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Health Disparities and Comparison of Psychiatric Medication Use before and after the COVID-19 Pandemic Lockdown among General Practitioner Practices in the North East of England

Author

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  • Ge Yu

    (NIHR Applied Research Collaboration North East and North Cumbria, Northumberland and Tyne and Wear NHS Foundation Trust, The Clocktower Building, St Nicholas Hospital, Gosforth, Cumbria, Newcastle upon Tyne NE3 3XT, UK
    Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne NE2 4AX, UK)

  • Eugene Y. H. Tang

    (Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne NE2 4AX, UK)

  • Yu Fu

    (Primary Care & Mental Health, University of Liverpool, Liverpool L69 3GL, UK)

Abstract

Background: Psychiatric medications play a vital role in the management of mental health disorders. However, the COVID-19 pandemic and subsequent lockdown limited access to primary care services, leading to an increase in remote assessment and treatment options to maintain social distancing. This study aimed to investigate the impact of the COVID-19 pandemic lockdown on the use of psychiatric medication in primary care settings. Methods: We conducted a retrospective claims-based analysis of anonymized monthly aggregate practice-level data on anxiolytics and hypnotics use from 322 general practitioner (GP) practices in the North East of England, where health disparities are known to be higher. Participants were all residents who took anxiolytics and hypnotics from primary care facilities for two financial years, from 2019/20 to 2020/21. The primary outcome was the volume of Anxiolytics and Hypnotics used as the standardized, average daily quantities (ADQs) per 1000 patients. Based on the OpenPrescribing database, a random-effect model was applied to quantify the change in the level and trend of anxiolytics and hypnotics use after the UK national lockdown in March 2020. Practice characteristics extracted from the Fingertips data were assessed for their association with a reduction in medication use following the lockdown. Results: This study in the North East of England found that GP practices in higher health disparate regions had a lower workload than those in less health disparate areas, potentially due to disparities in healthcare utilization and socioeconomic status. Patients in the region reported higher levels of satisfaction with healthcare services compared to the England average, but there were differences between patients living in higher versus less health disparate areas. The study highlights the need for targeted interventions to address health disparities, particularly in higher health disparate areas. The study also found that psychiatric medication use was significantly more common in residents living in higher health disparate areas. Daily anxiolytics and hypnotics use decreased by 14 items per 1000 patients between the financial years 2019/20 and 2020/21. A further nine items per 1000 decreased for higher health disparate areas during the UK national lockdown. Conclusions: People during the COVID-19 lockdown were associated with an increased risk of unmet psychiatric medication demand, especially for higher health disparate areas that had low-socioeconomic status.

Suggested Citation

  • Ge Yu & Eugene Y. H. Tang & Yu Fu, 2023. "Health Disparities and Comparison of Psychiatric Medication Use before and after the COVID-19 Pandemic Lockdown among General Practitioner Practices in the North East of England," IJERPH, MDPI, vol. 20(11), pages 1-12, June.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:11:p:6034-:d:1162410
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    References listed on IDEAS

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    1. Luo, Juhua & Zhang, Xiulan & Jin, Chenggang & Wang, Dongmin, 2009. "Inequality of access to health care among the urban elderly in northwestern China," Health Policy, Elsevier, vol. 93(2-3), pages 111-117, December.
    2. Sanam Roder-DeWan & Anna D Gage & Lisa R Hirschhorn & Nana A Y Twum-Danso & Jerker Liljestrand & Kwanele Asante-Shongwe & Viviana Rodríguez & Talhiya Yahya & Margaret E Kruk, 2019. "Expectations of healthcare quality: A cross-sectional study of internet users in 12 low- and middle-income countries," PLOS Medicine, Public Library of Science, vol. 16(8), pages 1-17, August.
    3. James Banks & Xiaowei Xu, 2020. "The Mental Health Effects of the First Two Months of Lockdown during the COVID‐19 Pandemic in the UK," Fiscal Studies, John Wiley & Sons, vol. 41(3), pages 685-708, September.
    4. Steven Shea & Joao Lima & Ana Diez-Roux & Neal W Jorgensen & Robyn L McClelland, 2016. "Socioeconomic Status and Poor Health Outcome at 10 Years of Follow-Up in the Multi-Ethnic Study of Atherosclerosis," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-17, November.
    5. Robena Noorwali & Sarah Almotairy & Raneem Akhder & Ghadi Mahmoud & Loujain Sharif & Nofaa Alasmee & Alaa Mahsoon & Duaa Hafez, 2022. "Barriers and Facilitators to Mental Health Help-Seeking among Young Adults in Saudi Arabia: A Qualitative Study," IJERPH, MDPI, vol. 19(5), pages 1-11, March.
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