Evidence map›Paper›PMID 40295248›Full record

Observational studyMedicine2025

Changes in utilization of in-person and virtual outpatient mental health visits before and during the COVID-19 pandemic: An observational cohort study.

Rebecca C Rossom, Hsueh-Han Yeh, Lisiyu Ma, Robert B Penfold, Stephanie A Hooker, Lisa R Miller-Matero, Gregory Simon, Ashli Owen-Smith, Caitlin M Borgert-Spaniol, Brian Ahmedani

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rebecca C RossomHealthPartners Institute, Bloomington, MN.ORCID 0000-0002-9531-914
Hsueh-Han YehCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI.
Lisiyu MaCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI.
Robert B PenfoldKaiser Permanente Washington Health Research Institute, Seattle, WA.
Stephanie A HookerHealthPartners Institute, Bloomington, MN.
Lisa R Miller-MateroCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI.
Gregory SimonKaiser Permanente Washington Health Research Institute, Seattle, WA.
Ashli Owen-SmithCenter for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, GA.
Caitlin M Borgert-SpaniolHealthPartners Institute, Bloomington, MN.
Brian AhmedaniCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI.

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
Whose Depression Are We Measuring?: Considering the role of place on Black women’s depression outcomesU19MH121738 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2019 to 2023
$10.6M
NIMH NIH HHS U19 MH092201NIMH NIH HHS U19 MH121738
6 · The paper itself

Abstract

While depression and anxiety increased with the COVID-19 pandemic, mental health (MH) care access plummeted. This accelerated the uptake of virtual visits, but the degree to which these supplanted in-person visits is unknown. This study aims to assess in-person and virtual MH visits prior to and during the pandemic. Visits from HealthPartners (Minnesota, Wisconsin), Henry Ford (Michigan) and Kaiser Washington (Washington, Oregon) from 2018 to 2022 were stratified by site and study period in this observational cohort study. Segmented linear regression analysis identified changes in the trend over time by detecting optimal breakpoints. A total of 1333,966 patients received MH care. Average monthly MH service utilization was 11% higher from September 2020 to December 2022 compared to calendar year 2019, driven by more patients seeking care. At their peak in mid-2020, virtual visits accounted for 25.6% of visits compared to 1.8% pre-pandemic. MH care utilization increased by the end of 2022 compared to pre-pandemic levels, driven by more people seeking care and supported in part by an increase in virtual visits.

Indexed as

Ambulatory CareCOVID-19Mental Health ServicesPatient Acceptance of Health CareTelemedicineAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2United StatesCOVID-19healthcare accessmental healthoutpatient visitsprimary caretelehealth

Identifiers

PMID40295248
PMCPMC12040004

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.