Psychiatric services (Washington, D.C.) · 2025
Changes in the Proportion of Office-Based Child and Adolescent Physician Visits Addressing Mental Health, 2005-2019.
СтатьяНазвание и аннотация: Перевод в очереди
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Gertner Alex, Easterly Caleb W, DeSilva Samantha, Shafer Paul R, Lombardi Brianna, Hunt-Harrison Tyehimba, Nag Sagarika, Cholera Rushina, Roubinov Danielle, Gaynes Bradley
Аннотация
OBJECTIVE: This study aimed to characterize trends in office-based, mental health-related physician visits of children and adolescents.
METHODS: This descriptive, repeated cross-sectional study analyzed visits (unweighted N=43,790) of children and adolescents, ages 4-17, in the 2005-2019 waves of the National Ambulatory Medical Care Survey, an annual nationally representative survey of U.S. office-based physician visits. The analysis estimated changes in the proportion of visits involving any psychiatric diagnosis, specific diagnoses, and psychiatric medications.
RESULTS: The average yearly number of all pediatric visits fell over the study period, whereas the yearly percentage of visits addressing mental health increased among children and adolescents, from 9.3% in 2005-2011 to 13.6% in 2012-2019. The proportion of primary care physician visits addressing mental health increased by 44.7% across the study period. The increase in psychiatric diagnoses was driven by anxiety disorders, which increased the most among female patients. Psychiatric diagnoses increased by 65.9% in visits with adolescents ages 13-17 and 30.9% in visits with children ages 4-12. The authors detected increases in mental health visits among non-Hispanic White and Hispanic youths but not among non-Hispanic Black youths. No statistically significant changes were found in psychiatric medication prescription or continuation at mental health visits.
CONCLUSIONS: Office-based physicians increasingly address mental health concerns, reflecting the increasing demand among children and adolescents. Psychiatric diagnoses at office-based physician visits differ by patients' sex and race-ethnicity. Many primary care physicians provide mental health care, highlighting the need for rigorous mental health training for pediatricians.
METHODS: This descriptive, repeated cross-sectional study analyzed visits (unweighted N=43,790) of children and adolescents, ages 4-17, in the 2005-2019 waves of the National Ambulatory Medical Care Survey, an annual nationally representative survey of U.S. office-based physician visits. The analysis estimated changes in the proportion of visits involving any psychiatric diagnosis, specific diagnoses, and psychiatric medications.
RESULTS: The average yearly number of all pediatric visits fell over the study period, whereas the yearly percentage of visits addressing mental health increased among children and adolescents, from 9.3% in 2005-2011 to 13.6% in 2012-2019. The proportion of primary care physician visits addressing mental health increased by 44.7% across the study period. The increase in psychiatric diagnoses was driven by anxiety disorders, which increased the most among female patients. Psychiatric diagnoses increased by 65.9% in visits with adolescents ages 13-17 and 30.9% in visits with children ages 4-12. The authors detected increases in mental health visits among non-Hispanic White and Hispanic youths but not among non-Hispanic Black youths. No statistically significant changes were found in psychiatric medication prescription or continuation at mental health visits.
CONCLUSIONS: Office-based physicians increasingly address mental health concerns, reflecting the increasing demand among children and adolescents. Psychiatric diagnoses at office-based physician visits differ by patients' sex and race-ethnicity. Many primary care physicians provide mental health care, highlighting the need for rigorous mental health training for pediatricians.