Abstract
Background: Survey studies suggest that COVID-19 has had a negative impact on the population's mental well-being. Routine registration data allow a more objective way for investigating such associations, complementary to self-report measures. This study investigates the level of out of hours (OOH) consultations for psychological problems since the start of the COVID-19 pandemic in Flanders, Belgium. Methods: The iCAREdata database is a clinical research database with routine data of OOH care, covering a large area in Flanders, Belgium. After defining the first wave and the second wave of COVID-19 in Flanders in time, we compared the number of consultations regarding psychological problems (in general, anxiety-related, depression-related, and sleep-related) between those periods, the period in between these waves, and the period before the start of COVID-19. Results: A significant rise in OOH consultations due to psychological-and more specifically, anxiety-related-problems is observed since the start of the COVID-19 pandemic in Flanders. Elevated levels are observed until the second wave. This finding is in sharp contrast with the general pattern of lower demand for primary healthcare during this period. The majority of these supplementary consultations happened by phone. Consultations regarding depression-related problems did not change over time. Sleep disturbances in the OOH setting were more common after the first wave. Conclusion: Despite some limitations, a large Flemish database with routine data on OOH care shows an increase in the number of consultations regarding psychological problems in general and anxiety-related problems since the start of the COVID-19-pandemic until the second wave.
Highlights
Many survey studies have shown that COVID-19 and the measures to control the pandemic have a strong and negative impact on the population’s mental well-being [1,2,3]
Previous research concerning the first COVID-19 wave in Belgium revealed an increase in diagnoses related to mental health and a decrease in the demand for primary care consultations unrelated to COVID-19 [5]
In contrast to survey-based research, in which often voluntary respondents are questioned about their well-being, routine registration data allow us to more objectively study the prevalence of health problems on a regular basis in a large share of citizens, and how fluctuations in health problems are related to the evolution of the COVID-19 pandemic
Summary
Many survey studies have shown that COVID-19 and the measures to control the pandemic have (had) a strong and negative impact on the population’s mental well-being [1,2,3]. In contrast to survey-based research, in which often voluntary respondents are questioned about their well-being, routine registration data allow us to more objectively study the prevalence of (mental) health problems on a regular basis in a large share of citizens, and how fluctuations in health problems are related to the evolution of the COVID-19 pandemic. The aim of this study is to describe the demand for care regarding mental health problems during out of hours (OOH) care before and during the COVID-19 pandemic in Flanders, Belgium. This study investigates the level of out of hours (OOH) consultations for psychological problems since the start of the COVID-19 pandemic in Flanders, Belgium
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