threatening conditions between the pre-pandemic and surge periods for White and non-White beneficiaries. We found racial and ethnic differences across all outcomes, with most differences stable over time. The exception was pneumonia admissions-while no differences existed in the pre-pandemic period, Black and Latinx beneficiaries were less likely than Whites to be hospitalized in the surge period despite minorities' heavier COVID-19 disease burden. The emergence of racial and ethnic differences in access to scarce life-preserving healthcare may hold lessons for future crises

Coronavirus disease 2019 (COVID-19 · Disadvantaged · Disease · Environmental health · Ethnic group · Health care · Health equity · Infectious disease (medical specialty · Medicaid · Pandemic · Political science · Population · Psychiatry · Public health · COVID-19 and Mental Health · Demography · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Nursing · Gerontology

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